DM Medical Courses & Training provides high-quality, evidence-based education for physicians worldwide — combining scientific rigor with practical clinical protocols you can use tomorrow.
All courses are taught by experienced international trainers and combine evidence-based medicine with practical clinical protocols — organized in partnership with the Romanian Society of Aesthetic Gynecology (SREG), organizer of the 7th International Congress of Aesthetic Gynecology (2026).
Every module blends current scientific evidence with practical, ready-to-use clinical protocols.
Trainers recognized across Europe, Us, Asia, Africa and the Middle East, teaching a global community of physicians.
European Certificate of Completion plus European CME educational credits awarded by SREG.
About SREG
One of the leading educational organizations dedicated to functional, regenerative, aesthetic and hormonal gynecology in Europe.
Founded by Dr. Diana Mihai, MD, PhD, SREG has become an international educational platform bringing together physicians interested in advanced women's health, hormone optimization, regenerative medicine, menopause management, sexual medicine and minimally invasive gynecological treatments.
🏛️ 2026 marks the 7th International SREG Congress, organized in Romania with international faculty and participants from multiple countries around the world.
Over the past seven years, SREG has organized:
SREG courses have been attended by thousands of physicians from Europe, Asia, Africa and the Middle East, creating a global community of clinicians dedicated to improving women's health through evidence-based and innovative medicine.
To bridge the gap between scientific evidence and daily clinical practice, helping physicians deliver more personalized, effective and patient-centered care.
Whether the topic is hormone therapy, menopause, fertility, regenerative gynecology, sexual medicine or advanced diagnostics such as the DUTCH Test, SREG's goal is to provide practical knowledge that can be implemented immediately in clinical practice.
"I believe medical education should be practical, evidence-based, and immediately applicable. Every course we create is designed to help physicians feel more confident, make better clinical decisions, and ultimately improve the lives of their patients.
Dr. Diana Mihai, MD, PhD
President & Founder, Romanian Society of Aesthetic Gynecology (SREG)
International Speaker & Trainer
Founder, Ladies Excellence Clinic – Bucharest, Romania
Click any course to view its complete curriculum, structure and included materials.
Final Test
WHI, reinterpretation of data, follow-up studies, window of opportunity, absolute vs. relative risk, synthesis of current guidelines.
Clinical diagnosis in perimenopause and menopause, premature menopause, and primary ovarian insufficiency.
Main indications for HRT, vasomotor syndrome, genitourinary syndrome of menopause, POI/premature menopause, bone health, the 60/10 rule, and case studies.
Absolute and relative contraindications, VTE risk, cardiovascular risk, breast cancer risk, and special situations: depression, age >60, thrombophilia, diabetes, migraine, dyslipidemia, hypertension.
Oral vs. transdermal estrogen, progestogens, combined products, SERMs and TSECs, vaginal preparations for GSM, intrauterine progestogen, practical application.
Definitions/terminology, approved bioidentical options, compounded hormone therapy, guideline positions, marketing claims, patient counseling.
Non-hormonal options for vasomotor symptoms, other agents, lifestyle modifications, efficacy comparisons, case studies.
HRT after breast cancer, autoimmune diseases, surgical menopause, BRCA mutations, and other special clinical scenarios.
Treatment duration, annual reassessment, dose optimization over time, discontinuation strategies.
Testosterone therapy in women, new options including NK3/NK1 antagonists, future perspectives in menopause medicine.
Principles of shared decision-making, risk communication, modern counseling, integrating patient preferences.
Prescribing exercises, consultation simulations, addressing misinformation, treatment plan development.
Knowledge assessment, competency self-assessment, course feedback, action plan for clinical practice.
Final Test
Obstetricians & Gynecologists: menopause management, perimenopause, HRT, PMS/PMDD, infertility, PCOS, endometriosis, recurrent miscarriage, low libido and sexual dysfunction.
Endocrinologists: complex hormonal cases, adrenal dysfunction, hormone metabolism assessment, personalized treatment strategies.
Family Medicine Physicians: chronic fatigue, sleep disturbances, mood disorders, hormonal symptoms with inconclusive lab findings.
Functional & Integrative Medicine Practitioners: personalized medicine, hormone optimization, detoxification pathways, stress/adrenal evaluation, longevity medicine.
