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Sensitive Topics in Women's Health: Sexuality, Menopause and Mental Health

6-Night Bimini, Grand Cayman & Mexico Cruise
Round-trip Ft. Lauderdale, Florida
January 28 - February 03, 2024

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

<em>Celebrity Reflection</em> — *Celebrity Reflection*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Caring for perimenopause and menopause patients in 2023: diagnosis, common symptoms, treatments
- Understand the physiology of perimenopause and menopause
51 is Getting Younger all the Time: maximizing longterm health in menopause
- Explain the differences in cardiac response to HT in younger menopausal women versus older menopausal women
- Individualize care for symptomatic menopausal women with medical comorbidities
- Consider the effect of hormone therapy in promoting bone health
Mood and Menopause: diagnosis and treatment of Perimenopausal Mood Instability
- Differentiate perimenopausal mood instability (PMI) from major depressive disorder (MDD) and generalized anxiety disorder (GAD)
- List effective treatments for PMI including psychological and pharmacological approaches
I Canât Sleep and Iâm Getting Fat: evaluating and treating the twin scourges of midlife
- Recognize the signs and symptoms of common sleep disorders and list behavioral and pharmacologic treatments for them
- Define the common disease of obesity and list effective psychotherapeutic and medical treatments
Nutrition and the Aging Brain: can we prevent dementia?
- Understand how nutrition impacts brain changes with aging
- B. Describe what we can learn from the Blue Zones and other research about nutrition and healthy aging brain
- Develop skills to talk with patients and ensure a brain-healthy diet is accessible to them
Beyond Masters and Johnson: models of female sexuality
- Describe the four major models of female sexual behavior
- Utilize the four models to counsel patients with concerns regarding their sexual function
Female Sexual Dysfunction: disorders of desire, arousal, and orgasm
- Be familiar with the DSM-V diagnostic categories of female sexual dysfunction
- Utilize the ISSWSH Process of Care to manage hypoactive sexual desire disorder
- List at least 2 behavioral and 2 pharmacological treatment options for female sexual dysfunction
When Sex Hurts: causes and treatments of dyspareunia
- Utilize a stepwise approach to diagnosis of dyspareunia
- Explain and initiate treatment when appropriate
Reproductive Psychiatry: 2023 Update and Overview
- Describe key parameters of the field Reproductive Psychiatry in 2023 and why it is relevant today
- Define the role of Neuroactive Steroids (NAS) in both the etiology and the treatment of psychiatric conditions in the female patient
Depression Across the Female Reproductive Cycle 1: Focus on PMDD, PME and Menopause
- Identify the hormonal effect on depression in the non pregnant female
- Describe diagnostic criteria for PMDD and hormonal and non hormonal interventions
Depression Across the Female Reproductive Cycle 2: Focus on Perinatal Depression
- Recognize unique features to consider in the diagnosis and treatment of perinatal depression
- Identify and become comfortable using with at least three screening tools for PMADs
- List several biopsychosocial risk factors for PMADs
Beyond Postpartum Depression: Diagnosis and Treatment of Perinatal Anxiety Disorders
- Identify which anxiety disorders most commonly present in the perinatal period
- Describe the role of estrogen, progesterone and oxytocin in the etiology of these disorders
Bipolar Disorder in Women: Meeting the Challenge 1: Managing Bipolar Disorder in the non-pregnant female patient
- Describe evidence-based management of bipolar disorder in women
- Identify how hormonal treatment may impact course of disorder as well as treatment options
Bipolar Disorder in Women 2: Meeting the Challenge 2: Managing Bipolar Disorder during Pregnancy and Postpartum
- Describe options for treatment of bipolar disorder during pregnant and postpartum to optimize safety of mother and infant
- Discuss with your patient the risk/benefit ratio of the use of psychotropics during the perinatal period
Diagnose sexual dysfunction in females (FSD) using DSM-5 terminology.
- Identify common barriers in identification of FSD in clinical settings
- Develop a treatment plan for women with FSD
Evidence Based Approaches to Female Patients with Low Libido
- Describe 3 behavioral interventions for the female patient with low libido

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment to take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Karen E. Adams, MD, NCMP, IF

Clinical Professor of Obstetrics and Gynecology
Director, Program in Menopause & Healthy Aging
Stanford Medicine
Stanford, CA

