Plan of Care for 
Pain with Sex in Perimenopause: 
A Multidisciplinary Approach
for Prescribers

This CME accredited webinar explores pain with sex in perimenopause through a multidisciplinary lens, bringing together pelvic physical therapy, reproductive psychiatry, and sex therapy. Using real-world case studies, faculty examine how pelvic floor dysfunction, musculoskeletal factors, hormonal tissue changes, anxiety, trauma history, and relationship dynamics can contribute to sexual pain and avoidance.


The discussion emphasizes trauma-informed care, patient autonomy, and clear communication around pelvic exams and treatment options. Learners gain practical strategies for assessing sexual pain, avoiding medical dismissal, and supporting intimacy while treatment is underway. The session highlights the importance of coordinated, team-based care to improve sexual health and overall well-being in midlife women.

  • Instructors

    Harita Raja, MD,
    Ingrid Harm-Ernandes, PT 
    Laurie Mintz, PhD

  • 1h 02min

    Video duration

  • 1 Presentation Powerpoint File

  • 1 Quiz

    Course Instructors
    Ingrid Harm-Ernandes, PT, WCS
    Pelvic Health Physical Therapist
    Ingrid Harm-Ernandes, PT, WCS, is board certified in pelvic health physical therapy. She has been a mentor for residents, fellows and students of many different disciplines, served on committees for AUGS, APTA, and was active with the PFDN, and is on the medical advisory board for the NMF. She authored “The Musculoskeletal Mystery: How to solve your pelvic floor symptoms”

    Harita Raja, MD
    Reproductive Psychiatrist
    Harita Raja, MD is a board-certified psychiatrist with a specialized focus in women’s mental health. She is the founder of Bethesda Women’s Mental Health, a practice dedicated to providing compassionate, expert psychiatric care tailored to the unique needs of women. Dr. Raja is known for her collaborative approach—working closely with patients, their loved ones, and other providers to develop thoughtful, personalized treatment plans.
    Laurie Mintz, PhD
    Licensed Psychologist and Sex Therapist
    Dr. Laurie Mintz is an Emeritus Professor at the University of Florida teaching Human Sexuality to hundreds of undergraduates yearly. She has published over 60 scholarly works and authored two popular press books: Becoming Cliterate: Why Orgasm Equality Matters and How to Get It and A Tired Woman’s Guide to Passionate Sex. 
    Mintz is a licensed psychologist and certified sex therapist in private practice.

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