Fertility Specialists: infertility, recurrent implantation failure, recurrent pregnancy loss, hormonal optimization before conception.
Anti-Aging & Longevity Physicians: healthy aging, cognitive optimization, energy and performance medicine, hormone optimization programs.
Estrogen Metabolism: protective vs. proliferative pathways, relevance in endometriosis/fibroids/breast disorders, correlation with symptoms.
Progesterone & Its Metabolites: PMS/PMDD, anxiety/insomnia, infertility, lack of response to progesterone therapy.
Androgens & Hormonal Conversions: testosterone interpretation, DHEA metabolism, 5-alpha reductase activity, PCOS/acne/hair loss/low libido.
Cortisol & Chronic Stress: circadian rhythm analysis, burnout/fatigue, sleep disorders, production vs. metabolism of cortisol.
Liver Detoxification & Hormone Metabolism: methylation, sulfation, glucuronidation pathways, hormone-sensitive patients.
Symptoms with apparently normal labs, unclear hormone cases, poor response to HRT, side effects from hormone therapy, infertility, PMS/PMDD, endometriosis, PCOS, burnout/chronic fatigue, low libido. Not a routine test for every patient — most valuable in complex, personalized hormonal medicine.
Orientation, expectations and clinical self-assessment.
Growth of peptide medicine, key risks and the need for structured clinical decision-making.
Endogenous vs. synthetic peptides, receptor signaling, route, half-life and the limits of mechanistic evidence.
Part I: Evidence hierarchy, approved drugs, off-label use and investigational compounds. Part II: Research-use peptides, sourcing, documentation and jurisdictional flags.
Part I: Semaglutide, tirzepatide, liraglutide and key metabolic indications. Part II: Tesamorelin, AOD-9604, MOTS-c; body composition, sarcopenia risk and monitoring.
Tesamorelin, sermorelin, CJC-1295, ipamorelin, GHRP-2/6; IGF-1, glucose, edema, sleep apnea, cancer-history caution and WADA logic.
Thymosin alpha-1, KPV, LL-37 and ARA-290/cibinetide; immune modulation, autoimmune caution and infection context.
BPC-157, KPV, larazotide and mucosal peptides; claims, differential diagnosis, red flags and evidence gaps.
BPC-157, TB-500/thymosin beta-4 and GHK-Cu; imaging, sports restrictions, stacking risk and clinical boundaries.
MOTS-c, SS-31/elamipretide, epitalon and DSIP; fatigue workup, biomarkers, circadian claims and longevity-language limits.
Semax, Selank, Cerebrolysin and selected neurobehavioral peptides; evidence quality, jurisdictional variation and psychiatric safety.
hCG, gonadorelin, kisspeptin, PT-141/bremelanotide and oxytocin; HPG-axis evaluation, libido vs. fertility and hormonal safety.
Case-based application of evidence level, legal status, dosing context, biomarkers, stop criteria, documentation and patient communication.
Final Test — Final knowledge assessment and course evaluation.
1. How to diagnose vaginismus correctly from the first interaction — recognize it from the moment the patient enters your office, differentiate types and severity.
2. How to perform the consultation without creating trauma — step-by-step examination approach so the patient feels safe, relaxed and cooperative.
3. How to build an effective treatment plan — why combined therapy (Botox + injectables + devices) significantly increases success rate; how to reach >95% success in ~3 weeks.
4. Step-by-step procedures (video) — multiple real cases, different injection techniques, local vs. general anesthesia.
5. Advanced techniques — when/how to perform hymenotomy with electrocautery, treatment sequencing, monitoring & adjusting the plan.
6. Botulinum toxin — preparation, injection technique, avoiding complications.
7. PRP in vaginismus and sexual dysfunction — correct preparation, injecting to reduce pain, improve tissue quality and enhance pleasure (including anorgasmia).
8. Combined protocols — integrating vaginal laser, radiofrequency, oxygen therapy and electromagnetic chair for better, faster outcomes.
Confidence to diagnose and treat vaginismus, clear ready-to-use protocols, practical skills applicable immediately, a structured system for treatment and follow-up, and the ability to combine techniques for high success rates.
Most physicians receive little or no practical training in vaginismus during medical school or residency. As a result, many patients remain undiagnosed for years or are told that "everything looks normal."
