“This is one of the best conferences I have ever attended. This is certainly a topic many providers do not have much training or education in.”
– E. Vita, MD

“Symposia Medicus conferences consistently balance excellent educational content with time for relaxation and reenergizing. The expert speakers are interesting and approachable.”
– J. Meyers, CNM

“Speakers were very knowledgeable. The topics covered were very interesting and easy to follow. I appreciate the amount of lectures which leaves the afternoon for outside activities. I will definitely recommend Symposia Medicus to colleagues.”
– E. Thompson, DO


Sexual health is a dynamic and multifaceted phenomenon that is closely linked to the overall quality of life. A critical issue cutting across many fields of health and well-being, sexual health can affect many aspects including intimacy, reproductive health, disease prevention, clinical care, policy, advocacy, health equality, and the social determinants of health. Determining the etiology of sexual complaints in all persons is often a complex process; the healthcare provider must be a cautious detective, exploring medical, psychological, and environmental issues.

At our 3rd Annual Conference on Challenges in Sexual Healthcare, primary care physicians, nurse midwives, nurse practitioners, PAs, and nurses will share information, innovations, and advances in sexual health and develop conversations about supporting healthy sexuality. The goal of this conference is to increase knowledge and enhance the competence of attendees. Emphasis will be placed on practical application of the evidence-based topics presented.

Topics for this year’s conference have been selected based on the educational needs determined from the identified professional practice gaps. The gaps were derived from a variety of sources including evaluations and outcomes data from past participants; clinical expert input; Symposia Medicus’ online survey; and other medical and nursing data.

Conference format will include didactic lectures, smaller group breakout and interactive sessions, case studies, and question and answer sessions.

An outstanding faculty has been assembled for this conference. Each member was selected based on their individual area of expertise and ability to communicate current, evidence-based, and practical information to participants.

You are sure to enjoy our 3rd Annual Conference on Challenges in Sexual Healthcare while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Napa, California.


As a result of participating in this conference, you should have increased knowledge and enhanced competence to…

Identify the elements for taking a sexual history and describe common abnormalities found during physical exams

Describe at least three strategies that may be used to implement a more LGBTQI+ inclusive environment

Incorporate best practice guidelines and evidence-based resources that will optimize the delivery of quality, culturally-competent care for women and girls affected by, and at risk for, female genital mutilation/cutting

Identify patient needs for sexual medicine in survivorship medicine

Describe psychosocial factors that impact sexual function


At the conclusion of attending this conference, participants are entitled to a certificate of credit which will be available online. Successful completion of this activity is determined by attending the live activity, review of the educational session materials, and submission of the pre/post case study survey, evaluations, and attendance verification form. Each participant should only claim credit commensurate with the extent of their participation in the activity.


This educational activity was planned and produced in accordance with the ACCME and ANCC Essentials and Standards relating to continuing medical and nursing education.

Symposia Medicus is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Symposia Medicus is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


Symposia Medicus designates this live activity for a maximum of 19.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

This Live activity, 3rd Annual Conference on CHALLENGES IN SEXUAL HEALTHCARE, with a beginning date of 05/09/2018, has been reviewed and is acceptable for up to 19.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American College of Obstetricians and Gynecologists has assigned up to 20 cognate credits to this program.

Certified Nurse Midwives
The American Midwifery Certification Board (AMCB) accepts Category 1 CME approval from organizations accredited by the ACCME.

NCCPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 19.5 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 19.5.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 23.4 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 2.25 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx in the schedule.


Smaller group sessions will be held Friday morning. These breakout sessions are organized to provide greater participant/faculty interaction, and will give you an opportunity to participate in discussions on subjects relating to your particular area of interest. Please indicate your breakout session topic choices on the conference registration form in this brochure. Space is limited so please reserve early. Participants and faculty will then join together to finish off the day with a Case Studies session related to the challenges in sexual healthcare.


Each registrant will have online access to session materials. The session materials will be available for download approximately two weeks prior to the conference (you’ll receive an email with instructions). If you wish to receive a hard copy of the session materials, please check the box on the registration form in this brochure.

If you are unable to attend this conference, extra copies of the session materials (either paper or digital copy) will be available one week after the conference. The cost is $60 for a hard copy and $25 for the digital copy. To place your order, pleaseemail publications@symposiamedicus.org.


To receive additional information about the conference hotel, location, tours and/or nearby attractions, and ground transportation, please visit our website at www.symposiamedicus.org.


