Congress Workshops

– Lessons from the experts beyond the EBM (Evidence Based Medicine)

Workshops are designed for an interactive exchange of knowledge in the field of Sexual Medicine.
During each workshop a short review of the accepted practice will be given following practical tips and tricks for the daily practice.

For the daily practice, hand-outs are available online following the workshop.


Thursday, 14 February 2019

WS-01 Workshop

11:00 – 12:30 Kosovell Hall

Practical management of erectile dysfunction in men with endocrine disorders

Chairs: Hartmut Porst, Germany / Michael Zitzmann, Germany

Aims and learning objectives

1. To understand underlying endocrine mechanisms leading to ED, especially

  • Hypogonadism
  • Hyperprolactinemia

2. To differentiate these mechanisms from cardiovascular risk factors

  • Type 2 Diabetes
  • Smoking
  • Arterial hypertension, dyslipidemia, obesity

Contents

1. Lecture on Hypogonadism in men in relation to ED and metabolic risk

  • Case

2. Lecture on Hyperprolactinemia in relation to ED

  • Case

3. Discussion with audience


WS-02 Workshop

16:00 – 17:00 Kosovell Hall

How to survive infertility treatments: What clinicians can do to help couples in protecting their sexual life

Chairs: Garbrijela Simetinger, Slovenia / Astrid Ahler, Switzerland

The aim of the workshop is to provide participants with clinical knowledge on the management of infertile couples and the impact of infertility treatments on their sexual life

Learning objectives

  • To understand medical and psychogenic causes of infertility and its possible treatments
  • To understand the burden of infertility and its impact on couples and their sexual life
  • To understand psychosexual therapy and medical therapies of related sexual dysfunction – based on research evidence base and clinical experience
  • To understand the important parts of the diagnostic workup including the sexual history taking

Contents

The workshop will be structured around the following questions that will be discussed

  • What are the causes of infertility and possible treatment options?
  • What is the burden of infertility for women, men and the couple?
  • What is egg and what is chicken? Infertility as a cause or a result?
  • How to refocus on the couple life when sex is mainly determined by timed intercourse?
  • How to maintain an image of a sexual being when the focus is on the reproductive (in)ability?
  • Am I still a woman/ man if I fail to become or create a pregnancy?
  • How to deal with the fact being “ the cause” of the couples infertility?
  • How to deal with the failure of an infertility treatment and the sexual dysfunction related?

Friday, 15 February 2019

WS-03 Workshop

09:00 – 10:00 Room E 1-2

Sexual dysfunctions in single individuals – the treatment challenge

Chairs: Nuno Trovao, Portugal / Omer Onur Cakir, Turkey

Aim:

To improve participants’ awareness and clinical soft skills on the management of sexual dysfunctions singles are more prone to.

Learning objectives:

  • To discuss the main risk factors and sexual dysfunctions among individuals uninvolved in affective relationships
  • To inform participants about the appropriate attitude in dealing with the patient and collect a valuable clinical anamnesis
  • To review the diagnostic approach and workup
  • To understand the place for medical, surgical and psychosexual therapies, based on research evidence base and clinical experiences

Contents:

The workshop will include arranging the audience in groups, that will be given clinical vignettes to discuss. It will be structured around the following questions:

Erectile dysfunction, premature ejaculation and delayed ejaculation/anejaculation in occasional sexual contacts among the single male:

  • risk variables related to single-status
  • differences between heterosexual and homosexual men
  • the role of pornography consumption and dating media use
  • diagnostic flowchart
  • integrative and combined psychological and medical treatment

Low desire/arousal disorder and orgasmic disorders in occasional sexual contacts among the single female:

  • Ÿrisk variables related to single-status
  • differences between heterosexual and homosexual women
  • Ÿthe role of fertility and societal pressure
  • Ÿdiagnostic flowchart
  • Ÿintegrative and combined psychological and medical treatment

Low desire / arousal, mental health and single status

  • Ÿ addressing the bidirectional risk between anxiety and/or depression and low desire / arousal  disorder
  • Ÿ differential diagnosis workup
  • Ÿ single status — screening sexual dysfunctions versus preventing pathologization

WS-04 Workshop

10:00 – 11:00 Room E 1-2

Sexual dysfunction: The impact on partners

Chairs: Paraskevi-Sofia Kirana, Greece / Eliane Sarasin Ricklin, Switzerland

The aim of the workshop is to show the impact of a sexual dysfunction on the partner and how this may sabotage our treatment strategies if not taken into account.

Learning objectives

  • To understand the possible sexual, psychological and interpersonal consequences of female genito-pelvic pain and low desire disorder, as they are related to the male partner
  • To understand the possible sexual, psychological and interpersonal consequences of premature ejaculation and erectile dysfunction, as they are related to the female partner
  • To understand how the consequences of a SD intervene with treatment
  • To identify common decision making issues of the therapeutic design, when partner related issues are obstacles to treatment

Contents

The workshop will be structured around the following questions that will be discussed based on the literature and clinical cases.

  • How does the impact of a female sexual disorder differ from that of a male sexual disorder?
  • What is the sexual, psychological and interpersonal impact of dyspareunia and low desire on the partner?
  • What is the sexual, psychological and interpersonal impact of erectile dysfunction and premature ejaculation on the partner?
  • How can the consequences on the female partner sabotage treatment strategies for a male sexual dysfunction?
  • How can the consequences on the male partner sabotage treatment strategies for a female sexual dysfunction?
  • What are the crucial questions of the sexual history that refer to the partner’s impact on the SD?
  • What are some management tips for partner related treatment obstacles?