This course goes far beyond theory. You will learn a complete, evidence-based clinical system developed from years of treating women with vaginismus, combining psychological understanding, minimally invasive procedures and regenerative medicine into one structured treatment pathway.
Instead of learning a single technique, you will master a comprehensive approach that can be adapted to every patient.
Very few physicians worldwide are trained to perform botulinum toxin injections for vaginismus. Even fewer know how to combine Botox with regenerative gynecology, PRP, energy-based devices and individualized rehabilitation into one integrated treatment protocol.
After completing this course, you will understand not only how to perform each procedure, but when, why and how to combine them for the best possible patient outcomes.
Rather than isolated procedures, you will master a complete clinical pathway:
This is not a theoretical lecture. The course includes numerous real patient cases, procedural videos, practical tips, complication avoidance and clinical decision-making that can only be learned from daily practice.
You will gain access to the protocols that have been refined through the treatment of hundreds of women suffering from vaginismus.
By the end of this course you will be able to:
Our integrated treatment approach has achieved excellent results in our clinical practice, with success rates exceeding 95% in appropriately selected and compliant patients. Throughout the course, you will learn the patient selection criteria, treatment combinations and follow-up strategies that contribute to these outcomes.
Learn How to Use PRP with Confidence in Daily Gynecological Practice
Platelet-Rich Plasma (PRP) has become one of the most promising regenerative treatments in modern gynecology. However, most physicians receive little or no formal training on how to perform these procedures safely, effectively and according to evidence-based protocols.
This course combines scientific evidence with years of real clinical experience, providing practical protocols, procedural videos and step-by-step guidance that you can immediately implement in your own practice.
Whether you are just beginning or already performing PRP procedures, this course will help you achieve safer treatments, better clinical outcomes and greater confidence.
Many courses explain what PRP is. Very few teach you how to successfully integrate PRP into everyday clinical practice.
You will learn:
Everything is based on real clinical protocols developed through years of treating patients.
Regenerative Gynecology is one of the fastest-growing fields in women's health. Patients increasingly seek minimally invasive treatments that improve tissue quality, sexual function, healing and quality of life.
After completing this course, you will be able to confidently introduce regenerative medicine into your clinic and offer innovative treatments that differentiate your practice.
This course teaches an entire clinical system. You will understand:
The goal is not simply to perform PRP injections — but to know exactly when, where, how and why to use them.
What PRP is, how it works, biological mechanisms behind tissue regeneration, healing, angiogenesis, collagen production and growth factors.
Blood collection, PRP preparation techniques, processing protocols, tips for consistent high-quality PRP, common mistakes to avoid.
Tissue regeneration, collagen production, neovascularization, improved tissue quality, enhanced healing, restoration of vulvo-vaginal health.
Treatment planning, patient preparation, clinical indications, follow-up recommendations, practical treatment strategies.
Clinical indications, patient selection, current evidence, practical applications in fertility treatment.
Vaginal dryness, tissue regeneration, improvement of vaginal health, patient selection, expected clinical outcomes.
Cesarean section scars, vaginal delivery scars, treatment protocols and expected clinical results.
Clitoral injections, G-Spot injections, vaginal PRP, patient selection, clinical indications, expected benefits.
Clinical indications, contraindications, patient assessment, treatment planning, safety considerations.
Detailed procedural videos: patient preparation, injection techniques, practical tips, clinical outcomes, post-treatment recommendations.
Watch complete procedures performed on real patients, including:
Learn the details that are rarely covered during conferences or workshops.
Confidence to use PRP in multiple gynecological indications; clear, ready-to-use treatment protocols; the ability to safely select patients; long-term access to course material.
Biological principles, injection techniques, patient selection, protocols and clinical outcomes; step-by-step procedural videos including gel tube preparation and local anesthesia.
Histopathological/clinical changes in menopause & GSM, mechanism of action, protocols for vaginal atrophy and scars, treatment after cancer therapy/brachytherapy; full procedural videos.
Pelvic floor anatomy, electromagnetic stimulation & supramaximal contractions, protocols for stress/urge incontinence, sexual dysfunction, postpartum rehabilitation, anal incontinence.
Controlled heating, collagen remodeling, protocols for incontinence, vaginal laxity, GSM, dyspareunia, orgasm enhancement, combination with PRP & CO₂ laser.
