Episodes

March 6, 2021

Myth Busters- A Randomized Control Trial on Laser Therapy in Lichen Sclerosus

Dr. Selk interviews Dr. Andrew Goldstein, an obstetrician and gynecologist and the director of the Center for Vulvovaginal Disorders in New York City and Washington DC, about his new randomized control trial studying laser therapy in lichen sclerosus (LS). Topics covered include reasons behind conducting the trial, methodology of the study, results of the study, how to counsel patients about laser for LS, previous research and other evidence on laser for LS, importance of unbiased study design, ...
March 6, 2021

Myth Busters- A Randomized Control Trial on Laser Therapy in Lichen Sclerosus

Dr. Selk interviews Dr. Andrew Goldstein, an obstetrician and gynecologist and the director of the Center for Vulvovaginal Disorders in New York City and Washington DC, about his new randomized control trial studying laser therapy in lichen sclerosus (LS). Topics covered include reasons behind conducting the trial, methodology of the study, results of the study, how to counsel patients about laser for LS, previous research and other evidence on laser for LS, importance of unbiased study design, ...
March 6, 2021

Myth Busters- A Randomized Control Trial on Laser Therapy in Lichen Sclerosus

Dr. Selk interviews Dr. Andrew Goldstein, an obstetrician and gynecologist and the director of the Center for Vulvovaginal Disorders in New York City and Washington DC, about his new randomized control trial studying laser therapy in lichen sclerosus (LS). Topics covered include reasons behind conducting the trial, methodology of the study, results of the study, how to counsel patients about laser for LS, previous research and other evidence on laser for LS, importance of unbiased study design, ...
Feb. 20, 2021

Desquamative Inflammatory Vaginitis

In this week's episode Dr. Selk interviews Dr. Claire Danby, who is an obstetrician gynecologist at Maine Medical Center with a dedicated vulvovaginal clinic and a clinical assistant professor at Tufts University. Today they discuss desquamative inflammatory vaginitis (DIV). Topics covered include the definition of DIV, presentation, diagnostic criteria, etiology, demographics, prevalence, a systematic approach to diagnosis, treatment, treatment changes based on menopausal status, other conditio...
Feb. 20, 2021

Desquamative Inflammatory Vaginitis

In this week's episode Dr. Selk interviews Dr. Claire Danby, who is an obstetrician gynecologist at Maine Medical Center with a dedicated vulvovaginal clinic and a clinical assistant professor at Tufts University. Today they discuss desquamative inflammatory vaginitis (DIV). Topics covered include the definition of DIV, presentation, diagnostic criteria, etiology, demographics, prevalence, a systematic approach to diagnosis, treatment, treatment changes based on menopausal status, other conditio...
Feb. 20, 2021

Desquamative Inflammatory Vaginitis

In this week's episode Dr. Selk interviews Dr. Claire Danby, who is an obstetrician gynecologist at Maine Medical Center with a dedicated vulvovaginal clinic and a clinical assistant professor at Tufts University. Today they discuss desquamative inflammatory vaginitis (DIV). Topics covered include the definition of DIV, presentation, diagnostic criteria, etiology, demographics, prevalence, a systematic approach to diagnosis, treatment, treatment changes based on menopausal status, other conditio...
Feb. 6, 2021

Estrogen in Post-menopausal Vulvar Pain

Dr. Selk interviews Dr. Martha Goetsch who is a long-term researcher and clinician specializing in vulvar conditions at the Oregan Health and Sciences Unit. In this week's episode they discuss some of her recent research on estrogen in vulvar pain. Topics covered include the background and reasons for exploring this area, theories behind the cause of vulvar pain, methods studied to reduce vulvar pain, and results after implementing these methods in post-menopausal women. They also discuss estrog...
Feb. 6, 2021

Estrogen in Post-menopausal Vulvar Pain

Dr. Selk interviews Dr. Martha Goetsch who is a long-term researcher and clinician specializing in vulvar conditions at the Oregan Health and Sciences Unit. In this week's episode they discuss some of her recent research on estrogen in vulvar pain. Topics covered include the background and reasons for exploring this area, theories behind the cause of vulvar pain, methods studied to reduce vulvar pain, and results after implementing these methods in post-menopausal women. They also discuss estrog...
Feb. 6, 2021