Karen Adams MD, FACOG, DipACLM, NCMP, IF is Clinical Professor of Obstetrics and Gynecology at Stanford University. She is the Director of The Stanford Program in Menopause and Healthy Aging, a program that connects specialists in many fields to provide world-class care for women in the second half of life. Dr. Adams is double-board certified in Obstetrics and Gynecology and Lifestyle Medicine, a Menopause Society Certified Menopause Practitioner, and a fellow of the International Society for the Study of Women's Sexual Health. She is the course director for the Oregon ECHO Program in Menopause, a state-wide program to educate primary care and women’s health providers in menopause care.

Dr. Adams is an award-winning educator and has lectured to medical audiences locally, nationally, and internationally, including a January 2020 TEDx talk entitled 'Sleep, Sex, and Menopausal Zest" with over 150,000 views on YouTube.

What Participants Are Saying:

This was the most engaging and clinically useful lectures series I have ever attended. I was a bit sad at the end of the last session!

Nicole H. Cirino, MD, IF, CST, PMH-C

Reproductive Psychiatrist
Endowed Chair of Reproductive Psychiatry, Maureen Hackett Foundation
Director, Division of Reproductive Psychiatry
Professor, Department of Obstetrics and Gynecology
Professor, Menninger Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine/ Texas Children’s Hospital
Houston, TX

Dr. Nicole H. Cirino is a nationally recognized Reproductive Psychiatrist, clinical scientist, and international educator. She is a Professor in both the Department of Obstetrics and Gynecology and the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. She also serves as the Division Director for Reproductive Psychiatry and holds the Maureen Hackett Foundation Endowed Chair of Reproductive Psychiatry at Texas Children’s Hospital Pavilion for Women.

A pioneer in her field, Dr. Cirino has founded and directed women's mental health programs at several leading academic institutions, including Oregon Health & Science University and Loyola University, before joining Baylor in 2022. Her clinical expertise focuses on treating women across the reproductive lifecycle, including during the perinatal period, the menopausal transition, and for issues related to female sexual health. She completed her psychiatry residency and a fellowship in Reproductive Psychiatry at Northwestern University, Feinberg School of Medicine.

In addition to her clinical practice, Dr. Cirino is a specialist in Female Sexual Medicine. She is a Certified Sex Therapist (CST) through the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and an International Fellow (IF) with the International Society for the Study of Women’s Sexual Health (ISSWSH), making her one of the few physicians in the country with both distinctions.

Dr. Cirino is a prominent national leader in women’s mental health. She serves as the Chairman of the Executive Board for Postpartum Support International (PSI) and holds leadership positions in the American Psychiatric Association (APA) and other scientific organizations. An acclaimed educator, she teaches over 800 clinicians annually, develops curricula for medical students and residents, and is a sought-after speaker at national and international conferences. She is also a trusted media expert, having been featured on NPR, CNN, and Today.com.

What Participants Are Saying:

This was the most engaging and clinically useful lectures series I have ever attended. I was a bit sad at the end of the last session!

Accreditation

	In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

	Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity. Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed. Pharmacology credits are identified on individual activities.

	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

	Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sun Jan 28	Ft. Lauderdale, Florida	-	3:30 pm
Mon Jan 29	At Sea - Cruising Meeting 8:00AM - 12:00PM, 1:00PM - 4:00PM*	-	-
Tue Jan 30	Georgetown, Grand Cayman	7:00 am	4:00 pm
Wed Jan 31	Cozumel, Mexico	11:00 am	7:00 pm
Thu Feb 01	At Sea - Cruising Meeting 8:00AM - 12:00PM, 1:00PM - 4:00PM*	-	-
Fri Feb 02	Bimini, Bahamas	8:00 am	6:00 pm
Sat Feb 03	Ft. Lauderdale, Florida	7:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Ft. Lauderdale, Florida

As your travel advocates, we view the start of your vacation not as a logistical hurdle, but as the first chapter of your experience. For cruises departing from Fort Lauderdale, we strongly encourage you to treat the city as more than just a transit point. Arriving a day or two early transforms a potentially stressful travel day into a seamless, relaxing prelude to your voyage, and Fort Lauderdale is perfectly suited for this purpose.

