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Female Sexual Dysfunction: Opening the Door to Communication, Case 3

neuroscienceCME Medical Simulation

Premiere Date: Monday, November 7, 2011

This activity offers CE credit for:

1. Physicians (CME)
2. Nurses (CNE)
3. Pharmacists (ACPE)

All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Wednesday, November 7, 2012
Note: Credit Is No Longer Available

Faculty

Sheryl A. Kingsberg, PhD  Clinical Psychologist Chief, Division of Behavioral Medicine Department of OB/GYN University Hospitals Case Medical Center MacDonald Women's Hospital Professor, Department of Reproductive Biology Case Western Reserve University School of Medicine Cleveland, OH

Statement of Need

Women often present with the complaint of loss of sexual desire, but with little awareness of how, when, or why this problem occurred; this can cause a fair amount of distress in patients. Distress is a necessary component to be able to diagnose someone with hypoactive sexual desire disorder (HSDD). In fact, the PRESIDE study showed that 9.5% of women experienced low desire with distress, and that the prevalence of low sexual desire is elevated among surgically and naturally menopausal women versus premenopausal women.(1) However, the determination of HSDD can only be made after taking into account critical factors that affect sexual functioning.(2)

A thorough diagnostic workup and detailed sexual history are necessary in order to rule out a medical (e.g. change in testosterone) or psychiatric (e.g. depression) condition that might be causing the symptoms of HSDD. It is critical that clinicians ask about sexual health as part of a complete patient history—a practice pattern that can help reduce anxiety and put patients at ease.(2)

This CME Outfitters medical simulation puts you—the life-long learner—in the "driver's seat" as the decision-making clinician who is providing care for a virtual patient across two or three clinical encounters. As such, you have the opportunity to put your knowledge into practice with this virtual patient, and then translate your experience to your practice with actual patients with HSDD.

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1. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112:970-978.
2. Kingsberg S, Althof SE. Evaluation and treatment of female sexual disorders. Int Urogynecol J. 2009;20(Suppl 1):S33-S43.

Activity Goal

To provide clinicians with a simulated clinical experience related to the assessment of sexual health as part a routine patient history, and integration of a complete diagnostic work-up to rule out any underlying medical and/or psychiatric conditions that might be causing the symptoms of HSDD.

Learning Objectives

At the end of this CE activity, participants should be able to:

• Assess sexual health as part of a routine history and physical for all patients.
• Integrate a complete diagnostic work-up to rule out any underlying medical or psychiatric conditions, which may be causing the symptoms of HSDD.

Financial Support

This activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.

Target Audience

Physicians, physician assistants, nurses, nurse practitioners, pharmacists, and other nonphysician health care professionals with an interest in women's health and HSDD.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CME Outfitters, LLC, designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Creditâ„¢. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CNE Credit (Nurses):
Provider approved by the California Board of Registered Nursing, Provider Number CEP 15510, for 1.0 contact hours

CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hours (0.1 CEUs)
Universal Activity Number: 0376-0000-11-023-H01-P (recorded programs)
Activity Type: application-based

Post-tests, credit request forms, and activity evaluations must be completed online at www.cmeoutfitters.com/test (requires free account activation), and participants can print their certificate or statement of credit immediately (80% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit www.neurosciencecme.com/technical.asp.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CME/CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CME/CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Kingsberg has disclosed that she receives grants/research support from Boehringer Ingelheim Pharmaceuticals, Inc. and BioSante Pharmaceuticals. She serves as a consultant to Boehringer Ingelheim Pharmaceuticals, Inc., Pfizer Inc., Johnson & Johnson Pharmaceutical Research and Development, Viveve, and Trimel Inc. She is a stockholder in Viveve.

Tony Graham, MD (content/peer reviewer) has no disclosures to report.

Ruth Cody, BSN, RN-BC (content/peer reviewer) has no disclosures to report.

Nancy Jennings, MSN, MBA, MHA, RNC (content/peer reviewer) has no disclosures to report.

Christina Ansted, MPH, CCMEP (planning committee) has no disclosures to report.

Sharon Tordoff, CCMEP (planning committee) has no disclosures to report.

Joy Bartnett Leffler, MLA, NASW, CSE (planning committee) has no disclosures to report.

Unlabeled Use Disclosure

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

CME Outfitters, LLC, the faculty, and Boehringer Ingelheim Pharmaceuticals do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).