Estrogen in Post-menopausal Vulvar Pain

Dr. Selk interviews Dr. Martha Goetsch who is a long-term researcher and clinician specializing in vulvar conditions at the Oregan Health and Sciences Unit. In this week's episode they discuss some of her recent research on estrogen in vulvar pain. Topics covered include the background and reasons for exploring this area, theories behind the cause of vulvar pain, methods studied to reduce vulvar pain, and results after implementing these methods in post-menopausal women. They also discuss estrog...
Jan. 16, 2021

Terminology of Vulvodynia

This week Dr. Selk interviews Dr. Jacob Bornstein in his second episode with "The Vulva Diaries"! Dr. Bornstein is a professor of Obstetrics and Gynecology in Israel, past president of the ISSVD and chair of the terminology committee, with extensive publications in vulvar disease. In this episode they discuss the terminology of vulvodynia. Topics covered include history behind the terminology of vulvodynia, potential etiologies of vulvodynia, the process behind updating terminology, key elements...
Jan. 16, 2021

Terminology of Vulvodynia

This week Dr. Selk interviews Dr. Jacob Bornstein in his second episode with "The Vulva Diaries"! Dr. Bornstein is a professor of Obstetrics and Gynecology in Israel, past president of the ISSVD and chair of the terminology committee, with extensive publications in vulvar disease. In this episode they discuss the terminology of vulvodynia. Topics covered include history behind the terminology of vulvodynia, potential etiologies of vulvodynia, the process behind updating terminology, key elements...
Jan. 16, 2021

Terminology of Vulvodynia

This week Dr. Selk interviews Dr. Jacob Bornstein in his second episode with "The Vulva Diaries"! Dr. Bornstein is a professor of Obstetrics and Gynecology in Israel, past president of the ISSVD and chair of the terminology committee, with extensive publications in vulvar disease. In this episode they discuss the terminology of vulvodynia. Topics covered include history behind the terminology of vulvodynia, potential etiologies of vulvodynia, the process behind updating terminology, key elements...
Jan. 2, 2021

Steroid Therapy Part 2

This week is part 2 of our two episode series on steroid therapy with Dr. Gayle Fischer. Dr. Fischer is a professor of Dermatology at the University of Sydney in Australia, and has written books and has many years of research experience in the area of vulvar dermatology and lichen sclerosus (LS). In this episode, Dr. Selk and Dr. Fischer discuss steroid therapy in pregnancy, whether prescribed steroid strength depends on a patient's age, how often to follow-up with patients, natural remedies and...
Jan. 2, 2021

Steroid Therapy Part 2

This week is part 2 of our two episode series on steroid therapy with Dr. Gayle Fischer. Dr. Fischer is a professor of Dermatology at the University of Sydney in Australia, and has written books and has many years of research experience in the area of vulvar dermatology and lichen sclerosus (LS). In this episode, Dr. Selk and Dr. Fischer discuss steroid therapy in pregnancy, whether prescribed steroid strength depends on a patient's age, how often to follow-up with patients, natural remedies and...
Jan. 2, 2021

Steroid Therapy Part 2

This week is part 2 of our two episode series on steroid therapy with Dr. Gayle Fischer. Dr. Fischer is a professor of Dermatology at the University of Sydney in Australia, and has written books and has many years of research experience in the area of vulvar dermatology and lichen sclerosus (LS). In this episode, Dr. Selk and Dr. Fischer discuss steroid therapy in pregnancy, whether prescribed steroid strength depends on a patient's age, how often to follow-up with patients, natural remedies and...
Dec. 19, 2020

Steroid Therapy Part 1

Dr. Selk interviews Dr. Gayle Fischer in part 1 of our 2 episode series on steroid therapy. Dr. Fischer is a professor of Dermatology at the University of Sydney in Australia, and has written books and has many years of research experience in the area of vulvar dermatology and lichen sclerosus (LS). Topics covered include the importance of using long-term steroids in certain vulvar conditions, how to respond to patient fears about steroids, studies assessing side effects of steroid use in these ...
Dec. 19, 2020