Crista E. Johnson-Agbakwu, MD, MSc, FACOG
Founder & Director, Refugee Women’s Health Clinic
Obstetrics & Gynecology
Maricopa Integrated Health System
Research Assistant Professor
Obstetrics & Gynecology
University of Arizona College of Medicine - Phoenix
Assistant Research Professor &
Clinical Research Affiliate
Southwest Interdisciplinary Research Center (SIRC)
Center for International Translational Intervention Research (CITIR)
School of Social Work
College of Public Service & Community Solutions
Arizona State University
Phoenix, Arizona

Michael Krychman, MDCM, MPH
Conference Co-Chair

Associate Clinical Professor
University of California, Irvine
AASECT Certified Sexual Counselor
Executive Director of the Southern California
Center for Sexual Health &
Survivorship Medicine
Newport Beach, California

Eva Martin, MD
Conference Co-Chair

North & South Central Health Districts
Georgia Department of Health
Medical Director, Women’s Health
Houston & Laurens Counties Health Departments
Warner Robins & Dublin, Georgia

Leah S. Millheiser, MD, FACOG
Clinical Assistant Professor
Director, Female Sexual Medicine Program
Department of OB/GYN
Stanford University School of Medicine
Palo Alto, California

Ashley H. Tapscott, DO
Carolina Urology Partners
Huntersville, North Carolina

Consistent with ACCME and ANCC guidelines, it is the policy of Symposia Medicus to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Prior to the planning of this educational activity, all individuals in a position to influence and/or control the content of continuing education activities have been asked to disclose all relevant financial relationships within the past 12 months. Beyond disclosure of relevant financial relationships, faculty are required to disclose when they plan to discuss pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or “off-label” use of an approved device or pharmaceutical. Symposia Medicus is committed to providing learners with commercially unbiased continuing education activities. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the session materials for this activity, and speakers will provide a slide disclosure for each presentation, and will also verbally disclose on-site.


Wednesday, May 9

7:00am Registration & Check-in
During Continental Breakfast
8:00 Welcome & Introduction
Michael Krychman, MDCM, MPH & Eva Martin, MD
8:15 Everything You Wanted to Know About Taking a Psychosexual History But Were Too Afraid to Ask
Leah S. Millheiser, MD
9:00 Sexual Medicine in the 21st Century: Technology & Innovations in Sexual Medicine (Rx = 15 minutes)
Michael Krychman, MDCM, MPH
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 How to Identify Female Sexual Dysfunction in 3 Easy Steps: Diagnostic Tools for the Time-Strapped Clinician
Leah S. Millheiser, MD
11:15 The Many Challenges of Teen Sexuality
(Rx = 15 minutes)
Eva Martin, MD
Noon Optimizing Trauma Informed Care for Survivors of Gender-Based Violence: Special Focus on Sexual Violence, Sexual Abuse, and Human Trafficking
Crista E. Johnson-Agbakwu, MD, MSc
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day
5:30-6:30 Wine & Cheese Reception
(Faculty, Participants, and Guests)

Thursday, May 10

7:30am Continental Breakfast
8:00 The Impact of Religious Diversity on Sexual Function: What Every Clinician Should Know
Leah S. Millheiser, MD
8:45 Female Genital Mutilation/Cutting: Identification, Management, and Prevention
Crista E. Johnson-Agbakwu, MD, MSc
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Addressing the Healthcare Needs of LGBTQI+ Patients (Rx = 15 minutes)
Eva Martin, MD
11:00 Sexual Health in Pregnancy & Postpartum
Crista E. Johnson-Agbakwu, MD, MSc
11:45 Testosterone & Sexual Function: To “T” or not to “T”...That is the Question (Rx = 15 minutes)
Ashley H. Tapscott, DO
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, May 11

7:30am Continental Breakfast
8:00 Smaller Group Breakouts – Session One
. A. Relax at the Slick & Slippery Moisturizers & Lubricants Bar
Michael Krychman, MDCM, MPH
. B. Case Studies in Erectile Dysfunction & Sexual Emergencies: The Good, the Bad, and the Ugly
Ashley H. Tapscott, DO
. C. Toys, Lubes, and Creams Galore: Deciding which Sexual Accessories are Best for Your Patients
Leah S. Millheiser, MD
. D. Vulvar Dermatoses: Diagnosis & Clinical Management
Crista E. Johnson-Agbakwu, MD, MSc
9:00 Break
9:10 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
10:10 Break
10:20 Smaller Group Breakouts – Session Three
(Session One Topics Repeated)
11:20 Break
11:30 Case Studies in Sexual Healthcare
Michael Krychman, MDCM, MPH
Ashley H. Tapscott, DO
Leah S. Millheiser, MD
Crista E. Johnson-Agbakwu, MD, MSc
1:00pm Adjourn for the Day

