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Talking to a patient about sexual health can be as uncomfortable for the medical professional as it may be for the patient. This groundbreaking series is dedicated to helping healthcare professionals address the needs of the estimated 30-45 percent of patients who may be suffering from issues related to this under-discussed but critical aspect of patient care. SexMed presents the latest advances and current perspectives in this field, reminding us all that sexual health is integral to general health. Topics examine a wide range of physical, psychological, and sociocultural issues that impact sexual function and health.

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Low Libido in Women: Improving Recognition and Treatment

Host: Michael Krychman, MD Low libido, a condition affecting an estimated 10% of women, can develop at any age and be attributed to several factors in a woman’s life, from lifestyle changes to medication and procedural side effects. Join host Dr. Michael Krychman and Dr. Leah Millheiser, Director of Female Sexual Medicine at Stanford University School of Medicine, on the floor of ACOG’s annual scientific meeting. They discuss current knowledge gaps in recognizing and treating low libido, and the importance of sexual health psychology within therapeutic approaches.

6 Jul 2015

Rank #1

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Keeping Up on Matters 'Down There:' Feminine Hygiene Advice for Clinicians

Host: Michael Krychman, MD Feminine hygiene, though an important part of daily life, is rarely discussed openly,not even in clinical settings. Host Dr. Michael Krychman sits down with Dr Alyssa Dweck, practicing gynecologist in New York and Assistant Clinical Professor at Mt. Sinai School of Medicine. They give essential tips for clinicians on how to talk to patients about feminine hygiene.

18 Jul 2016

Rank #2

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Natural Sexual Aphrodisiacs: The Good, The Bad, and The Deadly

Host: Michael Krychman, MD There are many herbs and supplements that have gained popularity as natural sexual aphrodisiacs. While many are sold over the counter nationwide to enhance sexual function, a surprising number of supplements can cause ranges of serious side effects. Which aphrodisiacs have been proven effective, which are safe, and which are potentially deadly? Host Dr. Michael Krychman joins Dr. Elizabeth West, a resident physician at the University of California-Irvine, to talk about the spectrum of natural herbs and supplements, from foods like honey and chocolate to herbs such as ginseng and macca, and their known sexual health benefits vs risks.

23 May 2016

Rank #3

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Sexual Pain Disorders: Etiology and Therapy

Guest: Sheryl A. Kingsberg, PhD Host: Maureen Whelihan, MD Pain is one of the most significant barriers to pleasurable sex— and very common, affecting 15 to 25 percent of women at some point during their lifetime. Dyspareunia and vaginismus are two of the most common pain disorders. What are the signs and symptoms, and what are the questions you can ask your patients in order to assess whether they're having pain and what type? Dr. Sheryl Kingsberg, chief of the division of behavioral medicine in the department of OB/GYN at Case Medical Center University Hospitals in Cleveland, Ohio, joins host Dr. Maureen Whelihan to talk about treating dyspareunia and vaginismus through medication, behavioral therapy and pelvic floor physical therapy.

4 May 2010

Rank #4

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Sexuality During and After Pregnancy: Distinguishing Facts from Fiction

Host: Michael Krychman, MD Many clinicians think that one of the most dangerous things a woman will ever do in her life is to carry and conceive a child. Stemming from this belief, several misconceptions have risen within the medical community, and by extension the general public, concerning risks of sexual activity during pregnancy. Joining host Dr. Michael Krychman at ACOG's annual scientific meeting to clarify the facts versus myths on sexuality during and after this important life event is Dr. Haywood Brown, Professor and Chair of the Department of Obstetrics and Gynecology at Duke University Medical Center.

15 Jun 2015

Rank #5

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Origins of a Women's Sexual Health Clinic: How Simple Improvements Can Transform OB/GYN Practices

Host: Michael Krychman, MD Dr. Michael Krychman interviews Dr. Brett Worly, Assistant Professor of Obstetrics and Gynecology at the Ohio State University School of Medicine. Dr. Worly talks about successful integrations of sexual medicine into evaluative, diagnostic, and treatment protocols in women's health practice, and how this progression led to the formation of a novel women's sexual health clinic at OSU.

7 Mar 2016

Rank #6

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Selecting the Best Contraceptive Methods: A Sexual Health Perspective

Host: Michael Krychman, MD The primary purpose of contraception is to separate sex from procreation. However, sexual function is rarely addressed or considered in the context of making contraceptive choices. Dr. Michael Krychman speaks with Dr. Rachel Perry, Assistant Professor of OB/GYN at the University of California-Irvine, about the various complex sexual health impacts of oral contraceptives, IUDs, condoms, and permanent sterilization procedures.

