Vulvar Lichen Sclerosus: Updated Clinical Assessment and Treatment (Including Pregnancy/Postpartum)

Discussion with Tracy Sher and Dr. Jill Krapf


  • 2 hours

  • NY CEUs available
  • For other states, check for reciprocation or individual application



  • Medical and Fitness Professionals
  • No pre-requisites
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What can I expect?

Dr. Krapf talks with Tracy all about Lichen Sclerosus. They'll go over updated clinical assessments and treatments, including the latest research and new info about pregnancy and postpartum that hasn’t even been released fully yet! 

They'll answer questions like these and more:

  • Did you know it makes a huge difference who evaluated this? You want to see a specialist. The Lichen Sclerosus Network @lichensclerosussupportnetwork has a directory or look for vulvar dermatologists (there are even pediatric specialists).
  • Did you know it matters who interprets the tissue biopsy? Ideally- it’s best if a dermatopathologist reviews the case (associated with many dermatologists or vulvar specialists such as The Centers for Vulvovaginal Disorders NY, DC, and Tampa soon).
  • Did you know using topical steroids to treat LS during pregnancy and postpartum is typically safe per Dr. Krapf (but many patients are told to stop)?  There isn’t one specific protocol for every patient- it should be individualized but there’s are patterns of symptoms and presentations and best care treatments - particularly to reduce chances of vulvar cancer!

What will I Learn?

Upon completion of this webinar participants will be able to:
  • Realize the importance of individualized care treatments for patients.
  • Know how crucial an accurate diagnosis matters for treatment. 
  • Understand that Pelvic PT/OT can be effective in some cases with addressing tissue mobility and pelvic floor dysfunction if present (but will depend if tissue has inflammation or fissures - timing matters)
  • Know when surgery is helpful (if clitoral phimosis (closing over clitoris) or major scarring over the vaginal opening happens, but not all cases)
Feel comfortable navigating psychosocial nuances while learning practical skills to do so. 

Do you want to watch THIS webinar and ALL of our other webinars for one yearly price? 

The Global Pelvic Health Alliance Membership offering features designed to help you grow your clinical skills and build your business. 
  • Webinars: an amazing set of webinars (like this one) that are all included in the membership with the ability to be present at the live recording and ask questions to the presenters.
  • Illustrations: We have an illustration that creates anatomy illustrations for us. We are constantly looking for ways of presenting the anatomy in ways that are more accurate and descriptive.
  • Handouts: Using the illustrations and an amazing team of colleagues to help review, we create a collection of handouts for you to use with your patients/clients!
  • Premiere Directory Listing: While anyone can have a free directory listing, GPHAM members get to have a profile picture, live links, and photo galleries to stand out. 
  • Global Pelvic Health Support Community: In addition to resources, you can also ask to join the private FB page with hundreds of multidisciplinary professionals from around the world to help you out!

Tracy Sher, PT, DPT, CSCS - Your Host

Tracy Sher is a pelvic physical therapist and is the founder of Pelvic Guru, Pelvic Guru Academy, and the Global Pelvic Health Alliance Membership. She is also an instructor for Pelvic Guru Academy, teaching Pudendal Neuralgia and Complex Pelvic Pain Solutions. 

Jill Krapf, MD

I am originally from the Philadelphia area. I graduated from Lafayette College and then earned an M.D. from Jefferson Medical College in Philadelphia, Pennsylvania. I completed a residency in Obstetrics and Gynecology at The George Washington University, serving as Chief Administrative Resident in my final year. After residency, I completed a Medical Education fellowship and subsequently earned a Masters in Education. I am board certified by the American Board of Obstetrics and Gynecology and have been active in leadership roles and committees in the American College of Obstetricians and Gynecologists (ACOG) and the Association of Professors of Gynecology and Obstetrics (APGO).
I practiced at The George Washington University from 2011-2015, starting a clinic specializing in female sexual health and serving as the Assistant Clerkship Director for Obstetrics and Gynecology. I then relocated to Texas with my military husband, working as an OB/GYN hospitalist before joining the faculty at University of Texas Health San Antonio. In August 2019, I moved back “home” to the Washington D.C. area to join Dr. Andrew Goldstein at The Centers for Vulvovaginal Disorders, devoting my practice to the diagnosis and treatment of vulvar pain.  
I am active in research and have published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. I am an Associate Editor for the Journal of Sexual Medicine Online Access, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition, which will be out in the Fall 2020. I am active in the International Society for the Study of Women’s Sexual Health (ISSWSH), serving on the Education Committee and the Social Media Committee. 
I enjoy cross-stitch, barre, skiing, and traveling with my husband and our three active children.


What is the Cancelation & Refund Policy?
Individual GPHAM webinars are non-refundable. 
For other courses, the option for a full refund is available within 48 hours of purchase, however it is non-refundable upon either of these conditions:
  • You have viewed more than 50% of the course material
  • You have already claimed your CE certificate
If you need additional assistance with a refund or course concern, please email
Will there be any part of this live course where I could be recorded?
Live participation parts of courses may be recorded live and screenshots maybe be taken by the instructor or the host. If your camera is on, your microphone is on, or you type comments in the comment section, your participation will be part of that recording. If you do not wish to be part of this recording, you will be responsible for keeping your video and audio recording OFF during any live recorded sessions. 
How can I use the handouts, videos, and course supplemental material?
You will be provided with online content and recordings of the course as well as slides and material related to the course. This material is for your personal use only.  Please do not use clips of video, screen captures, screenshots, or copying in any way, that you might be presenting it as your own (whether or not it is for financial gain). Sharing a screenshot to social media that is credited to the instructor and/or Pelvic Guru, LLC is acceptable. If you would like to use any of this content for an independent project, you need to discuss this directly with Pelvic Guru and the instructor of the course. 
Will I have to exercise or have a space to move for this course? 
Some of the Pelvic Guru Academy courses have sections in them in which you will have the option of doing movement at various levels. Understand that all physical therapy, rehabilitative, and strength training instruction and use of all facilities and equipment shall be done at you own risk, and please be physically and medically able to undertake any and all physical therapy, rehabilitative, and strength training instruction provided in the course.