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View article: (350) Assessment of Fundamental Knowledge and Comfortability of Medical Trainees in the Diagnosis and Treatment of Genito-pelvic Pain Penetration Disorder
(350) Assessment of Fundamental Knowledge and Comfortability of Medical Trainees in the Diagnosis and Treatment of Genito-pelvic Pain Penetration Disorder Open
Introduction Genito-Pelvic Pain/Penetration Disorder (GPPPD) is a common condition affecting up to 25% of the US population. Despite its prevalence, significant barriers exist for patients to obtain appropriate diagnosis and treatment. Lac…
View article: (067) How Many Nerve Fibers Innervate the Human Glans Penis: A Histomorphometric Analysis of the Human Dorsal Nerve of the Penis
(067) How Many Nerve Fibers Innervate the Human Glans Penis: A Histomorphometric Analysis of the Human Dorsal Nerve of the Penis Open
Introduction The mainstream media has frequently quoted that the penis has “half as many” nerve fibers as the human clitoris. Recent work has demonstrated that the number of nerve fibers in the dorsal nerve of clitoris was under-estimated,…
View article: (345) Sexual Health Outcomes After Gender Affirming Metoidioplasty: A Systematic Review
(345) Sexual Health Outcomes After Gender Affirming Metoidioplasty: A Systematic Review Open
Introduction Previous studies have evaluated surgical outcomes and aesthetic results of Genital Gender Affirming Surgery (GGAS) while few studies have examined sexual outcomes after GGAS. Objective We sought to systematically review the li…
View article: (038) Health-Related Quality of Life after Gender-Affirming Pelvic Surgery: A Systematic Review and Meta-Analysis
(038) Health-Related Quality of Life after Gender-Affirming Pelvic Surgery: A Systematic Review and Meta-Analysis Open
Introduction Various validated questionnaires have been designed to evaluate sexual dysfunction as it relates to specific phases of the sexual response cycle, which include desire, arousal, orgasm, and resolution. Although there is a bread…
View article: (083) The Association of Urinary Tract Infections with Anti-Androgen Medications: A Claims Database Analysis
(083) The Association of Urinary Tract Infections with Anti-Androgen Medications: A Claims Database Analysis Open
Introduction Urinary tract infections (UTI) are highly prevalent among women, with 27% having recurrence within six months. While initial antibiotic treatment resolves symptoms for a subset of women; 20-40% experience symptom recurrence. R…
View article: (382) Online Trends for Vasectomy Inquiries following Dobbs v. Jackson Women’s Health Organization Supreme Court Decision
(382) Online Trends for Vasectomy Inquiries following Dobbs v. Jackson Women’s Health Organization Supreme Court Decision Open
Introduction On June 24th, 2022, the United States Supreme Court issued its decision in Dobbs v. Jackson Women’s Health Organization that overturned Roe v. Wade, the constitutional right to abortion access in the U.S. There have been repor…
View article: (031) Bartholin Cysts Can Be Treatable Causes of Female Sexual Dysfunction: Four Year Review of Diagnosis and Treatment Principles
(031) Bartholin Cysts Can Be Treatable Causes of Female Sexual Dysfunction: Four Year Review of Diagnosis and Treatment Principles Open
Introduction Bartholin glands are major vestibular androgen dependent glands that release mucus secretions during sexual arousal through a 2.5 cm duct that drains at the 5 o'clock and 7 o'clock positions of the vestibule. Bartholin's gland…
View article: (009) Testosterone Management in Women with Hypoactive Sexual Desire Disorder Who Have Reduced 5α-Reductase Activity: A Unique Population
(009) Testosterone Management in Women with Hypoactive Sexual Desire Disorder Who Have Reduced 5α-Reductase Activity: A Unique Population Open
Introduction According to the Global Consensus Position Statement on the Use of Testosterone Therapy for Women, testosterone can significantly improve desire in menopausal women with hypoactive sexual desire disorder. Based on safety and e…
View article: (002) Neuroproliferative Vestibulodynia as a Cause of Persistent Genital Arousal Disorder: A First-Ever Case Series
(002) Neuroproliferative Vestibulodynia as a Cause of Persistent Genital Arousal Disorder: A First-Ever Case Series Open
Introduction Persistent Genital Arousal Disorder (PGAD), a condition of unwanted, unremitting feelings of genital arousal, is associated with significant morbidity including catastrophizing, depression, anxiety, and/or suicidal ideation. T…
View article: (001) Excess Density of Mast Cells and Nerves with Neuroproliferative Vestibulodynia: Defining the Extent of the Vestibulectomy Surgical Excision
(001) Excess Density of Mast Cells and Nerves with Neuroproliferative Vestibulodynia: Defining the Extent of the Vestibulectomy Surgical Excision Open
Introduction Congenital neuroproliferative vestibulodynia (NPV) is associated with lifelong entrance dyspareunia, starting with initial tampon insertion. Acquired NPV is associated with pain-free penetration until after a severe candidiasi…
View article: (003) Immunohistochemical Staining of Vestibular Tissue from Patients Suspected of Having Neuroproliferative Vestibulodynia: A Case Series
(003) Immunohistochemical Staining of Vestibular Tissue from Patients Suspected of Having Neuroproliferative Vestibulodynia: A Case Series Open
Introduction Neuroproliferative vestibulodynia (NPV) is a genetic form of vestibulodynia associated with increased density of mast cells and nerves in vestibular tissue. In congenital NPV, umbilical hypersensitivity and a history of absent…
View article: (010) A Novel Collaborative Protocol for Successful Management of PGAD/GPD Mediated by Tarlov Cyst-induced Radiculopathy of Sacral Spinal Nerve Roots in the Cauda Equina
(010) A Novel Collaborative Protocol for Successful Management of PGAD/GPD Mediated by Tarlov Cyst-induced Radiculopathy of Sacral Spinal Nerve Roots in the Cauda Equina Open
Introduction In 2012, Komisaruk et al introduced the concept that neurologic-based women’s sexual health issues, genito-pelvic dysesthesia (GPD), could be caused by radiculopathy of sacral spinal nerve roots within the cauda equina. Over t…
View article: (017) Systemic Estradiol Menopause Management: Return to the Old-Fashioned Way
(017) Systemic Estradiol Menopause Management: Return to the Old-Fashioned Way Open
Introduction The mean systemic estradiol value in menopausal women is < 10 pg/ml, consistent with ovarian failure. Such low values are associated with multiple symptoms including hot flashes, night sweats, insomnia, mood changes and irr…
View article: (001) How many Nerve Fibers Innervate the Human Clitoris? A Histomorphometric Evaluation of the Dorsal Nerve of the Clitoris
(001) How many Nerve Fibers Innervate the Human Clitoris? A Histomorphometric Evaluation of the Dorsal Nerve of the Clitoris Open
Introduction It is frequently quoted in mainstream media that the clitoris has “8000 nerve endings”. However, no study has yet quantified the number of nerve fibers (axons) innervating the human clitoris. The dorsal nerve of the clitoris (…
View article: 37 Determining Borders of Surgical Excision of the Vestibule Based on Positive CD117 and PGP9.5 Staining of Mast Cells in Women with Neuroproliferative Vestibulodynia
37 Determining Borders of Surgical Excision of the Vestibule Based on Positive CD117 and PGP9.5 Staining of Mast Cells in Women with Neuroproliferative Vestibulodynia Open
Introduction Neuroproliferative vestibulodynia (NPV) is a poorly understood chronic debilitating sexual pain condition associated with severe vestibular allodynia and hyperalgesia. In patients with NPV, histopathology of surgical specimens…