4 CE Credits · Self-Paced · TOOLBOX: 5 Digital Downloads Included
Q-Spot™ Qurriculum
CE-Accredited · Q-Spot Qurriculum · The Vulvar Course
Every provider sees this patient.
Few were ever trained for her.
Vulvar dryness, pain, and the itch-scratch cycle walk into OB-GYN offices,
primary care visits, and NP/APP practices every single week yet formal
exam training rarely covers it in depth.
This course closes that gap, whatever your specialty.
4 hrs
On-Demand Video Content
4 CE
Credits Upon Completion
7
Core Modules
∞
Lifetime Access + Updates
THE PRoblem
A patient comes in with vulvar dryness, pain, and itching and scratching only makes it worse.
It doesn't matter what's on your door OB-GYN, NP, APP, or primary care. This patient reaches whoever she trusts first, and most clinical training never went deep enough on exam technique, microscopy interpretation, or biopsy procedure to meet that moment with full confidence.
Missed or delayed diagnoses when exam technique or icrscopy reads are inconsistent
Cases referred out that could be confidently managed in-house
Patient hesitation and eroded trust when a provider seems unsure during a sensitive exam
WHOS
WHO IS THIS FOR
Different specialty. Same exam room moment.
However you arrived at seeing these patients, the moment is the same: someone in front of you needs a clear next step for vulvar dryness, pain, or itching and training didn't fully prepare you for it.
OB-GYN
Standardize what's already instinct
Turn years of case-by-case judgment into a repeatable, trauma-informed exam framework you can teach and rely on.
NP / APP
Close the training gap directly
Get the depth of exam, microscopy, and biopsy guidance most programs never covered without needing a specialist referral to learn it.
PRIMARY CARE
Keep the patient, keep the trust
Manage more vulvar concerns confidently in-house, instead of referring out a relationship you've already built.
WHAT YOU WILL LEARN
Most providers were never taught how to look at a vulva and know what they're seeing.
Vulvar dermatoses get missed, misdiagnosed, or referred out not because they're rare, but because training skips them. This course fills that gap: how to examine, differentiate, and treat the conditions that walk into your office every week, whether or not you specialize in this.
Patients have been told it's 'just dryness' or 'just yeast' for years. This is how you finally give them the right answer.
What You Will Learn:
1. Vulvar Dermatology Foundations
Foundational anatomy and physiology of the vulva, vagina, and pelvic floor; the normal vulvovaginal exam and its variants; red flags for vulvar dermatoses; and the precise dermatologic terminology every provider needs for accurate documentation.
2. Dermatoses Presenting with Pruritus & GSM
Lichen sclerosus, contact dermatitis, and lichen simplex chronicus recognition, differentials, and treatment. Plus vulvovaginal candidiasis, pruritic STIs like trichomonas and genital warts, and genitourinary syndrome of menopause (GSM).
3. Dermatoses Presenting with Pain & Erythema
HSV and herpes zoster recognition and treatment, including suppression therapy in pregnancy. Plus lichen planus, desquamative inflammatory vaginitis, vulvodynia, folliculitis, plasma cell vulvitis, psoriasis, and hidradenitis suppurativa.
4. Psychological & Sexual Impact of Vulvar Dermatoses
Body image, sexual identity, and mental health effects of chronic vulvar conditions, plus clinical approaches including sex therapy integration and partner involvement. Includes validated assessment tools like the FSFI and Vulvar QOL Index.
5. Vulvovaginal Hygiene, Lubricants & Moisturizers
Evidence-based hygiene practices and product selection, including osmolality, pH compatibility, and ingredients to avoid like glycerin, parabens, and warming agents. Plus barrier protection protocols and safe alternatives.
6. The Vulvovaginal Exam & Toolkit Resources
A hands-on guide to performing the exam with trauma-informed technique, wet mount microscopy interpretation, and vulvar biopsy plus quick-reference tools for corticosteroid potency and telling apart the three "lichens.
What's Inside
Modules built to be worked through at your own pace
Whatever brought you here a hard case last week, a specialty that sees this daily, or a gap you've felt for years the course is built to be worked through in order or by need.
01
Vulvar Dermatology
Foundational anatomy and physiology of the vulva, vagina, and pelvic floor; the normal vulvovaginal exam and its variants; red flags for vulvar dermatoses; and the precise dermatologic terminology every provider needs for accurate documentation.
2A
Dermatoses Presenting with Pruritus
Lichen sclerosus, contact dermatitis, and lichen simplex chronicus recognition, differentials, and treatment (including corticosteroid protocols). Plus vulvovaginal candidiasis and the STIs that present with pruritus, like trichomonas and genital warts.
