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Pelvic Organ Prolapse ACOG Practice Bulletin, Number 214
https://journals.lww.com/greenjournal/Abstract/2019/11000/Pelvic_Organ_Prolapse__ACOG_Practice_Bulletin,.44.aspx
Obstetrics & Gynecology;

Nov 29th, 2019 - Pelvic organ prolapse (POP) is a common, benign condition in women. For many women it can cause vaginal bulge and pressure, voiding dysfunction, defecatory dysfunction, and sexual dysfunction, which may adversely affect quality of life. Women in the United States have a 13% lifetime risk of undergoing surgery for POP (1). Although POP can occur in younger women, the peak incidence of POP sympto...

Golombok Rust Inventory of Sexual Satisfaction (GRISS)
https://www.psychometrics.cam.ac.uk/services/psychometric-tests/GRISS

Apr 16th, 2019 - The GRISS is a 28-item questionnaire for the assessment of sexual dysfunction in heterosexual couples. The GRISS is used by relationship counsellors and clinics to identify and monitor sexual problems. It has also been used in clinical trials of new treatment approaches and pharmacological products designed for the treatment of sexual dysfunction.

ACOG: Sexual Assault
https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Sexual-Assault

Mar 31st, 2019 - Sexual violence continues to be a major public health problem affecting millions of adults and children in the United States. Medical consequences of sexual assault include sexually transmitted infections; mental health conditions, including posttraumatic stress disorder; and risk of unintended pregnancy in reproductive-aged survivors of sexual assault. Obstetrician–gynecologists and other wom...

Sexual Assault Awareness Month - I Ask
https://www.nsvrc.org/saam

Mar 31st, 2019 - Sexual Assault Awareness Month is a campaign to raise public awareness about sexual violence and educate communities on how to prevent it. The campaign theme, I Ask, champions the message that asking for consent is a healthy, normal, and necessary part of everyday interactions.

Taking Sexual History in Primary Care Settings: Where to Start?
https://www.aafp.org/news/opinion/20170301guestedprep.html

Feb 28th, 2017 - Primary care physicians recognize the importance of taking a sexual history in the prevention and management of HIV/AIDS and other sexually transmitted infections (STIs). At the same time, many of us haven't incorporated it into our everyday work. We know what to ask, but we may be uncomfortable asking intimate questions about a patient's sex life.

A Guide to Taking a Sexual History
https://www.cdc.gov/std/treatment/SexualHistory.pdf
CDC

Mar 13th, 2014 - For a more complete picture of your patient’s health, the following guide offers parameters for discussion of sexual health issues. A sexual history needs to be taken during a patient’s initial visit, during routine preventive exams, and when you see signs of sexually transmitted diseases (STDs). The dialogue lends itself to the opportunity for risk-reduction counseling and sharing info...

Responding to intimate partner violence and sexual violence against women
https://apps.who.int/iris/bitstream/handle/10665/85240/9789241548595_eng.pdf;jsessionid=0A65B5BA6C736E1A0E96A1D54BF970FA?sequence=1

Oct 31st, 2013 - Women who have been subjected to violence often seek health care, including for their injuries, even if they do not disclose the associated abuse or violence. A health-care provider is likely to be the first professional contact for survivors of intimate partner violence or sexual assault. Statistics show that abused women use health-care services more than non-abused women do. They als...

Elder Abuse and Women's Health
https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Elder-Abuse-and-Womens-Health

Jun 30th, 2013 - Elder abuse, a violation of human rights, is defined as a single or repeated act, or lack of appropriate actions, which causes harm, risk of harm, or distress to an individual 60 years or older. As many as 1 in 10 older adults have been victims of elder abuse. Most cases of abuse occur in women. The U.S. Census predicts that by 2030, the segment of the population that is older than 65 years wil...

The Prevalence and Correlates of Postcoital Dysphoria in Women
https://www.tandfonline.com/doi/full/10.1080/19317611.2010.509689

Mar 17th, 2011 - This study examined the lifetime and 4-week prevalence of postcoital dysphoria (PCD) and its relationship with psychological distress and reports of past sexual abuse. Among 222 female university students, 32.9% reported having ever experienced PCD whereas 10% reported experiencing PCD in the previous 4 weeks. Multiple regression analyses revealed support for the hypothesis that lifetime and 4-...

Validated Questionnaires in Male Sexual Function Assessment
https://link.springer.com/chapter/10.1007/978-1-60761-916-1_22

Mar 13th, 2011 - Self-administered questionnaires and symptom scales are valuable adjuncts to clinical practice in sexual medicine and are an important part of high quality research. Despite their value in identifying and evaluating sexual dysfunction, screening tools and questionnaires should never substitute for a thorough sexual, medical, and psychosocial history. For patients with multiple sexual dysfunctio...

Middle-School Coaches Can Curb Dating Violence Among Young Males
https://www.medscape.com/viewarticle/923747

Jan 13th, 2020 - (Reuters Health) - Coaches who teach young male athletes about respectful relationship behaviors may be able to help prevent dating violence and aggressive behavior toward female peers, a U.S. study suggests. Researchers tested the effectiveness of Coaching Boys Into Men, a program that seeks to prevent dating violence and sexual assault by enlisting coaches to speak frankly with middle-school ...

Coaches can help curb middle school dating violence
https://www.reuters.com/article/us-health-boys-violence/coaches-can-help-curb-middle-school-dating-violence-idUSKBN1ZC2F5

Jan 13th, 2020 - (Reuters Health) - Coaches who teach young male athletes about respectful relationship behaviors may be able to help prevent dating violence and aggressive behavior toward female peers, a U.S. study suggests. Researchers tested the effectiveness of Coaching Boys Into Men, a program that seeks to prevent dating violence and sexual assault by enlisting coaches to speak frankly with middle-school ...

Encrypted App Aims to Boost Sex Crime Reporting in India
https://www.medscape.com/viewarticle/923528

Jan 8th, 2020 - CHENNAI, India (Thomson Reuters Foundation) - Women in India will be able to anonymously report sexual abuse, seek medical or legal aid and create private journals on a mobile app to be launched next week to make reporting of the crime less traumatic for survivors. The Smashboard app uses blockchain to create an encrypted space where victims of sex crimes can store notes, photos, screenshots, d...

