Learning Objectives and CME/Disclosure Information
This activity is intended for healthcare providers delivering care to women and their families.
After completing this activity, the participant should be better able to:
1. Compare different types of female sexual dysfunction 2. Recall other professionals who may be important for patient referral if necessary
Estimated time to complete activity: 0.25 hours
Susan J. Gross, MD, FRCSC, FACOG, FACMG
President and CEO, The ObG Project
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires faculty, planners, and others in control of educational content to disclose all their financial relationships with ineligible companies. All identified conflicts of interest (COI) are thoroughly vetted and mitigated according to PIM policy. PIM is committed to providing its learners with high quality accredited continuing education activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.
The PIM planners and others have nothing to disclose. The OBG Project planners and others have nothing to disclose.
Faculty: Susan J. Gross, MD, receives consulting fees from Cradle Genomics, and has financial interest in The ObG Project, Inc.
Planners and Managers: The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.
Method of Participation and Request for Credit
Fees for participating and receiving CME credit for this activity are as posted on The ObG Project website. During the period from Dec 31 2017 through Jan 25 2023, participants must read the learning objectives and faculty disclosures and study the educational activity.
If you wish to receive acknowledgment for completing this activity, please complete the post-test and evaluation. Upon registering and successfully completing the post-test with a score of 100% and the activity evaluation, your certificate will be made available immediately.
For Pharmacists: Upon successfully completing the post-test with a score of 100% and the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Medical Education
Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.2 contact hours.
Female sexual dysfunction is a condition in which a woman experiences persistent and recurrent problems with any aspect of her sexual activity. The problem must cause her personal distress and/or be affecting her relationship. Female sexual dysfunction typically falls into one of the following categories:
Problems with libido – an absence of desire and fantasies
Problems with arousal – an absence of response to sexual stimulus, either objectively or subjectively
Problems with orgasm – an inability to achieve an orgasm when desired
Problems with pain – an experience of pain either before, during or after coitus
While elements of sexual dysfunction may be present, the issues need to cause the patient distress, either personally or in her relationship, in order to define the problem as a clinical concern
Sexual dysfunction issues often involve comorbidity
It is often difficult for a woman to distinguish for herself which problem may be primary and which may be secondary
Problems of desire and arousal are often confused by the patient or intertwined, therefore the most recent DSM –5 merged the two concerns into “Sexual Interest/Arousal Disorder”
Diagnosis and management of some sexual dysfunction cases are highly complex and time consuming, necessitating appropriate referrals to sexual health specialists
Avoid assumption that pelvic pain is psychological in patients who are unable to identify the cause of the pain
When the cause of pain cannot be readily diagnosed and treated, consider referrals to:
Pelvic pain specialists
Pelvic floor physical therapists
In cases of low desire, decreased arousal or orgasm consider all potential physiological causes, including complaints resulting as a side effect of medications when also considering referral to sex therapists. Consider referrals to:
Sexual health specialists
Endocrinologists specializing in sexual health
Prescribing physicians in those cases where complaints are most likely to be side effects of other medications
Note: Many of these medications leading tend to be psychotropics, so consider importance of involving psychiatrists
Referrals to sex therapists and psychologists are best made in tandem with appropriate medical referrals or in cases where the practitioner comes to the conclusion the problem is one of relationship, body dysmorphia or lack of sexual awareness in the patient
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
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