Think of it as easing into vacation mode. Flying in the day of your cruise introduces unnecessary risk—a single flight delay or misplaced bag can jeopardize your entire trip. By arriving early, you trade that anxiety for the sophisticated, laid-back ambiance of the “Venice of America.” The city’s primary airport, Fort Lauderdale-Hollywood International (FLL), is exceptionally convenient, located just a few miles from both the cruise terminals at Port Everglades and the city's best hotels. A short taxi or rideshare trip will have you checked in and ready to explore in no time.

**Your Pre-Cruise Itinerary Suggestion:**

**Day 1: Canals, Culture, and Cuisine**

After settling into your hotel, your first experience should be the one that defines the city: its waterways. Forget the rental car and embrace the Water Taxi. It’s not just transportation; it’s a brilliant sightseeing tour. As you cruise the 165 miles of inland canals, you’ll glide past stunning waterfront mansions, mega-yachts, and lush tropical gardens. It’s a relaxing and genuinely unique way to get your bearings and appreciate the city’s distinctive character.

Disembark at the stop for Las Olas Boulevard. This is the city’s heart—a beautifully landscaped, pedestrian-friendly thoroughfare lined with independent boutiques, captivating art galleries, and a superb collection of restaurants. It’s the perfect place for a leisurely afternoon stroll, perhaps stopping for a coffee or a cocktail at a sidewalk cafe. For dinner, Las Olas offers a range of options to suit any palate, from the classic Italian fare at Louie Bossi's Ristorante Bar Pizzeria to the upscale American cuisine at Lobster Bar Sea Grille. A celebratory pre-cruise dinner here sets a wonderful tone for the week ahead.

**Day 2: Beachfront Bliss and Natural Wonders**

Dedicate your morning to the iconic Fort Lauderdale Beach. This isn’t a rustic, deserted island; it’s a world-class urban beach, known for its wide, clean stretch of sand and the beautifully designed beachfront promenade. Rent a lounge chair and simply relax, or take a long walk along the signature “wave wall.” The atmosphere is vibrant yet far more relaxed than its southern neighbor, Miami Beach.

For the afternoon, you have two excellent, contrasting options:

1. **Cultural Immersion:** Visit the Bonnet House Museum & Gardens. This historic 1920s estate is a true gem, offering a glimpse into Old Florida’s artistic and whimsical past. The house itself is filled with original art and furnishings, but the real star is the surrounding 35 acres of pristine barrier island habitat, complete with tropical gardens, a hibiscus garden, and even a resident population of monkeys. It’s an accessible, enriching cultural experience that feels a world away from the city bustle.

2. **Wilderness Adventure:** Experience the Florida Everglades. Several reputable operators offer half-day tours that include transportation and an unforgettable airboat ride. Skimming across the “River of Grass” is a thrilling experience, providing a profound sense of this unique ecosystem’s vastness. You’re almost guaranteed to see alligators in their natural habitat, along with a variety of wading birds. It’s a fantastic adventure that provides a dramatic counterpoint to the coastal elegance of the city.

By the time you wake up on embarkation day, you’ll be refreshed, acclimated, and already in a vacation mindset. The short, stress-free transfer to Port Everglades will feel like a simple next step, not a frantic race. Starting your journey this way ensures you board your ship ready to enjoy every moment, and that, in our view, is the foundation of a truly great vacation.

At Sea - Cruising

Georgetown, Grand Cayman

Grand Cayman offers a distinctly polished and pristine version of the Caribbean experience. As a major financial hub, the island feels safe, clean, and exceptionally well-organized, making for a seamless and relaxing day ashore. It’s important to note that this is a tender port; your ship will anchor offshore, and you’ll take a smaller boat to the pier, so be sure to factor that time into your plans.

The island’s reputation is built on two world-class attractions. The first is the legendary Seven Mile Beach, a magnificent crescent of soft, white sand and impossibly clear turquoise water. While it’s no secret, its beauty is undeniable. You can easily grab a taxi from the port and find a public access point or settle in at one of the many beach clubs for the day. The second must-do is Stingray City. This isn't a contrived tourist trap; it's a natural sandbar where southern stingrays have gathered for decades. Standing in waist-deep water as these gentle, graceful creatures glide around you is a truly unforgettable experience.