Most older men don't need testosterone replacement, new guidelines say
https://www.reuters.com/article/us-health-testosterone/most-older-men-dont-need-testosterone-replacement-new-guidelines-say-idUSKBN1Z525S

Jan 6th, 2020 - (Reuters Health) - Older men whose testosterone levels have dropped over the years should only be given testosterone replacement to treat sexual dysfunction, according to new guidelines from the American College of Physicians released on Monday. Sales of treatments for low testosterone or “low T” tripled from 2001 to 2011, fueled by direct-to-consumer advertising promising that androgen replace...

Fractional CO2 Laser Treatment Appears to Relieve Genitourinary Syndrome in Postmenopausal Women
https://www.medscape.com/viewarticle/923194

Dec 30th, 2019 - NEW YORK (Reuters Health) - Fractional CO2 laser treatment appears to relieve symptoms of genitourinary syndrome of menopause in postmenopausal women, according to new findings. An estimated 50% of women experience genitourinary syndrome of menopause (GSM), which manifests as vaginal laxity, dryness, dyspareunia, itching, burning, urinary incontinence and other symptoms. Local therapies, includ...

Endometriosis: Diagnostic and Treatment Challenges
https://www.medscape.com/viewarticle/923259

Dec 30th, 2019 - Endometriosis is a chronic, benign gynecologic disease that is diagnosed when endometrial glands and stroma are found in extrauterine locations. Affecting as many as 1 in 7 women, endometriosis is associated with pelvic symptoms, dysmenorrhea, chronic pelvic pain, dyspareunia, intestinal or urinary tract problems, and infertility. Despite a host of well-described symptoms, the diagnosis is typi...

Sexual Dysfunction Common After Inguinal Hernia Repair in Men
https://www.medscape.com/viewarticle/922485

Dec 11th, 2019 - (Reuters Health) – Many men experience sexual dysfunction or pain during sexual activity after inguinal hernia surgery, a research review suggests. The authors analyzed data from 12 previous studies with a total of 4,884 patients. Overall, 5.3% of men developed sexual dysfunction after surgeries to repair inguinal hernias and 9% of men developed pain during sexual activity. "At least temporary ...

Sexual dysfunction common after men's hernia surgery
https://www.reuters.com/article/us-health-sex-hernia-repair/sexual-dysfunction-common-after-mens-hernia-surgery-idUSKBN1YF2NL

Dec 11th, 2019 - (Reuters Health) – - Many men experience sexual dysfunction or pain during sexual activity after groin surgery to repair a hernia, a research review suggests. The authors analyzed data from 12 previous studies with a total of 4,884 patients. They focused on men who had what’s known as an inguinal hernia, when soft tissue in the intestine bulges through the abdominal wall into the groin. Overall...

Grey's Anatomy Episode on Sexual Assault Raised Viewer Awareness
https://www.medscape.com/viewarticle/921987

Dec 2nd, 2019 - (Reuters Health) - An episode of the long-running television show Grey's Anatomy increased public awareness about sexual assault and how to get help, a study suggests. On March 28, 2019, the medical drama series aired an episode called Silent All These Years, on the topic of consent and sexual assault. At the end of the episode, series star Ellen Pompeo appealed to viewers to ask for help if th...

Grey's Anatomy episode on sexual assault raised viewer awareness
https://www.reuters.com/article/us-health-television/greys-anatomy-episode-on-sexual-assault-raised-viewer-awareness-idUSKBN1Y61UZ

Dec 2nd, 2019 - (Reuters Health) - An episode of the long-running television show Grey’s Anatomy increased public awareness about sexual assault and how to get help, a study suggests. On March 28, 2019, the medical drama series aired an episode called Silent All These Years, on the topic of consent and sexual assault. At the end of the episode, series star Ellen Pompeo appealed to viewers to ask for help if th...

Sexual Dysfunction, Dryness Common in Years Before Menopause
https://www.medscape.com/viewarticle/921636

Nov 21st, 2019 - (Reuters Health) - Many women experience sexual health problems in the years leading up to menopause, and vaginal dryness is often responsible, a small study in Italy suggests. Researchers examined data on 518 women ages 40 to 55 to see how often they had vaginal dryness during gynecological checkups and how often they reported difficulty with things like lubrication, desire, arousal, orgasm an...

Vulvovaginal Atrophy in Menopause Linked to Depression, Anxiety
https://www.medscape.com/viewarticle/921560

Nov 20th, 2019 - NEW YORK (Reuters Health) - Women with vulvovaginal atrophy (VVA) have a greater risk of depression, major depressive disorder (MDD) and anxiety than those without the condition, according to new findings. Women aged 45-54 with VVA were at particularly increased risk, Erick Moyneur of StatLog Econometrics, Inc., in Montreal and colleagues report in Menopause, online November 4. "While this stud...

Sexual dysfunction, dryness common in years before menopause
https://www.reuters.com/article/us-health-menopause-sexuality/sexual-dysfunction-dryness-common-in-years-before-menopause-idUSKBN1XU2NT

Nov 20th, 2019 - (Reuters Health) - Many women experience sexual health problems in the years leading up to menopause, and vaginal dryness is often responsible, a small study in Italy suggests. Researchers examined data on 518 women ages 40 to 55 to see how often they had vaginal dryness during gynecological checkups and how often they reported difficulty with things like lubrication, desire, arousal, orgasm an...

Female Runner, 47, with Inguinal Lump
https://www.mdedge.com/clinicianreviews/article/212475/womens-health/female-runner-47-inguinal-lump/page/0/3?channel=322

Nov 18th, 2019 - OUTCOME FOR THE CASE PATIENT The lesion was excised completely. Since the patient had been entirely asymptomatic until age 47, and the risks of a potentially unnecessary surgery outweighed the theoretical benefits, the decision was made not to perform a diagnostic laparoscopy to investigate for pelvic endometriosis.