Saturday, May 12

7:30am Continental Breakfast
8:00 A Journey into the Darker Side of Unconventional Sexuality (Rx = 10 minutes)
Michael Krychman, MDCM, MPH
8:45 Adult Transgender Healthcare 101
(Rx = 20 minutes)
Eva Martin, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Male Cancer Survivorship: What You (and Their Partners) Need to Know (Rx = 15 minutes)
Ashley H. Tapscott, DO
11:00 Is Sexuality Only Skin Deep?: The Emerging Field of Cosmetic Sexuality (Rx = 15 minutes)
Michael Krychman, MDCM, MPH
11:45 Premature Ejaculation, Erectile Dysfunction, & Peyronie’s Disease: The ABC’s of PE, ED, and PD
(Rx = 15 minutes)
Ashley H. Tapscott, DO
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

Rx = Pharmacology Credit for Prescriptive Authority
will be granted for these sessions


California’s wine country offers scenic countrysides, great wines, and superb restaurants. With over 450 wineries offering a variety of wines for all tastes, it’s no wonder that the Napa Valley is considered the heart of the American wine industry. Located approximately 60 miles north of San Francisco, there is much more to Napa than just its grapes! Enjoy hot-air ballooning, horseback riding, mountain biking, or challenging golf. Find incredible discounts on your favorite brand-names at the Napa Premium Outlets or visit Old Town for more unique shopping. Visit the recently restored Napa Valley Opera House for headliners from Jazz to Country music. It might be wine that comes to mind when thinking of the Napa Valley, but with world-renowned restaurants, such as The French Laundry, Bottega, and Morimoto, it’s the food that will keep you occupied while there.

With so much to do, you’ll find that fine wine is only a part of this abundant valley. If the Napa Valley isn’t enough to keep your interest, San Francisco, with Fisherman’s Wharf, Chinatown, and famous cable cars, is just an hour away; or the kid inside you will love the excitement of Six Flags Discovery Kingdom located just 20 minutes away, or Safari West wildlife preserve just 45 minutes away.

The Napa Valley Marriott Hotel & Spa combines modern convenience with traditional comfort. Exercise at the state-of-the-art fitness center, or enjoy “The Spa,” one of the best full-service spas in the Napa Valley. If you are looking for a refreshing escape – just head over to the hotel’s all new resort-style pool and courtyard. They’ll provide the towels, sunscreen, lounge chairs and umbrellas – all you have to do is relax and enjoy every moment. Sip on specialty cocktails or your favorite Napa Valley wines complemented by creative small bites from VINeleven’s innovative kitchen, the hotel’s indoor/outdoor restaurant and bar. Start the day with morning yoga sessions on the pool deck, or just unwind with a cocktail on the pool patio under a gorgeous California sunset after a long day spent touring vineyards or teeing off on Napa’s famous golf courses.

Whatever your pleasure, you’ll be sure to find it in Napa, at our 3rd Annual Conference on Challenges in Sexual Healthcare.


Enrollment for this conference is limited in order to provide the best possible learning environment.
Early registration is advised.

You can register and receive conference lodging group rates by reserving the following ways:

On-line at our website, www.symposiamedicus.org; OR

Call Monday-Friday, 8:30am-5:00pm (Pacific Time), (925) 969-1789 with Visa, MasterCard, American Express, or Discover; OR

By mail, make check payable to Symposia Medicus and send with registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287.

Visit www.symposiamedicus.org or call (925) 969-1789 for additional questions or information.


If postmarked by
February 28, 2018
If postmarked after
February 28, 2018
Physicians $675 $775
Residents, Nurses, PAs, & All Others $575 $675

Discounts are available for retired healthcare providers, active U.S. military, and groups of three or more. For more information, please contact Symposia Medicus prior to registering.

Tuition includes continuing education, online access to session materials, continental breakfast every morning of the conference, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via email

This conference meets the requirements for CE tax deductibility; however, we suggest you consult your financial authority for more information


Conference group rates have been arranged at the Napa Valley Marriott Hotel & Spa. Rooms at our group rates are limited and on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase. If you wish to extend your stay, group rates may be available three days before and three days after the conference.

Two nights’ deposit (room rate only) must accompany your reservation. The balance of your lodging,
hotel fees as stated below, and all incidental charges are due to the hotel. The hotel accepts most major credit cards.