Beyond these highlights, you can visit the Cayman Turtle Centre, a conservation and education facility that’s particularly popular with families. The town of Georgetown itself is compact and walkable, known for its high-end duty-free shopping, especially for jewelry and watches. While it lacks deep historical architecture, it’s a pleasant place for a stroll and a meal. For a taste of local flavor, find a casual spot for some conch fritters or fresh ceviche before tendering back to your ship.

Cozumel, Mexico

Let's be direct: Cozumel is one of the world's busiest cruise ports, and it's essential to have a plan to navigate the crowds and find its genuine highlights. The island's global reputation is built on what lies just offshore: the Mesoamerican Reef, the second-largest barrier reef system in the world. For divers and snorkelers, this is a premier, bucket-list destination. The clear, warm water and vibrant coral formations of sites like the Palancar and Colombia reefs are genuinely world-class. For an accessible taste without a dedicated boat trip, parks like Chankanaab or the more remote Punta Sur Eco Beach Park offer excellent snorkeling directly from shore, combined with beaches and other amenities.

Many are drawn by the allure of Mayan ruins, but here’s a critical piece of advice: the famous sites like Tulum and Coba are on the mainland, not on Cozumel. Reaching them requires a 45-minute ferry to Playa del Carmen and then a bus journey, consuming nearly your entire day. While magnificent, choosing this option means forgoing the island experience entirely. It's a trade-off you must be comfortable with.

If you stay on the island, the main town of San Miguel offers a bustling waterfront and a dizzying array of shops. We recommend walking a few blocks inland from the main tourist thoroughfare to find more authentic local restaurants for a fantastic lunch. For pure relaxation, Cozumel’s beach clubs are a popular and effective choice. They range from lively, all-inclusive party spots with water toys to more serene, upscale retreats where the focus is on a good book and a great cocktail. You can easily find one that matches your pace. Cozumel is a highly developed tourism hub that excels at water sports and beach relaxation; embrace it for these strengths, and you’ll have a fantastic day.

Bimini, Bahamas

Bimini is the quintessential Bahamian outpost, a destination defined more by its brilliant turquoise water and unhurried pace than by a long list of attractions. This is an island for simple, high-quality pleasures. The main draw is undeniably the sea; the clear, shallow waters are ideal for snorkeling, swimming, or simply relaxing on a quiet stretch of sand like Radio Beach. For those seeking a bit more structure, the partially submerged wreck of the SS Sapona offers a popular and accessible snorkeling site.

The heart of the island is Alice Town, a small, walkable village of colorful buildings and local spots. The best way to experience it is to rent a golf cart and explore at your own pace. For a taste of authentic Bimini, seek out a conch stand—like the well-regarded Stuart's or Joe's—for a freshly made conch salad. While here, you can appreciate the island's quiet historical footnotes: it was a favorite fishing escape for Ernest Hemingway and the place where Martin Luther King Jr. found the tranquility to write his Nobel Prize acceptance speech. Bimini offers a genuine, low-key island day focused on sun, sea, and simplicity.

Celebrity Reflection

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment and take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

Request a Quote online or by voice at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match or Beat the Cruise Line’s Fares and Promotional Offers. * Prices displayed below cover the entire cruise and include meals,
nightly entertainment, resort features and all taxes.

Balcony

Veranda Stateroom (V2)
Indoor and outdoor space come together to create your private sanctuary at sea. Relax in a spacious stateroom and enjoy amenities that all contribute to your luxury experience. Your personal veranda lets you greet the day and enjoy fresh sea breezes. 192 sqft with 54 sqft veranda.

1,318.30
per person

Price above includes Wifi, Drinks Package and Gratuities.

Call: 800-422-0711
and we'll find the best value for you.

Concierge Class Stateroom (C2)
Concierge Class staterooms include priority check-in and debarkation, destination seminar, and more. 204 sqft with 42 sqft veranda.

1,458.30
per person

Price above includes Wifi, Drinks Package and Gratuities.

Call: 800-422-0711
and we'll find the best value for you.

Balcony Prime AquaClass Stateroom (A1)
Prime Staterooms are located in the most desirable locations on the ship. AquaClass Staterooms have world-class amenities included access to the specialty restaurant Blu, in-room health and wellness amenities, and complimentary bathrobes and slippers. 194 sqft with 54 sqft veranda.