Increasing Emergency Dept. Admissions in US for Child Sexual Abuse
https://www.medscape.com/viewarticle/920824

Nov 5th, 2019 - (Reuters Health) - The rate at which children are being admitted to U.S. emergency departments for sexual abuse almost doubled between 2010 and 2016, a new study finds. Nationwide emergency department data show that admissions of youngsters under age 18 to EDs for sexual abuse rose from just under six per 100,000 children to nearly 12 per 100,000, researchers reported Monday in JAMA Pediatrics....

Increasing emergency department admissions in U.S. for child sexual abuse
https://www.reuters.com/article/us-health-child-abuse/increasing-emergency-department-admissions-in-u-s-for-child-sexual-abuse-idUSKBN1XE2BA

Nov 4th, 2019 - (Reuters Health) - The rate at which children are being admitted to U.S. emergency departments for sexual abuse almost doubled between 2010 and 2016, a new study finds. Nationwide emergency department data show that admissions of youngsters under age 18 to EDs for sexual abuse rose from just under six per 100,000 children to nearly 12 per 100,000, researchers report in JAMA Pediatrics. It’s not...

T3 levels are higher in combatants with PTSD
https://www.mdedge.com/internalmedicine/article/211501/mental-health/t3-levels-are-higher-combatants-ptsd?channel=39313
Kari Oakes

Nov 4th, 2019 - CHICAGO – Higher levels of triiodothyronine (T3) were seen in combatants with PTSD, compared with patients whose PTSD arose from other adverse experiences, according to findings from a systematic review and meta-analysis. Dr.

Ask About Sexual Function in Breast Cancer Patients on Endocrine Tx
https://www.medscape.com/viewarticle/920631

Oct 30th, 2019 - SAN FRANCISCO — Breast cancer patients taking endocrine therapy to prevent a relapse have long reported adverse effects on sexual function, but a new study suggests that this issue affects nearly all of these women. Just about all (99%) of the postmenopausal women who took part in the study scored low on the Female Sexual Function Index (FSFI), indicating a high degree of sexual dysfunction, in...

'Truly Shocking': Medscape UK Nurses' Sexual Harassment Survey Results
https://www.medscape.com/viewarticle/919880

Oct 15th, 2019 - Earlier this month we published Medscape UK's exclusive survey about sexual harassment of doctors in the workplace. As well as doctors, 881 nurses also responded to our online survey. Of these, 85% were female, 15% male. One in 20 nurses (5%) have experienced sexual harassment by another staff member in the past 3 years. Slightly more male nurses (7%) experienced incidents than female nurses (5...

Psoriasis comorbidities: Biologics may help
https://www.mdedge.com/dermatology/psoriasiscollection/article/209482/psoriasis/psoriasis-comorbidities-biologics-may-help
Jim Kling

Oct 5th, 2019 - SEATTLE – Psoriasis is a complex condition, made more difficult by comorbidities. Psoriatic arthritis is the most common and is frequently discussed.

IHS Pediatrician Convicted on Sexual Abuse Counts
https://www.mdedge.com/fedprac/article/209406/mixed-topics/ihs-pediatrician-convicted-sexual-abuse-counts?channel=27442
Jan Dyer

Oct 4th, 2019 - Stanley Patrick Weber, a former Indian Health Service (IHS) pediatrician, was convicted September 27 on 8 counts of sexual abuse of 4 Native American boys under his care at the Pine Ridge Indian Reservation, Oglala Lakota County, South Dakota. Weber was an employee of the IHS from 1986 until he resigned in 2016.

Click for Credit: Psoriasis relief; Stress & CV problems; more
https://www.mdedge.com/clinicianreviews/article/208861/rheumatology/click-credit-psoriasis-relief-stress-cv-problems-more?channel=290

Sep 26th, 2019 - Here are 5 articles from the October issue of Clinician Reviews (individual articles are valid for one year from date of publication—expiration dates below): 1. Bronchiolitis is a feared complication of connective tissue disease To take the posttest, go to: https://bit.

Psoriasis Journal Scan: September 2019
https://www.mdedge.com/dermatology/psoriasiscollection/article/208580/psoriasis/psoriasis-journal-scan-september-2019?channel=281

Sep 23rd, 2019 - Psychological and Sexual Consequences of Psoriasis Vulgaris on Patients and Their Partners. Alariny AF, Farid CI, Elweshahi HM, Abbood SS.

Doctor to Face Trial Over Alleged Hospital Sex Offences
https://www.medscape.com/viewarticle/917538

Sep 22nd, 2019 - A doctor is to face trial over alleged sex offences carried out in two hospitals in Buckinghamshire. Thirty-nine-year-old Salman Qureshi from Aylesbury is charged with two counts each of sexual assault of a female, and assault of a female over 13 by penetration. Thames Valley Police said the charges were in connection with incidents at Stoke Mandeville Hospital in Aylesbury, and Wycombe General...

Reuters Asks Judge to Release Secret Propecia Documents
https://www.medscape.com/viewarticle/918330

Sep 15th, 2019 - SAN FRANCISCO (Reuters) - Reuters asked a U.S. judge on Thursday to unseal documents filed in court regarding potential risks associated with Propecia (finasteride), Merck & Co's popular baldness drug. The motion was filed in federal court in Brooklyn, New York, after a Reuters article on Wednesday revealed accusations that Merck did not fully disclose on Propecia's label the incidence and dura...

Reuters asks judge to release secret Propecia documents
https://www.reuters.com/article/us-usa-courts-secrecy-unseal/reuters-asks-judge-to-release-secret-propecia-documents-idUSKCN1VX2IZ

Sep 12th, 2019 - SAN FRANCISCO (Reuters) - Reuters asked a U.S. judge on Thursday to unseal documents filed in court regarding potential risks associated with Propecia, Merck & Co’s (MRK.N) popular baldness drug. A bottle of Propecia is seen on a pharmacy shelf in New York City, U.S., August 8, 2019. Picture taken August 8, 2019. REUTERS/Zachary Goelman The motion was filed in federal court in Brooklyn, New Yor...