Steroid Therapy Part 1

Dr. Selk interviews Dr. Gayle Fischer in part 1 of our 2 episode series on steroid therapy. Dr. Fischer is a professor of Dermatology at the University of Sydney in Australia, and has written books and has many years of research experience in the area of vulvar dermatology and lichen sclerosus (LS). Topics covered include the importance of using long-term steroids in certain vulvar conditions, how to respond to patient fears about steroids, studies assessing side effects of steroid use in these ...
Dec. 19, 2020

Steroid Therapy Part 1

Dr. Selk interviews Dr. Gayle Fischer in part 1 of our 2 episode series on steroid therapy. Dr. Fischer is a professor of Dermatology at the University of Sydney in Australia, and has written books and has many years of research experience in the area of vulvar dermatology and lichen sclerosus (LS). Topics covered include the importance of using long-term steroids in certain vulvar conditions, how to respond to patient fears about steroids, studies assessing side effects of steroid use in these ...
Dec. 5, 2020

Vestibulectomy

In today's episode Dr. Selk interviews Dr. Jacob Bornstein, a professor of Obstetrics and Gynecology in Israel, past president of the ISSVD and chair of the terminology committee, with extensive publications in vulvar disease. Today we are covering vestibulectomies -- what a vestibulectomy is, the history behind it's development, indications, it's success rate in treating vulvodynia, and at what point to offer vestibulectomy. Other topics discussed include complications associated with vestibule...
Dec. 5, 2020

Vestibulectomy

In today's episode Dr. Selk interviews Dr. Jacob Bornstein, a professor of Obstetrics and Gynecology in Israel, past president of the ISSVD and chair of the terminology committee, with extensive publications in vulvar disease. Today we are covering vestibulectomies -- what a vestibulectomy is, the history behind it's development, indications, it's success rate in treating vulvodynia, and at what point to offer vestibulectomy. Other topics discussed include complications associated with vestibule...
Dec. 5, 2020

Vestibulectomy

In today's episode Dr. Selk interviews Dr. Jacob Bornstein, a professor of Obstetrics and Gynecology in Israel, past president of the ISSVD and chair of the terminology committee, with extensive publications in vulvar disease. Today we are covering vestibulectomies -- what a vestibulectomy is, the history behind it's development, indications, it's success rate in treating vulvodynia, and at what point to offer vestibulectomy. Other topics discussed include complications associated with vestibule...
Nov. 21, 2020

If It Ain't Broke Don't Fix It: Evidence Behind New LS Treatments

Dr. Selk interviews Dr. Gayle Fischer, a dermatologist at the University of Sydney in Australia and an expert in lichen sclerosus (LS), about new LS treatments. Topics covered include steroid treatment and why patients seek different treatments, new ancillary treatments and evidence behind them, patient counselling tips, post-procedural steroid use, dangers of calcineurin inhibitors in LS, and benefits of topical steroid treatment.
Nov. 21, 2020

If It Ain't Broke Don't Fix It: Evidence Behind New LS Treatments

Dr. Selk interviews Dr. Gayle Fischer, a dermatologist at the University of Sydney in Australia and an expert in lichen sclerosus (LS), about new LS treatments. Topics covered include steroid treatment and why patients seek different treatments, new ancillary treatments and evidence behind them, patient counselling tips, post-procedural steroid use, dangers of calcineurin inhibitors in LS, and benefits of topical steroid treatment.
Nov. 21, 2020

If It Ain't Broke Don't Fix It: Evidence Behind New LS Treatments

Dr. Selk interviews Dr. Gayle Fischer, a dermatologist at the University of Sydney in Australia and an expert in lichen sclerosus (LS), about new LS treatments. Topics covered include steroid treatment and why patients seek different treatments, new ancillary treatments and evidence behind them, patient counselling tips, post-procedural steroid use, dangers of calcineurin inhibitors in LS, and benefits of topical steroid treatment.