4 Jul 2016

Rank #7

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Challenges With Flibanserin as Treatment for Hypoactive Sexual Desire Disorder

Host: Michael Krychman, MD Flibanserin was one of the first FDA-approved medications for treatment of Hypoactive Sexual Desire Disorder in pre-menopausal women. But the drug's effectiveness has frequently been called into question, and the known side effects such as fainting, dizziness, and low blood pressure, many of which were found to be exacerbated by alcohol and hormonal contraception, created concerns for clinicians and patients alike. Host Dr. Michael Krychman talks with guest Dr. Lisa Larkin, women’s health internist and Director of the Women's Health Center at the University of Cincinnati College of Medicine, about the “Pink Viagra" pill, concerns around its safety and effectiveness, and the diagnosis and treatment of HDSS.

6 Jun 2016

Rank #8

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Sex Accessories: Counseling Tips to Enhance Patients' Sexual Health

Host: Michael Krychman, MD Clinicians play an important role in helping patients understand and navigate issues around the use of sexual accessories to help improve sexual health for both men and women. With expertise in underlying issues such as vaginal dryness and discomfort with sex, health experts can better advise patients on which products to seek versus avoid. Host Dr. Michael Krychman joins guest Dr. Barb DePree, gynecologist and Director of Midlife Woman’s Health at Holland Hospital, to discuss ways physicians can talk about accessories to advance sexual health for patients.

16 May 2016

Rank #9

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IBD & Intimacy: Managing an Under-Recognized Issue

Host: Robert Frankel, MD Guest: Neilanjan Nandi, MD From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Robert Frankel talks with Dr. Neilanjan Nandi, Assistant Professor in the Division of Gastroenterology & Hepatology and Associate Director of the Gastroenterology Fellowship program at Drexel University College of Medicine. Dr. Nandi shares new insights on how to approach sexual and intimacy issues for IBD patients. Discussion points include quality of life measures, methods for maintaining healthy intimate relationships, respecting boundaries, and top health practitioner resources.

12 Apr 2018

Rank #10

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STI Screening & Counseling Strategies for Transgender Patients

Host: Matt Rosenberg, MD Guest: Aiden Harrington, ANP, CNM Current CDC Treatment Guidelines include transgender men and women as special populations. These guidelines recommend risk assessment based on current anatomy and sexual behaviors and screening for asymptomatic STIs based on the patient's history and sexual practices. At a recent live event recorded in Chicago, moderator Dr. Matt T. Rosenberg welcomes Aiden Harrington, ANP, CNM from Howard Brown Health in Chicago, Illinois. Topics covered include health risks in the LGBTQ community, STI screening and treatment, and how to discuss sexuality with your patients.

12 Dec 2017

Rank #11

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Life After Ovarian Cancer: Protecting Sexual and General Health for Survivors

Host: Michael Krychman, MD Ovarian cancer is among the most highly prevalent and deadly cancers in existence, and in the struggle to care for patients and protect their quality of life, clinical standards in diagnostic screening and treatment protocols must change frequently. Joining host Dr. Michael Krychman to discuss advances in treatment and prevention of ovarian cancer, with special focus on sexual health priorities, is guest Dr. Leslie Randall. Dr. Randall is Associate Professor of Obstetrics and Gynecology at the University of California-Irvine, and also Director of UC’s gynecologic oncology fellowship program.

30 May 2016

Rank #12

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Integrating Sexual Health into Your Practice

Host: Matt Birnholz, MD Guest: David J. Portman, MD Recorded live during ReachMD's Innovation Theater in Chicago, Illinois, Founder and Director Emeritus of the Columbus Center for Women’s Health Research Dr. David Portman joins Dr. Matt Birnholz to share his tips for getting past the taboo and providing sexual health counseling and treatment to your patients.

14 Jan 2019

Rank #13

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Managing Sexual Complaints in Breast Cancer Patients

Host: Maureen Whelihan, MD Guest: Michael Krychman, MD When a woman is first diagnosed with breast cancer, a doctor's first concern is a treatment plan. But what happens after chemotherapy, radiation and surgery? Women must once again learn to reconnect with their bodies. Dr. Michael Krychman, executive director of the Southern California Center for Sexual Health and Survivorship Medicine, joins host Dr. Maureen Whelihan to discuss the treatment of low sexual desire in breast cancer survivors.

4 May 2010

Rank #14

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Talking About Sex: Case Stories Highlighting Physician/Patient Communication Barriers

Host: Matt Birnholz, MD Guest: Maureen Whelihan, MD There is a stigma around sex in the United States. That stigma makes it difficult both for patients to disclose details about their sex lives in clinical settings and for physicians to ask patients about sex. Consequentially patients may have treatable but unaddressed sexual problems because their physicians don't know those problems exists. Join Dr. Matt Birnholz and Dr. Maureen Whelihan, President of The Center for Sexual Health and Education in West Palm Beach, Florida, as they discuss case stories spanning the various ages and stages of sexual health, and their implications in helping physicians and patients talk about sex.

29 Jun 2015

Rank #15