Try testosterone for some women with sexual dysfunction, but not others
https://www.mdedge.com/endocrinology/article/207959/menopause/try-testosterone-some-women-sexual-dysfunction-not-others/page/0/1?channel=287

Sep 11th, 2019 - The panel points out, however, that randomized controlled trials with testosterone therapy have excluded women who are at high risk of cardiometabolic disease, and that women with a previous diagnosis of breast cancer have also been excluded from randomized trials of testosterone in women with HSDD. This is a “big issue,” said Dr.

Native tissue repair of POP: Surgical techniques to improve outcomes
https://www.mdedge.com/obgyn/article/207424/pelvic-floor-dysfunction/native-tissue-repair-pop-surgical-techniques-improve/page/0/2?channel=138

Sep 3rd, 2019 - Posterior compartment repairs Like with the anterior compartment, opinions differ as to the site of posterior compartment prolapse. Midline, lateral, distal, and site-specific defects and surgical approaches have been described.

Half of Patients Don't Tell Doctors Life-Threatening Details
https://www.medscape.com/viewarticle/916843

Aug 13th, 2019 - Almost half of patients may be withholding information that could threaten their lives, a new study suggests. Responses from 4510 people in two national online surveys indicate that up to 47.5% did not share critical information with their care providers in one or more of four categories that could pose an imminent threat: potential for experiencing domestic violence; survival of sexual assault...

Fast Five Quiz: Sexual Dysfunction
https://www.medscape.com/viewarticle/916566

Aug 11th, 2019 - An estimated 43% of women and 31% of men in the United States alone report some degree of sexual dysfunction. Although sexual dysfunction is common worldwide, many affected individuals are resistant to discussing such issues with their healthcare providers. The term "sexual dysfunction" refers to problems or conditions that prevent or inhibit pursuit or enjoyment of sexual activity. Such issues...

More Nuts Improve Men's Orgasmic Function, Sexual Desire
https://www.medscape.com/viewarticle/916676

Aug 8th, 2019 - Adding nuts to a regular diet significantly improves orgasmic function and sexual desire in healthy young men, according to the FERTINUTS study. The randomized controlled trial, which was recently published in Nutrients, showed a significant increase in the orgasmic function (P = .037) and sexual desire (P = .040) of men of reproductive age who received the nut intervention in comparison with a...

Product Update: Osphena’s NDA, new hysteroscope, TempSure RF technology, Resilient stirrup covers
https://www.mdedge.com/obgyn/article/206099/gynecology?channel=247

Aug 8th, 2019 - OSPHENA HAS NEW INDICATION Duchesnay Inc. has added moderate to severe vaginal dryness, a symptom of vulvar and vaginal atrophy (VVA), due to menopause, to the indication of Osphena TM (ospemifene).

2019 Update on female sexual dysfunction
https://www.mdedge.com/obgyn/article/205939/female-sexual-dysfunction/page/0/1?channel=49

Aug 6th, 2019 - Clinical trials show bremelanotide improves desire, reduces distress Two phase 3 clinical trials, dubbed the Reconnect studies, demonstrated that, compared with placebo, bremelanotide was associated with statistically significant improvements in sexual desire and levels of distress regarding sexual desire. The 2 identical, randomized, placebo-controlled multicenter trials included 1,247 premeno.

Testosterone improves sexual function in older women
https://www.reuters.com/article/us-health-menopause-sex/testosterone-improves-sexual-function-in-older-women-idUSKCN1UP2JP

Jul 30th, 2019 - (Reuters Health) - Women who experience sexual dysfunction after menopause may feel more desire and pleasure when they use testosterone treatments, a recent study suggests. Researchers reviewed data from 36 trials with 8,480 participants, most of whom had already gone through menopause. The trials randomly assigned some women to use testosterone treatment and others to take a placebo or an alte...

Testosterone Boosts Sexual Well-Being in Older Women
https://www.medscape.com/viewarticle/916053

Jul 24th, 2019 - Postmenopausal women with low sexual desire or sexual dysfunction could benefit from testosterone therapy, with non-oral formulations offering a better lipid safety profile, suggests a systematic review that at the same time underlines the lack of evidence for testosterone use in premenopausal women. There is also a dearth of data on several key outcomes, say Rakibul M. Islam, PhD, Monash Unive...

Sexual Dysfunction in MS
https://www.mdedge.com/clinicianreviews/article/205261/neurology/sexual-dysfunction-ms?channel=37531
John Kramer, PA-C

Jul 24th, 2019 - A 37-year-old woman presents to her primary care clinic with a chief complaint of depression. She was diagnosed with relapsing multiple sclerosis (MS) at age 29 and is currently taking an injectable preventive therapy.

After #MeToo, U.S. Women Seen Reporting Less Workplace Harassment
https://www.medscape.com/viewarticle/915783

Jul 18th, 2019 - LONDON (Thomson Reuters Foundation) - From leering and unwanted touching to being asked for sexual favors, U.S. women say they suffer less sexual harassment in the workplace since #MeToo brought the issue to the fore, but sexism has increased, researchers said on Wednesday. The #MeToo movement began in 2017 in the United States as a response to accusations of sexual assault and harassment in Ho...

Sex May Be Less Satisfying With Age, Too Few Women Seek Help
https://www.medscape.com/viewarticle/915546

Jul 11th, 2019 - Free-text survey responses from thousands of postmenopausal women in the United Kingdom as to why they do or do not have sex highlight familiar patterns, according to results published July 10 in Menopause. The findings raise serious concerns about why so few women seek help for sexual dysfunction, experts said. Just 6% of older women sought medical help for sexual dysfunction, report Helena Ha...

Sex less likely and less satisfying as women hit older age
https://www.reuters.com/article/us-health-aging-sex/sex-less-likely-and-less-satisfying-as-women-hit-older-age-idUSKCN1U62L1

Jul 11th, 2019 - (Reuters Health) - The number of women who have sex regularly falls off with age as does the number who report enjoyable sex after menopause, a new study shows. In a survey of nearly 4,500 women over age 50, researchers found that less than a quarter were sexually active, according to the report published in Menopause. While the primary reason for lack of sexual activity was want of a partner, ...