2B
Genitourinary Syndrome of Menopause (GSM)
Lichen sclerosus, contact dermatitis, and lichen simplex chronicus recognition, differentials, and treatment (including corticosteroid protocols). Plus vulvovaginal candidiasis and the STIs that present with pruritus, like trichomonas and genital warts.
3A
Dermatoses That Present with Pain
HSV and herpes zoster recognition, differentials, and treatment protocols, including suppression therapy in pregnancy. Plus lichen planus, desquamative inflammatory vaginitis, and vulvodynia covering hormonal, congenital, and acquired subtypes with compounded and oral treatment options.
3B
Dermatoses Presenting with Erythema
Folliculitis, plasma cell vulvitis, and psoriasis recognition, differentials, and treatment (including corticosteroid protocols). Plus hidradenitis suppurativa covering epidemiology, comorbidities, and medical and surgical treatment pathways.
4
Psychological & Sexual Impact of Vulvar Dermatoses
Body image, sexual identity, and mental health effects of chronic vulvar conditions, plus clinical approaches including sex therapy integration and partner involvement in care. Includes validated assessment tools like the FSFI and Vulvar QOL Index to track patient experience across treatment.
5
Vulvovaginal Hygiene, Lubricants & Moisturizers
Evidence-based hygiene practices and product selection, including osmolality, pH compatibility, and ingredients to avoid like glycerin, parabens, and warming agents. Plus barrier protection protocols and safe alternative options such as silicone, oil-based, and hyaluronic acid products.
6
Vulvovaginal Exam
A hands-on guide to performing the vulvovaginal exam with confidence trauma-informed technique, essential exam tools, wet mount microscopy interpretation (normal findings vs. candida, BV, DIV, trichomonas), and when and how to perform a vulvar biopsy.
7
Resources
A quick-reference toolkit for everyday practice topical corticosteroid potency classes, and how to tell apart the three "lichens" (lichen sclerosus, lichen simplex chronicus, lichen planus) that are often confused but require very different treatment approaches.
Included with Enrollment
Your Vulvar Mastermind Toolbox
Every tool is ready to use not just a concept.
Download and go.
Vulvovaginal Skin Care Patient Handout
Recommendations across clothing/laundry, hygiene, diet, sexual intercourse, and physical activity for maintaining vulvar health.
Vaginal Moisturizers & Lubricants Guide
Patient guide to choosing safe products by osmolality and pH, plus an ingredients-to-avoid checklist.
Vulvar Dermatoses Practice Protocols (LP, LSC, DIV, HSV)
Full SOPs covering assessment, differentials, biopsy indications, management, and follow-up for each condition.
Vulvovaginal Care Toolkit
A practical, exam-room-ready guide covering trauma-informed technique, wet mount microscopy interpretation, topical steroid selection, and the "soak and seal" method for barrier repair.
Topical Steroid Potency Chart
A tiered reference from super potent to lowest potency, with guidance on why ointments are preferred and how to address steroid-phobic patients.
Vaginal Estrogen Patient FAQ
A ready-to-brand patient handout answering the most common questions on vaginal estrogen what it is, who it's for, safety, application, and long-term use.
YOUR EDUCATOR
Jean Marino
MSN, WHNP-BC, MSCP
FAANP Fellow
ISSWSH Board
MSCP Certified
ISSWSH Board
28+ Years Clinical Experience
YOUR EDUCATOR
Nearly Three Decades of Women's Health
Now in Your Hands
Jean Marino, MSN, WHNP-BC, MSCP is a board-certified Women's Health Nurse Practitioner with over 28 years of experience working with women, and over 11 years specializing in menopause, sexual health, and vulvar skin conditions.
She's a certified menopause practitioner through The Menopause Society (MSCP) and holds fellow designations in both women's health and women's sexual health extra training she's pursued because she believes every woman deserves expert care.
She's cared for women of all ages, from teens to those in their 90s+, addressing vulvar and vaginal pain, painful sex, vulvar skin conditions, and the full spectrum of perimenopausal and menopausal symptoms.
Ready to Invest in Yourself?
Simple, One-Time Investment.
No Subscription. No Upsell Maze.
Just the foundation you need to move forward with lifetime access and every tool included.
One course.
Every specialty that needs it.
No tiers, no upsells buried in checkout
a single course built to be used immediately, whichever door your next patient walks through.
One-time payment · 4 modules · 5 tools ·
4 CE credits · Lifetime access
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