Call
800-422-0711
for Pricing

Balcony Aqua Class Stateroom (A2)
AquaClass Staterooms have world-class amenities included access to the specialty restaurant Blu, in-room health and wellness amenities, and complimentary bathrobes and slippers. 194 sqft with 54 sqft veranda.

Call
800-422-0711
for Pricing

Balcony Prime Concierge Class Stateroom (C1)
Prime Staterooms are located in the most desirable locations on the ship. Sleeps 2-4. Studio, 1 bath. 192 sqft with 54 sqft veranda.

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800-422-0711
for Pricing

Balcony Deluxe Veranda Stateroom (DV)
Deluxe Veranda Staterooms are spacious balcony staterooms located in the aft of the ship, each with its own extra-large private veranda to enjoy the beautiful sunsets. 2 Bedroom, 1 Bath. 575 sqft with 53 sqft veranda.

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800-422-0711
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Balcony Sunset Concierge Class Stateroom (SC)
Little details make a world of difference, and the meticulously thought-out Concierge Class staterooms are even better. With new services, amenities, and exclusive events, Concierge class will take your vacation to the next level. 192 sqft with 54 sqft aft-facing veranda. Priority Debarkation.

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800-422-0711
for Pricing

Balcony Sunset Veranda Stateroom (SV)
Sunset Veranda Staterooms are balcony staterooms located in the aft of the ship, each with its own private veranda to enjoy the beautiful sunsets. Sleeps 2-4. Square footage varies.

Call
800-422-0711
for Pricing

Balcony Ultra Deluxe Veranda Stateroom (UV)
Spacious staterooms located in the aft of the ship, each with its own extra-large private veranda to enjoy the beautiful sunsets. Two bedroom, one bath. Expanded living space and dining area. Sleeps up to 5. 575 sqft with 53 sqft veranda.

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800-422-0711
for Pricing

Balcony Prime Veranda Stateroom (V1)
Indoor and outdoor space come together to create your private sanctuary at sea. Relax in a spacious stateroom and enjoy amenities that all contribute to your luxury experience. Prime Veranda staterooms are well-appointed, personal retreats located in the most desirable locations on the ship. Sleeps 2-4. 192 sqft with 54 sqft veranda.

Call
800-422-0711
for Pricing

Outside

Ocean View Stateroom (O2)
The ideal place to unwind at sea, these perfectly indulgent spaces come furnished with a luxury king-sized mattress and everything else a modern traveler needs. 176 sqft. Large porthole window.

1,098.30
per person

Price above includes Wifi, Drinks Package and Gratuities.

Call: 800-422-0711
and we'll find the best value for you.

Outside Prime Ocean View Stateroom (O1)
Expansive views make Ocean View staterooms the ideal place to unwind at sea. These perfectly indulgent spaces come furnished with a luxury king-sized mattress and everything else a modern traveler needs. Prime Ocean View staterooms are well-appointed, personal retreats located in the most desirable locations on the ship. Sleeps 2-4. 176 sqft. Unique forward-facing window on higher decks.

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800-422-0711
for Pricing

Inside

Inside Stateroom (I2)
Your escape at sea, inside staterooms offer ample living space, including a sitting area and a flat-screen TV. Each inside stateroom aboard the Celebrity Reflection includes world-class amenities. 183 sqft.

968.30
per person

Price above includes Wifi, Drinks Package and Gratuities.

Call: 800-422-0711
and we'll find the best value for you.

Inside Prime Inside Stateroom (I1)
Your escape at sea, inside staterooms offer ample living space, including a sitting area and a flat-screen TV. Each inside stateroom aboard the Celebrity Reflection includes world-class amenities. Prime Inside staterooms are well-appointed, personal retreats located in the most-desirable locations on the ship. Sleeps 2-4. 183 sqft.

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800-422-0711
for Pricing

Suite/Deluxe Aqua Sky Suite (AS)
The Aqua Sky Suite combines the well-being inspired AquaClass experience with exclusive spaces, services, and amenities of The Retreat to leave you more renewed than ever. These large suites feature a king-sized bed and a spacious, private veranda. The split bathroom features a large spa tub and shower.