Indonesia's Top Court Jails Woman Who Reported Sexual Harassment
https://www.medscape.com/viewarticle/915309

Jul 7th, 2019 - JAKARTA (Reuters) - Indonesia's Supreme Court has jailed a woman who tried to report her employer for alleged sexual harassment, in a ruling that rights groups said on Friday risked turning victims of sexual abuse into criminals. The Supreme Court found Baiq Nuril Maknun, who was a teacher on the island of Lombok, guilty of violating strict anti-pornography laws. It overturned her acquittal by ...

Survey: Patient-provider communication regarding dyspareunia disappoints
https://www.mdedge.com/internalmedicine/article/203721/female-sexual-dysfunction/survey-patient-provider-communication?channel=322
Sharon Worcester

Jun 27th, 2019 - NASHVILLE, TENN. – Many women with endometriosis experience dyspareunia, but they are largely unsatisfied when it comes to discussions with health care providers about their symptoms, the results of an online survey suggest.

Survey: Patient-provider communication regarding dyspareunia disappoints
https://www.mdedge.com/pediatrics/article/203721/female-sexual-dysfunction/survey-patient-provider-communication-regarding?channel=39313
Sharon Worcester

Jun 27th, 2019 - NASHVILLE, TENN. – Many women with endometriosis experience dyspareunia, but they are largely unsatisfied when it comes to discussions with health care providers about their symptoms, the results of an online survey suggest.

Ex-USC Gynecologist Arrested in Los Angeles on Sexual Assault Charges
https://www.medscape.com/viewarticle/914952

Jun 26th, 2019 - LOS ANGELES (Reuters) - Los Angeles police arrested a former University of Southern California gynecologist on Wednesday on charges of sexually assaulting 16 patients, authorities said, in a case that has already resulted in a $215 million civil settlement. George Tyndall, 72, was charged in Los Angeles Superior Court with 18 criminal counts of sexual penetration and 11 counts of sexual battery...

Sexual assault in military linked to sexual pain
https://www.mdedge.com/internalmedicine/article/203464/gynecology/sexual-assault-military-linked-sexual-pain?channel=322
Christine Kilgore

Jun 24th, 2019 - Sexual assault in the military is more likely to cause lasting sexual pain in female veterans than a history of childhood sexual abuse, according to an observational study involving interviews with more than 1,000 military women. asiseeit/Getty Images Female veterans with histories of both childhood sexual abuse and sexual assault in the military were 4.

Sexual assault in military linked to sexual pain
https://www.mdedge.com/obgyn/article/203464/gynecology/sexual-assault-military-linked-sexual-pain?channel=27970
Christine Kilgore

Jun 24th, 2019 - Sexual assault in the military is more likely to cause lasting sexual pain in female veterans than a history of childhood sexual abuse, according to an observational study involving interviews with more than 1,000 military women. asiseeit/Getty Images Female veterans with histories of both childhood sexual abuse and sexual assault in the military were 4.

Gynecologic Oncologist Faces Criminal Charges for Sexual Assault
https://www.medscape.com/viewarticle/914716

Jun 20th, 2019 - A gynecologic oncologist who worked at the University of Califonia, Los Angeles (UCLA), has been accused by a cancer patient of repeated sexual assault during 2 years of treatment. The lawsuit comes on top of previous claims of sexual assault from 22 women. The lawsuit alleges that James Heaps, MD, a former employee of UCLA, inappropriately touched the patient's genitals, fondled her breasts, a...

Managing Endometriosis Pain with Non-Invasive Treatment Options
https://www.mdedge.com/obgyn/article/201709/endometriosis/managing-endometriosis-pain-non-invasive-treatment-options?channel=266

Jun 17th, 2019 - Endometriosis is an estrogen-dependent disease1 that affects an estimated one in 10 women of reproductive age. 2 In an international multicenter survey of 931 patients treated at 12 tertiary care centers in 10 countries, it was reported that 7 out of 10 endometriosis patients experience unresolved pain despite management.

For Female Vets, Sex Assault in Military Boosts Odds of Lasting Sexual Pain
https://www.medscape.com/viewarticle/914266

Jun 12th, 2019 - (Reuters Health) - Military women who are sexually assaulted may be at an especially high risk of developing lasting sexual pain, a U.S. study suggests. Researchers who interviewed more than 1,000 female veterans found the risk of sexual pain was higher among those assaulted while serving in the military than those who experienced sexual abuse as children, according to the study released June 1...

For female vets, sex assault in military boosts odds of lasting sexual pain
https://www.reuters.com/article/us-health-military-assault/for-female-vets-sex-assault-in-military-boosts-odds-of-lasting-sexual-pain-idUSKCN1TC2PG

Jun 11th, 2019 - (Reuters Health) - Military women who are sexually assaulted may be at an especially high risk of developing lasting sexual pain, a U.S. study suggests. Researchers who interviewed more than 1,000 female veterans found the risk of sexual pain was higher among those assaulted while serving in the military than those who experienced sexual abuse as children, according to the study published in Ob...

Globally Harmonized ICD Codes Would Help in Struggle Against Human Trafficking
https://www.medscape.com/viewarticle/914085

Jun 10th, 2019 - NEW YORK (Reuters Health) - Although the U.S. Centers for Disease Control and Prevention added diagnostic codes for forced labor and sexual exploitation to the International Classification of Diseases (ICD) version 10-U.S. in June 2018, the World Health Organization's ICD version 11, also released in 2018, does not include similar codes. ICD-11 does include codes for various types of child malt...

4-year-old girl • genital discomfort and dysuria • clitoral hood swelling • Blood blister on the labia minora • Dx?
https://www.mdedge.com/familymedicine/article/202587/pediatrics?channel=271
MDedge Family Medicine; Veronica I. Alaniz, MD, MPH, Monica Rosen, MD et. al.

Jun 10th, 2019 - THE CASE A 4-year-old girl presented to her pediatrician with genital discomfort and dysuria of 6 months’ duration. The patient’s mother said that 3 days earlier, she noticed a tear near the child’s clitoris and a scab on the labia minora that the mother attributed to minor trauma from scratching.