Room Type Group Rates Description
Standard Room
(view of perimeter and exterior of hotel)

All rooms are non-smoking and approximately 375 sq. ft. and feature either one king bed or two double beds. They also include air conditioning, pillow-top mattresses, mini refrigerators, coffee makers with complimentary coffee, pay-per view movie access, and flat screen TVs.

Due to strict fire codes, rollaway beds and cribs are not permitted in a room with two beds. Only one rollaway or crib is permitted in a room with a king bed.

Garden View Room
(view of hotel’s courtyard)

Concierge Room
(view of hotel’s courtyard or perimeter and exterior of hotel)

Concierge lounge access includes complimentary continental breakfast, daily midday snacks, hors d’oeuvres and dessert, non-alcoholic beverages, and business services.

By reserving your lodging with Symposia Medicus, the $20 per room, per night Destination Fee is waived. This fee includes: two bottles of water (daily), coffee, in-room and resort-wide enhanced internet, two bicycle rentals, spa access (for the locker room, steam room, and Jacuzzi), use of pool & towels, culinary garden tour with sparkling wine (4:00pm daily), and self-parking.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 12% tax
- 0.065% California Tourism Assessment Fee
- 2% Tourism Business Improvement District Assessment

Maximum guestroom occupancy is four people and cannot be exceeded due to fire codes

There is no additional charge for 3rd and 4th guests in room

Bed Type Requests: You can select one or two beds; however, requests cannot be guaranteed until check-in

Rollaways & Cribs: Rollaway beds and cribs are complimentary (based on availability and subject to change). Please note: Due to strict fire codes, rollaway beds and cribs are not permitted in a room with two beds. Only one rollaway or crib is permitted in a room with a king bed.

Check-in time is 4:00pm and check-out time is 11:00am. A late check-out can only be confirmed on the date of departure by the front desk. Additional charges may apply for late check-outs and are based upon availability.

Early Departure Fee: Failure to arrive on confirmed arrival date will be charged the entire reserved stay. Please inform Symposia Medicus of any changes.

Credit/Debit Card Policy: Upon check-in, the hotel requires a credit card or debit card to ensure that funds are available. Holds are placed on your account for your entire stay; however, the amount may be immediately deducted from your account. The length of time for which these holds remain on your credit or debit account varies from bank to bank.

Parking: Self-parking is complimentary for conference guests. Valet is not available at this resort.

Cancellation Policies

Conference cancellations must be made in writing (via email or mail) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after April 4, 2018; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference. 

Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and you will receive a full refund if emailed/postmarked by March 7, 2018. Between March 8, 2018 and April 4, 2018, one night’s deposit is forfeited. After April 4, 2018, no hotel refunds can be made. 

All cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be postmarked by the dates stated above.

In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with Symposia Medicus, hotel deposit refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.


The closest airport to the Napa Valley Marriott Hotel & Spa is Oakland International Airport (OAK); however, lower fares can sometimes be found by flying into San Francisco International Airport (SFO), Sacramento International Airport (SMF) or San Jose International Airport (SJC). Oakland is approximately 50 miles from the hotel, while San Francisco and Sacramento are approximately 60 miles, and San Jose is approximately 85 miles. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with Alaska, Delta, and United airlines for this conference. Reservations can be made either through your travel agency or through the airlines at the website or Convention Desk numbers listed below.

In order to receive the discounted rate, you or your travel agent must refer to the Symposia Medicus Group ID number listed here.

Alaska Airlines For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and click on the link “Use Discount Code,” located at the bottom of the “Book Flights” box. Once you click on this link, another page will appear. On this page, you will need to insert ECMX993 in the “Discount Code” box, located at the right hand side of the page.
Delta Airlines For discounts on Delta Airlines, please visit www.delta.com and click on the link “Advanced Search,” located at the bottom of the “Book a Trip” box. Once you click on this link, another page will appear. On this page, you will need to insert NMQC4 in the “Meeting Event Code” box, located at the right hand side of the page. For questions, please call the Delta Airlines Convention Desk at (800) 328-1111.
United Airlines For discounts on United Airlines, please visit www.united.com and click on All Search Options, located on the bottom left corner of the “Book Travel” box. Once you click on this link, another page will appear. At the bottom of this page, you will insert ZE2C279455 in the “Promotions and Certificates” box. For questions, please call the United Airlines Convention Desk at (800) 426-1122.


For conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS 800-331-1600 AWD # B766625
Budget 800-772-3773 BCD # U076767