Reference Guides

Helping clinicians and patients access practical, evidence-based education, clinical tools, and decision algorithms - designed to support focused, confidenet medical decision-making.

For that reason, we make our clinical frameworks and patient education materials publicly available. Some resources are written specifically for clinicians, others for patients - and many are valuable to both audiences. We are committed to transparency, evidence-informed care, and collaborative decision-making.

Important:
The materials provided here are for educational purposes only. They reflect my interpretation of the available evidence, current literature, and clinical experience. They are not clinical guidelines, do not establish a standard of care, and are not a substitute for individualized medical advice.

Patients should discuss any information with their own healthcare provider before making medical decisions. Clinicians should exercise independent clinical judgment and conduct their own review of the evidence when applying these materials in practice.

These are living, evolving documents. I update them regularly as new research emerges, guidelines change, and clinical experience deepens. You may notice edits, clarifications, or reorganized sections over time — that’s intentional and meant to make them clearer, stronger, and more useful.

📘 Clinician Resources

Pelvic Pain & Vulvovaginal Disorders

  • Vulvodynia/ Vestibulodynia Clinical Guide
    Comprehensive evaluation and management framework for chronic vulvar pain derived from and based on the ISSWSH/ CVVD flowchart.

  • Pelvic Pain Diagnostic Flowchart
    Structured algorithm for assessing complex pelvic pain presentations.

Hormone & Menopause Medicine

  • Abnormal Uterine Bleeding (AUB) Risk Assessment & Endometrial Screening Tool
    Office-ready protocol for malignancy risk stratification and biopsy decision-making.

  • Bone Health & Osteoporosis: Clinical Guide
    Screening, prevention, and treatment framework for midlife and high-risk patients.

Multisystem & Inflammatory Disorders

  • Comprehensive Guide: Endometriosis & Pelvic Pain + MCAS / POTS / EDS
    Diagnostic criteria, pathophysiology, stabilization strategies, and medication framework.

  • Quickstart Guide: Endometriosis & Pelvic Pain + MCAS / POTS / EDS
    Practical overview for recognizing and managing overlapping inflammatory syndromes.

🔜 Coming Soon

  • How to Talk to Patients About Gene-Positive Results
    A structured counseling framework for discussing hereditary cancer variants and risk implications with clarity and confidence.

  • Menopausal Hormone Therapy in Patients with Gynecologic Oncology Histories
    Evidence-informed guidance for navigating MHT decisions in collaboration with gynecologic oncology.

📗 Patient Education Resources

Pelvic Pain & Vulvovaginal Disorders

  • Lichen Sclerosus: Information & Care Instructions
    Clear treatment guidance and long-term management support.

  • Bladder Pain: Information & Care Instructions
    Understanding triggers, treatment options, and symptom control.

  • Vaginal Health Guide
    Over-the-counter options for vaginal dryness, painful sex, and vaginal itching and infection relief

Hormone & Menopause Medicine

  • Menopausal Hormone Therapy (MHT): Information & Instructions
    Benefits, risks, dosing approaches, and safety considerations.

  • Bone Health & Osteoporosis: Patient Guide
    Prevention strategies, nutrition, movement, and medication overview.

  • Sleep Optimization Guide
    Nervous system–focused strategies to improve sleep quality and resilience.

Endometriosis as an Inflammatory Disorder

  • Quick Guide
    Practical overview for patients newly navigating mast cell activation.

  • Comprehensive Guide
    In-depth resource covering triggers, medications, nutrition, and long-term planning.

Metabolic & Adjunctive Therapies

  • Overactive Bladder: Treatment Information & Instructions
    Behavioral, medication, and supportive therapy options.

  • Urinary Incontinence: Information & Instructions
    Evaluation and treatment pathways for stress, urge, and mixed incontinence.
    Updates and corrections are ongoing.

Costs cover the hosting and updates.

This is a work in progress! More coming soon.

Email washgynoffice@gmail.com with questions or comments.

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