Former CDC Chief Frieden Pleads Guilty to Disorderly Conduct
https://www.medscape.com/viewarticle/913915

Jun 3rd, 2019 - Former Director of the US Centers for Disease Control and Prevention (CDC) Tom Frieden, MD, MPH, has reportedly entered a guilty plea in response to charges that he groped a woman in a Brooklyn apartment in October 2017. Frieden turned himself in and was arraigned on August 24, 2018. The New York Police Department charged him with a class A misdemeanor of forcible touch, in addition to second d...

Guidelines Addressing Physician Sexual Abuse Long Past Due, Experts Say
https://www.medscape.com/viewarticle/913319

May 20th, 2019 - Physicians' sexual abuse of patients is a substantial problem that the healthcare industry has neglected for too long, say authors of an article published online May 1 in the Journal of General Internal Medicine. "We implore the medical community to begin a candid discussion of this problem and call for an explicit zero-tolerance standard against sexual abuse of patients by physicians," write A...

For some MST survivors, VA hospitals can trigger PTSD
https://www.mdedge.com/internalmedicine/article/201221/ptsd/some-mst-survivors-va-hospitals-can-trigger-ptsd?channel=53
Jim Kling

May 20th, 2019 - SAN FRANCISCO – Veterans who are survivors of military sexual trauma during their service face unique challenges in their treatment and recovery. They are often reluctant to report their experiences – and understandably so.

Arrest Made in NYC Hospital Sex Assault on Comatose Woman
https://www.medscape.com/viewarticle/913192

May 16th, 2019 - A man who turned himself in to police on Wednesday after a 68-year-old comatose woman was sexually assaulted at Lincoln Medical Center in the Bronx, faces sexual abuse charges, PIX11 News of New York City reports. Police say Roberto Marcucci, 62, entered the lobby of the hospital in the Mott Haven section of the Bronx on Monday afternoon, rode the elevator up, walked into the woman's room, whic...

Endocrine-Disrupting Chemicals Affect Reproductive Health
https://www.medscape.com/viewarticle/913060

May 14th, 2019 - Obstetricians–gynecologists cannot afford to ignore the growing body of research suggesting that common chemicals can affect reproductive health, according to Marya Zlatnik, MD. For example, lifetime and uterine exposure to bisphenol A (BPA), a compound frequently used in plastics and food packaging, has the potential to affect female organs and fetal brain development, said Zlatnik, who is fro...

Fast Five Quiz: Addressing Sexual Assault
https://www.medscape.com/viewarticle/912355

May 7th, 2019 - As many as 1 in 3 women and 1 in 6 men experience some form of sexual violence in their lifetime. Treating patients who present after sexual assault can be challenging. The patient may be ashamed and unwilling to give a clear history of the assault at precisely the time when such history is critical for timely treatment and forensic documentation. The need for both treatment and evidence collec...

Trans Teens Face Higher Sexual Assault Risk When Schools Restrict Bathrooms
https://www.medscape.com/viewarticle/912658

May 7th, 2019 - (Reuters Health) - Transgender adolescents may be less likely to be sexually assaulted when they can use school bathrooms and locker rooms that match their gender identity rather than their sex assigned at birth, a U.S. survey suggests. The survey of 3,673 trans and nonbinary teens in American middle schools and high schools found that more than one in four reported being sexually assaulted in ...

Trans teens face higher sexual assault risk when schools restrict bathrooms
https://www.reuters.com/article/us-health-youth-transgender/trans-teens-face-higher-sexual-assault-risk-when-schools-restrict-bathrooms-idUSKCN1SC1LR

May 6th, 2019 - (Reuters Health) - Transgender adolescents may be less likely to be sexually assaulted when they can use school bathrooms and locker rooms that match their gender identity rather than their sex assigned at birth, a U.S. survey suggests. The survey of 3,673 trans and nonbinary teens in American middle schools and high schools found that more than one in four reported being sexually assaulted in ...

Restroom, locker room restrictions foster abuse of transgender teens
https://www.mdedge.com/familymedicine/article/200212/transgender-health/restroom-locker-room-restrictions-foster-abuse?channel=39313
MDedge Pediatrics; Heidi Splete

May 6th, 2019 - Transgender youth with restricted restroom and locker room use at school were significantly more likely to experience sexual assault at school than those without such restrictions, based on surveys from more than 3,000 teens in the United States who identified as transgender or nonbinary. AndreyPopov/iStock/Getty Images Plus “Little is known about risk factors for sexual assault in gender minor.

Assessing and treating sexual function after vaginal surgery
https://www.mdedge.com/obgyn/article/200192/surgery/assessing-and-treating-sexual-function-after-vaginal-surgery?channel=218
Cassandra L. Carberry, MD, Danielle Antosh, MD et. al.

May 3rd, 2019 - Sexual dysfunction is challenging for patients and clinicians. Just as sexual function is multidimensional—with physical and psychosocial elements—sexual dysfunction can likewise have multiple contributing factors, and is often divided into dysfunction of desire, arousal, orgasm, and sex-related pain.

Women Veterans Call Center Now Offers Text Feature
https://www.mdedge.com/fedprac/article/199809/mixed-topics/women-veterans-call-center-now-offers-text-feature?channel=94
Jan Dyer

May 1st, 2019 - “What is my veteran status?” “Should I receive any benefits from VA, like the GI Bill?” Now women veterans have another convenient way to get answers to questions like those. Texting 855.

Praluent's New Indication; ORBITA-2; Medicare $$ Changes
https://www.medpagetoday.com/cardiology/prevention/79508

Apr 29th, 2019 - Alirocumab (Praluent)'s newly extended indication (for use without a statin and for CV prevention) will help reverse substantial declines in sales from lower prices, analysts predicted. (Endpoints News) University of Southern California's cardiology fellowship will lose accreditation for unstated reasons, although a memo to faculty cited "resident safety and wellness processes" and there have b...

End-to-Side Nerve Grafting Restores Erectile Function After Prostatectomy
https://www.medscape.com/viewarticle/912113

Apr 23rd, 2019 - NEW YORK (Reuters Health) - Microsurgical bilateral end-to-side nerve grafts can restore erectile function and improve sexual quality of life in men who have undergone radical prostatectomy, according to Australian researchers. "End-to-side nerve grafts are based on the principle of creating new nerve pathways from a donor nerve to denervated end organs when end-to-end nerve grafting is not sui...

