Vulvar Lichen Sclerosus and Urethral Health

madman

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In today's video, we discuss all things vulvar lichen sclerosus and urethral health with Dr. Rachel Rubin.

Dr. Rachel S. Rubin is a board-certified urologist and sexual medicine specialist. She is one of only a handful of physicians with fellowship training in sexual medicine for all genders. Dr. Rubin is a clinician, researcher, and passionate educator. In addition to being the former education chair and current Director-at-Large for the International Society for the Study of Women’s Sexual Health (ISSWSH), she serves as associate editor for the journal Sexual Medicine Reviews. Dr. Rubin completed her medical education at Tufts University, her urology training at Georgetown University, and her sexual medicine fellowship training with Dr. Irwin Goldstein in San Diego.
Time Stamps:


0:00 - Introduction
2:19 - What motivates Dr. Rubin to work in the field of urology and sexual medicine
7:30 - What is the urethra, what's the urethral opening, and what are their main functions
14:20 - Signs and symptoms of vulvar lichen sclerosus
16:59 - Advice on asking for vaginal estrogen & a discussion on the importance of hormones
23:20 - How common is urethral fusing
28:23 - Why does my stream of urine spray
31:00 - What we do and don't know about the labia minora
36:01 - What to do if you suspect urethral stricture or urethral complications from VLS?
38:20 - Recommendations for overall urethral health with VLS
43:20 - Where to find Dr. Rubin & outro
 

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Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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