WS-05 Workshop

13:00 – 14:30 Room M3

Assessment and management of female sexual pain disorders

Chairs: Philomeen Weijenborg / Charmaine Borg, Stephanie Both / Moniek Ter Kuile, The Netherlands

The aim of the workshop is to provide participants with clinical knowledge on the management of female patients with sexual pain disorders (dyspareunia and vaginismus).

Learning objectives

  • To understand medical, psychological, and partner related factors in sexual pain disorders
  • To understand the important parts of the diagnostic phase including medical examination and sexual history taking
  • To identify decision making issues in choosing the right treatment for sexual pain disorders
  • To understand the rationale and content of cognitive behavioral therapy for sexual pain disorders – based on research evidence and clinical experience

Contents

The workshop will be structured around the following questions that will be discussed

  • Are sexual pain disorders a somatic or a psychological problem?
  • Which are the crucial parts of the diagnostic procedure for sexual pain disorders?
  • What are important components of cognitive behavioral treatment for dyspareunia and vaginismus?
  • What can be difficulties in the treatment of sexual pain disorders?
  • How can you translate the provided knowledge to your own clinical practice?

Saturday, 16 February 2019

WS-06 Workshop

09:00 – 10:00 Room M3

Motivational interviewing in clinical practice

Chairs: Yacov Reisman, The Netherlands / Carla Veiga Rodrigues, Portugal

The aim of the workshop is to provide participants with basic knowledge and skills for the clinical application of Motivational Interviewing (MI) method in Sexual Medicine consultation.

Learning objectives

  • To understand the underlying spirit and approach of MI
  • To recognize the reflective listening responses and differentiate them from other counseling responses
  • To identify possible obstacles in applying MI and how to surpass them
  • To integrate MI tools into a sexual medicine consultation
  • To understand the advantages of MI to motivate patient’s towards change and identify its limitations

Contents

A workshop is only the beginning of learning MI. MI is more than a tool, it is a skill to be trained and acquired during time. Motivational interviewing is a collaborative, person-centered form of guiding in order to elicit and strengthen motivation for change. This technique focuses on identifying our patient’s ambivalent feelings towards change and use them in order to elicit motivation and energy towards a new behavior set, while avoiding resistance (e.g., confrontation, blame, label) and supporting self-efficacy.

As health care professionals (HCP) working on the 21st century, chronic illness is the core of our care, quite often related to unhealthy behaviors. Patient’s adherence to the proposed treatment plans and lifestyle changes necessary to increase their longevity and reduce comorbidities is crucial for better outcomes. MI can assist the HCP to achieve better results and satisfaction among their patients.

During the workshop the background and principles of MI will be introduced and contextualized into the setting of sexual medicine problems in consultation.


WS-07 Workshop

10:00 – 11:00 Kosovel Hall

Swamp for experts: How to manage 4 difficult things in clinical practice

1. Secret on infidelity
2. Desire discrepancy
3. Different sexual preferences
4. Consensual non-monogamous relationship

Chairs: Paraskevi-Sofia Kirana, Greece / Marieke Dewitte, The Netherlands / Francesca Tripodi, Italy

Aim

To provide participants with clinical knowledge on the management of difficult situations in clinical practice, where almost no literature is available for guidance. Three experienced psychotherapists will present and discuss with the audience on how they manage clinically these circumstances, affording pros and cons of each solutions.

Learning objectives

  • To be aware of difficult situations in clinical practice
  • To recognize the importance of setting, goals of the treatment and position of the therapist
  • To understand the relevance of culture, beliefs, and stereotypes both in clients and therapist when dealing with differences within couples
  • To improve clinical decision-making through the modelling of the experts

Contents

The workshop will be structured with the experts answering on the management of the following situations:
1. Secret on infidelity
2. Desire discrepancy
3. Different sexual preferences
4. Consensual non-monogamous relationship

The workshop is meant to be as practical as possible. Each expert will share her own considerations on the topics, with the context in which these situations take place and the therapeutic strategies. The focus will be on providing suggestions that the clinicians should take into account, and to discuss with the audience about the effectiveness in clinical practice. Coming from different backgrounds and countries, the three experts will represent a good range of perspectives, that will fit the heterogeneity of the participants.


WS-08 Workshop

14:30 – 16:00 Room E 1-2

Modern management of gender identity issues

Chairs: Alessandra D. Fisher, Italy / Guy T’Sjoen, Belgium

The aim of the workshop is to provide practical tips and tricks about psychological and medical support according to modern management of transgender healthcare.

Learning objectives

  • To understand sexual identity and gender spectrum definitions
  • To understand diagnostic criteria of gender incongruence /gender dysphoria
  • To understand individualized treatment importance
  • To understand hormonal therapy efficacy and safety
  • To enhance the participants’ clinical practice and knowledge on modern management of gender incongruence / gender dysphoria

Contents

The workshop will be structured around the following topics that will be discussed:

  • Introduction, terminology and diagnoses
  • Treatment requests and standards of care
  • Psychological issues and recommendations for mental health care
  • Endocrinological issues and recommendations for endocrine care
  • Clinical questions and case discussions