Stress incontinence surgery improves sexual dysfunction
https://www.mdedge.com/familymedicine/article/198586/surgery/stress-incontinence-surgery-improves-sexual-dysfunction?channel=39313
MDedge ObGyn; Jim Kling

Apr 10th, 2019 - TUCSON, ARIZ. – Women treated surgically for stress urinary incontinence (SUI) gained an improvement in sexual function along with symptom improvement.

Barred From Seeing Female Patients, Oncologist Sues Medical Board
https://www.medscape.com/viewarticle/911632

Apr 9th, 2019 - Last month, a disciplinary panel of the Texas Medical Board temporarily restricted the medical license of Eugenio Galindo, MD, prohibiting him from diagnosing, examining, treating, or consulting with female patients or delegating these activities to other providers, according to multiple news reports. Without the restrictions, Galindo's practice of medicine is a threat to public welfare, the bo...

Let Victims Speak, German Child Abuse Inquiry Says
https://www.medscape.com/viewarticle/911285

Apr 4th, 2019 - BERLIN (Reuters) - A girl on an East German cooperative farm beaten by her father, then raped and traded for sex by her brother. An emotionally troubled boy undressed in "counseling sessions" by a priest at his boarding school. A swimmer abused by his instructor. These are just three of hundreds of stories revealed by Germany's Independent Inquiry into Child Sexual Abuse, which issued an interi...

Sexual Problems Common in Arthritis Patients
https://www.medpagetoday.com/rheumatology/arthritis/78990

Apr 2nd, 2019 - Both women and men with various types of inflammatory arthritic conditions commonly experienced sexual dysfunction, a systematic review of the literature found. Among women included in 15 studies, mean scores on the Female Sexual Function Index (FSFI) in all patient groups were below the threshold for sexual dysfunction of 26.55, according to Andrew M. Briggs, PhD, of Curtin University in Perth...

Paraphilic disorders: A better understanding
https://www.mdedge.com/psychiatry/article/197689/paraphilic-disorders-better-understanding?channel=41022
Fred S. Berlin, MD, PhD

Apr 1st, 2019 - In my role as the Director of The Johns Hopkins Sex and Gender Clinic, I have had the opportunity to provide care to 3 broad categories of patients: patients with sexual dysfunctions, patients experiencing gender dysphoria, and patients manifesting a paraphilic disorder. This article will not address sexual dysfunctions or gender dysphoria, but these terms are defined in the Box1-3 to clearly d.

Antibiotic Overprescribing
https://www.mdedge.com/clinicianreviews/article/197516/infectious-diseases/antibiotic-overprescribing?channel=58760
Sandra Wilbanks, FNP-BC

Mar 26th, 2019 - View Answers Related Antibiotic Overprescribing: Still a Major Concern Related Female Sexual Dysfunction Related Diagnosing Anemia.

White House Tackles Child Sex Abuse in Indian Health Service
https://www.medpagetoday.com/pediatrics/generalpediatrics/78803

Mar 26th, 2019 - WASHINGTON -- The Trump administration is convening a task force to address the issue of child sexual abuse in the Indian Health Service (IHS), senior administration officials said Tuesday. "The goal is to make recommendations to the president to ensure this will never happen again and that children visiting IHS facilities will be protected, and to ensure workers at these facilities will unders...

Vaginal Laser Treatment Tied to Complications Like Scarring
https://www.medscape.com/viewarticle/909694

Feb 28th, 2019 - (Reuters Health) - Vaginal laser treatments may help relieve problems associated with menopause, like dryness, pain and sexual dysfunction, but the safety of this technique is not clear, suggest the authors of a small study describing complications including scarring and penetration injuries. The U.S. Food and Drug Administration hasn't approved vaginal laser treatments for vulvovaginal atrophy...

Vaginal laser treatment tied to complications like scarring
https://www.reuters.com/article/us-health-menopause-laser-treatment/vaginal-laser-treatment-tied-to-complications-like-scarring-idUSKCN1QH2T9

Feb 28th, 2019 - (Reuters Health) - Vaginal laser treatments may help relieve problems associated with menopause, like dryness, pain and sexual dysfunction, but the safety of this technique is not clear, suggest the authors of a small study describing complications including scarring and penetration injuries. The U.S. Food and Drug Administration hasn’t approved vaginal laser treatments for what’s known as vulv...

Female Sexual Dysfunction
https://www.mdedge.com/clinicianreviews/article/194753/womens-health/female-sexual-dysfunction?channel=58760
Sandra Wilbanks, FNP-BC

Feb 24th, 2019 - View Answers Related Evaluation and Management of Female Sexual Dysfunction Related Diagnosing Anemia Related Diagnosing and Classifying Anemia in Adult Primary Care.

Oncologist Loses Her License After Affair With Patient
https://www.medscape.com/viewarticle/908805

Feb 6th, 2019 - A Canadian oncologist has been stripped of her license after not contesting allegations that she had a sexual relationship with a patient while she was treating him for cancer.  Theepa Sundaralingam, MD, a community oncologist at the Rouge Valley Health System in Toronto, Canada, was the subject of a disciplinary hearing held by the College of Physicians and Surgeons of Ontario (CPSO) on Januar...

ADT, Sex Top QOL Problems in Prostate Cancer
https://www.medpagetoday.com/hematologyoncology/prostatecancer/77868

Feb 6th, 2019 - Men treated for advanced prostate cancer had quality of life similar to that of men with early-stage disease, except for sexual dysfunction and effects of hormone therapy, a large British study showed. Overall, across all disease stages, the QOL scores reflected good functional status, with the exception of sexual dysfunction. Men treated with androgen deprivation therapy (ADT) reported signifi...

Is vaginal estrogen used for GSM associated with a higher risk of CVD or cancer?
https://www.mdedge.com/obgyn/article/193958/menopause/vaginal-estrogen-used-gsm-associated-higher-risk-cvd-or-cancer?channel=61
JoAnn V. Pinkerton, MD

Feb 5th, 2019 - Expert Commentary Bhupathiraju SN, Grodstein F, Stampfer MJ, et al. Vaginal estrogen use and chronic disease risk in the Nurses’ Health Study.

