Program
Course Learning Objectives:
- Perform a thorough evaluation of a patient with genitopelvic pain.
- Evaluate different forms of genitopelvic pain based upon presentation.
- Develop a diagnosis and treatment plan for multiple presentations of genitopelvic pain.
Friday, August 12, 2022 from 3:00 – 5:00 pm EST
THE TOOLS
Moderator: Jill M. Krapf, MD, MEd, IF
Session Learning Objectives:
- Outline the tools needed to evaluate genitopelvic pain
- Utilize the tools in an approach to a patient with genitopelvic pain
Preliminary Program:
3:00 – 3:05 pm: Welcome and Introduction
3:05 – 3:15 pm: Nosology and Epidemiology
3:15 – 3:25 pm: History
3:25 – 3:40 pm: Physical Exam/Basic Anatomy
3:40 – 4:00 pm: Biopsychosocial Approach to Diagnosis and Treatment
4:00 – 4:15 pm: The Role of the Head – Fear Avoidance, Pain-related Anxiety
4:15 – 4:45 pm: Practice Cases – How to Interview and Approach a Real Patient
4:45 – 5:00 pm: Questions
Friday, September 9, 2022 from 3:00 – 5:00 pm EST
THE VESTIBULE – “It hurts to insert”
Moderator: Sarah Cigna, MD, MS, IF
Session Learning Objectives:
- Locate distinct anatomy of the female genitals and pelvis related to genitopelvic pain.
- Differentiate associated factors in provoked vestibulodynia.
Preliminary Program:
3:00 – 3:05 pm: Welcome and Introduction
3:05 – 3:20 pm: Anatomy of Vestibule, Levator Ani Muscles, Pudendal Nerve Branches to Vestibule
3:20 – 3:35 pm: Role of Hormones and Inflammation in Vestibular Health
3:35 – 3:45 pm: Pelvic Floor Dysfunction Alone
3:45 – 3:55 pm: Hormonally-associated/GSM/Lactation/Cancer Treatments
3:55 – 4:05 pm: Congenital Neuroproliferative Vestibulodynia
4:05 – 4:15 pm: Acquired Neuroproliferative Vestibulodynia
4:15 – 4:20 pm: Postpartum Laceration Healing
4:20 – 5:00 pm: Questions – “Ask the Experts”
Friday, October 21, 2022 from 3:00 – 5:00 pm EST
THE CLITORIS – “It hurts to touch”
Moderator: Rachel S. Rubin, MD, IF
Session Learning Objectives:
- Discuss structural and nerve-related causes of clitoral pain.
- Categorize structural versus nerve-related causes of clitoral pain based upon presentation.
Preliminary Program:
3:00 – 3:05 pm: Welcome and Introduction
3:05 – 3:20 pm: Detailed Anatomy of the Clitoris
3:20 – 4:15 pm: Diagnostic Algorithm for:
- Structural
- Clitoral Adhesions/Keratin Pearls/Abscesses
- Tumors (Neuroma, Cancer)
- History of Labiaplasty
- Nerve Related
- Pudendal Neuralgia
- PGAD
- Priapism of Clitoris
4:15 – 5:00 pm: Questions – “Ask the Experts”
Friday, November 11, 2022 from 3:00 – 5:00 pm EST
THE BLADDER/URETHRA – “It hurts to pee”
Moderator: Rachel S. Rubin, MD, IF
Session Learning Objectives:
- Interpret the components that contribute to bladder and urethral pain
- Evaluate a patient with chronic bladder and/or urethral pain
Preliminary Program:
3:00 – 3:05 pm: Welcome and Introduction
3:05 – 3:20 pm: Anatomy of Bladder, Ureter, Urethra, Innervation, Important Pelvic Floor Muscles
3:20 – 3:30 pm: Normal Urine Character on UA and Role of Hormones
3:30 – 4:15 pm: Diagnostic Algorithm for: Pelvic Floor Dysfunction
- Infection
- Recurrent UTI
- Ureaplasma/Mycoplasma – When to Treat?
- Nephrolithiasis
- Painful Bladder Syndrome (“Interstitial Cystitis”)
- Cancer
4:15 – 5:00 pm: Questions – ”Ask the Experts”
Friday, January 13, 2023 from 3:00 – 5:00 pm EST
THE VULVA – “It hurts to sit and wear pants”
Moderator: Jill M. Krapf, MD, MEd, IF
Learning Objectives:
- Recognize causes of generalized vulvar pain and dermatoses
- Map out neurologic and inflammatory causes of generalized vulvar pain
Preliminary Program:
3:00 – 3:05 pm: Welcome and Introduction
3:05 – 3:20 pm: Anatomy
3:20 – 4:15 pm: Diagnostic Algorithm for Generalized Vulvodynia
- Nerve-related
- Pudendal Neuralgia
- PGAD – Arousal is Sometimes Described as “Discomfort”
- Dermatologic
- Inflammatory
- Contact Dermatitis
- Lichen Simplex Chronicus
- Lichen Sclerosus
- Lichen Planus
- MCAS/Systemic Inflammation
- Infectious
- Cutaneous Yeast
- Shingles
- Post-herpetic Neuralgia from HSV1/2
- Cancer/VIN
- Inflammatory
- Pelvic Floor Muscle Dysfunction
4:15 – 5:00 pm: Questions – “Ask the Experts”
Friday, February 10, 2023 from 3:00 – 5:00 pm EST
THE PELVIS – “It hurts deep inside”
Moderator: Sarah Cigna, MD, MS, IF
Session Learning Objectives:
- Identify the anatomy of the pelvic floor
- Distinguish between different conditions that can cause pelvic pain
Preliminary Program:
3:00 – 3:05 pm: Welcome and Introduction
3:05 – 3:20 pm: Anatomy of Pelvic Bone Structure, Path of Important Sacral Nerves, Deeper Muscle Groups, and Relative Positions of Pelvic Organs
3:20 – 4:15 pm: Diagnostic Algorithm for:
- Endometriosis
- Pelvic Adhesions
- History of Appy, Endo, PID/STI, Surgery
- Less Appreciated Internal Muscles like Psoas
- Painful Orgasms
- Pelvic Organ Prolapse
- Active PID
- Post-LEEP/Hysterectomy Changes
4:15 – 5:00 pm: Questions – “Ask the Experts”