ISSWSH Advanced Hormone Course: Maintaining Sexual Health on the Hormone Highway and Addressing Factors That May Cause Derailments

Overall Objectives:

1. To define the physiology of sex steroid hormones in female sexual function including estradiol, estrone, estriol, progesterone, testosterone.
2. To define the changes in hormone physiology, address impact on sexual function, and develop evidence-based treatments to help manage dysfunction in the following life phases:
   1. Puberty
   2. Gender affirmation journey
   3. Pregnancy
   4. Perimenopause
   5. Menopause
   6. Testosterone
   7. Cancer
3. To develop a framework for addressing sexual health concerns in complex patient cases with intersectional identities.

On Demand Modules

MENARCHE & BEYOND (Menses, PMS, PMDD, Contraception) | ON DEMAND (CME Expires April 25, 2027)

Moderator: Sarah Cigna, MD, MS, IF
Speakers: Jill Krapf, MD, MEd, IF; Tami S. Rowen, MD, MS, FACOG, IF; John Vogel, DO, IF

• Brief Introduction to the Course Outline, Sarah Cigna
• Hormones 201 (Review the Sex Steroids: Estrone, Estriol, Estradiol, Testosterone, DHEA, DHT, Progesterone), John Vogel
• Basics of Hormone Physiology at Time of Menarche/Pubertal Transition, Jill Krapf
• PCOS, Jill Krapf
• Contraception and PMDD, Tami S. Rowen
• Q&A

To view this on-demand, registered attendees should access their Attendee Hub* 

GENDER AFFIRMATION JOURNEY | ON DEMAND (CME Expires May 30, 2027)

Impact of gender affirming hormone therapy on sexual functioning and how to treat sexual dysfunction in trans and nonbinary people.

Moderator: Juliana (Jewel) Kling, MD, MPH, MSCP, FACP, IF
Speakers: Joey Bahng, MD; Aleece Fosnight, SPAS, PA-C, CSCS, CSE, NCMP; Asa Radix, MD, PhD, MPH

• Brief Introduction, Juliana Kling
• Introduction of Terminology, All speakers
• Effects of Gender Affirming Therapies and Surgeries on Hormones, Joey Bahng and Aleece Fosnight
• Sexual Dysfunction in Trans and Nonbinary People - What Does The Existing Data Say, Asa Radix
• How to Address Desire, Arousal, Orgasm, Pain Concerns in This Population, Joey Bahng and Aleece Fosnight
• Panel Discussion Including Q&A

To view this on-demand, registered attendees should access their Attendee Hub* 

PREGNANCY, POSTPARTUM & LACTATION | ON DEMAND (CME Expires September 26, 2027)

Explore the impacts of fluctuating hormones during these times on sexual functioning and how to address concerns.

Moderator: Anita Mikkilineni, MD
Speakers: Johannes Bitzer, MD; Sarah Cigna, MD, MS, IF

• Introduction, Anita Mikkilineni
• Pregnancy and Postpartum, Johannes Bitzer
• Lactation, Sarah Cigna
• Panel Discussion Including Q&A

To view this on-demand, registered attendees should access their Attendee Hub* 

PERIMENOPAUSE/MIDLIFE | ON DEMAND (CME Expires October 24, 2027)

Physiology of estrogens and progesterones in perimenopause, effects on sexual function, and prescribing, highlighting ways to optimize sexual health and address concerns.

Moderator: Heather Quaile, DNP, WHNP-BC, CSC, IF, FAANP
Speakers: Corey Babb, DO, FACOOG, IF, MSCP,  Sarah Cigna, MD, MS, IF

• Perimenopause, Physiology, Challenges, and Treatments, Corey Babb
• Genitourinary Syndrome of Menopause and Sexual Health, Sarah Cigna
• Q&A

To view this on-demand, registered attendees should access their Attendee Hub* 

MENOPAUSE - What Is Happening In Regards To Sexual Function And How To Manage With E And P | ON DEMAND (CME Expires January 23, 2028)

Physiology of estrogens and progesterones in postmenopause, effects on sexual function, and prescribing, highlighting ways to optimize sexual health and address concerns.

Moderator: Sameena Rahman, MD, FACOG, NCMP, IF
Speakers: Juliana (Jewel) Kling, MD, MPH, MSCP, FACP, IF; James Simon, MD, Holly Thomas, MD, MS

• What Is Happening In Regards To Sexual Function And How To Manage With E & P (Systemic Hormones), Juliana (Jewel) Kling
• Treating Genitourinary Syndrome of Menopause, Holly Thomas
• Testosteron Therapy in Peri and Postmenopausal Women: Taming th Wild West, James Simon
• Complex Cases
• Q&A

To view this on-demand, registered attendees should access their Attendee Hub* 

TESTOSTERONE | ON DEMAND (CME Expires February 27, 2028)

What does the data actually say and how can it be used to treat sexual dysfunction?

Moderator: Sharon Parish, MD
Speakers: Susan Davis, AO, MBBS, FRACP, PhD, FAHMS; Elisa Maseroli, MD

• Introduction: Highlight Original Global Consensus Paper and ISSWSH Clinical Practice Guideline, Sharon Parish
• Testosterone Physiology, SHBG, Measurement and Interpretaion of Testosterone, Levels, Testosterone Across the Lifespan, Comparing Testosterone Dosing, Susan Davis
• Prescribing Testosterone, Recommendations for Treating Women with HSDD, Elisa Maseroli
• Clinical Scenarios and Panel Discussion
• Q&A 

To view this on-demand, registered attendees should access their Attendee Hub* 

BREAST & GU/GYN SPECIFIC CANCERS | ON DEMAND (CME Expires March 13, 2028)

Impact of cancer and treatments on hormones and how to manage this safely for sexual health concerns.

Moderator: Corinne Menn, MD
Speakers: Laila Agrawal, MD; Carol Kuhle, DO, MPH

Learning Objectives:

• Understand how cancer treatments affect hormonal function and ovarian health
• Evaluate safe hormone therapy options for cancer survivors and high-risk patients
• Apply evidence-based management strategies for genitourinary syndrome of menopause (GSM) and sexual health symptoms
•  Use shared decision-making to counsel patients about hormone use after cancer
•  Differentiate the mechanisms and implications of endocrine therapies used in cancer treatment

To view this on-demand, registered attendees should access their Attendee Hub* 

*The Attendee Hub can be accessed via a blue button link that is embedded in the email attendees receive following registration and payment of the Advanced Hormones Course.