Good QOL, but Sexual Dysfunction Common After Prostate Cancer
https://www.medscape.com/viewarticle/908685

Feb 4th, 2019 - Overall, men who have been treated for prostate cancer can expect quality of life equal to that as men in the general population, even those diagnosed with advanced disease, concludes the largest study of its kind. However, the study also shows that sexual dysfunction is virtually ubiquitous among men treated for prostate cancer, regardless of age or disease stage. In addition, men treated with...

Ospemifene, an oral SERM for dyspareunia of menopause: Is it being underutilized?
https://www.mdedge.com/obgyn/article/193519/dyspareunia/ospemifene-oral-serm-dyspareunia-menopause-it-being-underutilized?channel=247
Simon, James A.

Jan 30th, 2019 - Estrogen and androgen deficiency from menopause causes vulvovaginal and urogenital changes and a plethora of symptoms, most prominently dyspareunia. Read the supplement and earn CME credit for your knowledge of the following: The pathophysiology of dyspareunia due to vulvovaginal atrophy (VVA) of menopause.

Bariatric Surgery May Boost Sexual Function in Women
https://www.medscape.com/viewarticle/907989

Jan 21st, 2019 - NEW YORK (Reuters Health) - Sexual function in severely obese women improves after bariatric surgery, researchers in Brazil say. Dr. Ubirajara Barroso Jr. of Universidade Federal da Bahia and colleagues studied sexual function before and six months after Roux-en-Y gastric bypass in 62 obese women (mean age, 36.8). Sexual dysfunction was defined as a Female Sexual Function Index (FSFI) score bel...

Gabapentin Improves Sexual Function in Some With Vulvodynia
https://www.medscape.com/viewarticle/908087

Jan 21st, 2019 - Treatment with gabapentin improves sexual function in women with persistent, unexplained pain in the vulva (vulvodynia) who have increased pelvic muscle pain on examination.   "Previous studies have suggested gabapentin reduces the pain of fibromyalgia...[and] our theory was that reducing pelvic floor muscle pain might reduce vulvodynia pain overall and thus improve sexual function," lead autho...

State and Federal Abortion, Birth Control Laws Draw Controversy
https://www.medpagetoday.com/obgyn/pregnancy/77423

Jan 14th, 2019 - As the new year progresses, both states and the Trump administration are continuing their involvement in issues involving abortion and contraception. In Tennessee, a law that took effect Jan. 1 requires women who are considering abortions and who have had an ultrasound of their fetus be given an opportunity to see the ultrasound results. In Arizona, a new law requires providers to ask women who...

Female Veterans’ Experiences With VHA Treatment for Military Sexual Trauma
https://www.mdedge.com/fedprac/article/192440/womens-health/female-veterans-experiences-vha-treatment-military-sexual?channel=248
Sara Cichowski, MD, Malia Ashley et. al.

Jan 10th, 2019 - Females are the fastest growing population to seek care at the Veterans Health Administration (VHA). 1 Based on a 2014 study examining prevalence of military sexual trauma (MST), it is estimated that about one-third of females in the military screen positive for MST, and the rates are higher for younger veterans.

More Google searches for sexual harassment facts since #MeToo
https://www.reuters.com/article/us-health-metoo/more-google-searches-for-sexual-harassment-facts-since-metoo-idUSKCN1OK28L

Dec 21st, 2018 - (Reuters Health) - - Millions of Americans have searched Google for information on how to understand, prevent and report sexual harassment and assault since the start of the #MeToo movement more than a year ago, a U.S. study suggests. FILE PHOTO: A vendor sells #MeToo badges a protest march for survivors of sexual assault and their supporters in Hollywood, Los Angeles, California U.S. November ...

USOC Prized Winning Over Athlete Safety -congressional Report
https://www.medscape.com/viewarticle/906869

Dec 20th, 2018 - (Reuters) - The U.S. Olympic community prioritized "medals and money" over the safety of its athletes, creating a culture that contributed to widespread instances of sexual abuse, according to a congressional report released on Thursday. The report comes after more than 350 women testified that former USA Gymnastics team doctor Larry Nassar abused them during his tenure, crimes for which he is ...

Texas Oncologist Charged With Sexual Assault
https://www.medscape.com/viewarticle/906785

Dec 18th, 2018 - A Texas oncologist has been charged with sexual assaults on former employees and is also accused of sexual assault by a former patient. His attorney says all the allegations are false. Eugenio Gerardo Galindo, MD, who previously served as medical director of Doctors Hospital at Renaissance Cancer Center and has a private practice in Edinburg, Texas, turned himself in to police and was arraigned...

Increased Risk of Sexual Dysfunction With Inflammatory Bowel Disease
https://www.medscape.com/viewarticle/906131

Dec 8th, 2018 - NEW YORK (Reuters Health) - Men and women with inflammatory bowel disease (IBD) have a significantly increased risk of sexual dysfunction, according to a new meta-analysis. "As people get older, the prevalence of sexual dysfunction increases due to disturbance of hormones," said Dr. Zhigang Zhao from The First Affiliated Hospital of Guangzhou Medical University, in Guangzhou, China. "Inversely,...

Meaningful endometriosis treatment requires a holistic approach and an understanding of chronic pain
https://www.mdedge.com/obgyn/article/190405/endometriosis/meaningful-endometriosis-treatment-requires-holistic-approach-and?channel=218
Q&A with Andrea J. Rapkin, MD

Dec 5th, 2018 - Although it has been more than 100 years since endometriosis was first described in the literature, deciphering the mechanisms that cause pain in women with this enigmatic disease is an ongoing pursuit. Pain is the most debilitating symptom of endometriosis.

Worse Menopause Symptoms With Intimate Partner Violence, PTSD
https://www.medscape.com/viewarticle/905398

Nov 25th, 2018 - NEW YORK (Reuters Health) - Midlife and older women with a history of intimate partner violence (IPV), sexual assault or clinically significant posttraumatic stress disorder (PTSD) experience more symptoms of menopause, researchers have found. "I think the strong associations between both PTSD and emotional intimate partner violence and a range of menopause symptoms highlights the importance of...