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BackTable Women's Health

Women's Sexual & Reproductive Health: Clinical Evaluation & Management

31 lessons · 3h

Published: October 2026

This course examines the clinical evaluation and management of women's sexual and reproductive health, spanning sexual medicine, vulvar pain disorders, vaginal rejuvenation, personalized IVF, and fertility preservation. Learn about structured assessment, patient counseling, hormonal therapy, insurance and access barriers, and communication strategies that build trust with patients whose symptoms have often been dismissed. Explore the latest approaches and expert perspectives with Drs. Christine Vaccaro, Nicole Faulkner, Jennifer Kulp Makarov, Chailee Moss, Karen Toubi, Karyn Eilber, Ariana Smith, Nirit Rosenblum, Mindy Christianson, and Amy Park.

Lessons

Clinical Sexual Medicine: Anatomy, Evaluation & Office-Based Management

  1. 1Sexual Medicine in OBGYN Practice: Evaluating and Treating Low Libido
  2. 2Assessing Female Arousal: Genital Blood Flow and Vaginal Hormone Therapy
  3. 3Evaluating Orgasmic Dysfunction: Clitoral Examination, SSRIs, and Psychosocial Factors
  4. 4Using the Mirror Exam to Educate Patients and Localize Pain
  5. 5Clitoral Anatomy for Clinicians: Structure, Innervation, and Patient Education
  6. 6Clitoral Adhesions: Grading, In-Office Adhesiolysis, and Aftercare
  7. 7Diagnosing and Managing Hormone-Mediated and Neuroproliferative Vestibulodynia

Personalized IVF & Fertility Care in Advanced Reproductive Age

  1. 8Referral Timing for Infertility Evaluation: Age-Based Thresholds and Urgency
  2. 9Counseling Patients Over 40: Egg Quality, Embryo Banking, and Expectations
  3. 10Embryology Lab Standardization and the Limits of PGT-A Screening
  4. 11Timing Fertility Preservation Counseling and Determining Embryo Number
  5. 12Personalized IVF Protocols: Dosing, Priming, and Male Factor Strategies
  6. 13Options in the Late Reproductive Years: Donor Eggs and Gestational Surrogacy

Vulvar Pain Disorders: Diagnosis, Treatment & Patient Trust

  1. 14Why Vulvar Pain Is Missed: Diagnostic Delay and Building Patient Trust
  2. 15History and Examination in Vulvar Pain: Cotton Swab Testing and Cultures
  3. 16Causes of Vestibular Pain: Hormonal, Neuroproliferative, and Inflammatory Mechanisms
  4. 17Vulvar Biopsy Decisions, Common Mimickers, and Multimodal Treatment Planning
  5. 18Pelvic Floor Physical Therapy and Selecting Vestibulectomy Candidates

Vaginal Rejuvenation: Evidence, Hormonal Therapy & Patient Counseling

  1. 19Defining Vaginal Rejuvenation: Procedures, Indications, and Insurance Coverage
  2. 20Vaginal Lasers and Radiofrequency: Evidence, Marketing Claims, and Vaginal Estrogen
  3. 21Testosterone in Menopause Care: Evidence, Compounded Therapies, and Training Gaps
  4. 22Systemic Versus Vaginal Hormone Therapy and Correcting Patient Misconceptions
  5. 23Timing Procedures Around Childbearing and Advocating for Women's Genital Health

Fertility Preservation: Indications, Techniques & Access

  1. 24Fertility Preservation Overview: Patient Populations and Referral Indications
  2. 25Structuring the Fertility Preservation Consultation and Assessing Ovarian Reserve
  3. 26Interpreting AMH and the Evolution of Vitrification in Egg Freezing
  4. 27Timing Egg Freezing and Choosing Between Oocyte and Embryo Cryopreservation
  5. 28Oncology Collaboration and Ovarian Tissue Cryopreservation in Pediatric Patients
  6. 29Emerging Techniques: Uterine Transposition, In Vitro Maturation, and Gene Therapy
  7. 30Insurance Mandates, Storage Costs, and the Emotional Impact of Nonreferral
  8. 31Practical Counseling Pearls: Ordering AMH and Identifying Preservation Programs

Topics