Types used in gynecology, vulvo-vaginal hydration, labia majora augmentation, GSM & dyspareunia, combined protocols with PRP/Laser/Radiofrequency.
Mechanism of action & muscle relaxation, treatment for vaginismus and vulvodynia, pelvic floor muscle hypertonicity, complication prevention.
Oxygen-infused hyaluronic acid, tissue oxygenation, protocols for dyspareunia, vaginal burning, recurrent UTIs, vestibulitis, vulvar lichen, recurrent candidiasis and bacterial vaginosis.
Learn treatment sequencing, appropriate intervals, when to combine multiple techniques, and how to personalize according to each patient's symptoms and expectations.
Bonus 1: How to introduce new procedures into your practice. Bonus 2: Ready-to-use clinical documents (protocols, consent forms, documentation templates, supplier contacts). Bonus 3: Exclusive partner discounts. Bonus 4: 3 months platform access + lifetime access to a private physicians' WhatsApp discussion group.
Obstetricians and Gynecologists, Urogynecologists, physicians interested in Aesthetic and Regenerative Gynecology, specialists treating GSM, physicians managing urinary incontinence and pelvic floor disorders.
Pelvic floor anatomy & physiology, mechanisms of continence, SUI/UUI/MUI/OAB, GSM, clinical evaluation and diagnostic work-up, treatment algorithms.
Mechanism of action, tissue regeneration & collagen remodeling, protocols for SUI and GSM-associated urinary symptoms; full procedural videos.
PRP protocols for urinary incontinence, recurrent UTIs, GSM; combined PRP and laser protocols.
Electromagnetic pelvic floor stimulation for stress/urge/mixed incontinence, pelvic floor rehabilitation, female sexual dysfunction, postpartum rehabilitation.
Tissue regeneration, collagen remodeling, protocols for incontinence, vaginal laxity, GSM-associated symptoms, combined treatment protocols.
Periurethral support, vulvo-vaginal hydration, GSM treatment, vaginal dryness, tissue regeneration, combination protocols.
Oxygen-infused hyaluronic acid for urinary symptoms & GSM, recurrent UTIs, vaginal burning/dryness, vestibular pain, combination with laser/PRP/radiofrequency.
Mechanism of action, current indications for intravesical Botulinum Toxin, position within the treatment algorithm, combination with regenerative therapies.
Personalized plans integrating CO₂ Laser, PRP, Radiofrequency, HIFEM, Hyaluronic Acid and Caress Flow Therapy, adapted to SUI, UUI, MUI, OAB, GSM, postpartum dysfunction and recurrent UTIs.
Pathophysiology, hormonal changes during menopause, vulvovaginal anatomy, clinical manifestations (dryness, dyspareunia, burning, recurrent UTIs, urgency/frequency, mild incontinence, sexual dysfunction), diagnosis and treatment algorithms.
Local vs. systemic hormonal therapy, vaginal estrogens, DHEA, patient selection, indications, contraindications, safety, current evidence.
Mechanism of action, tissue regeneration & collagen remodeling, histopathological changes, treatment protocols.
Mechanism of action, PRP preparation, protocols for GSM, vaginal dryness, sexual dysfunction, tissue regeneration.
Collagen remodeling, tissue tightening, vaginal laxity, GSM protocols.
Vulvovaginal hydration, tissue restoration, treatment of dryness and dyspareunia, labia majora rejuvenation.
Oxygen-infused hyaluronic acid, tissue oxygenation, vaginal hydration, GSM protocols, recurrent UTIs.
Personalized algorithms for mild/moderate/severe GSM: when to use hormonal therapy, Laser + PRP, Laser + Radiofrequency, PRP + Hyaluronic Acid, Laser + PRP + Caress Flow, long-term maintenance.
Confidence to diagnose and manage GSM, ready-to-use treatment protocols, evidence-based algorithms, and a structured system for diagnosis, treatment, follow-up and long-term maintenance.
Understanding why modern gynecology is moving from disease treatment to health optimization: what is regenerative medicine · cellular optimization vs. symptom treatment · chronic inflammation and aging · oxidative stress · mitochondrial dysfunction · ATP production and cellular energy · silent inflammation · tissue regeneration · immune modulation · integrated regenerative medicine concept.
Understanding why ovarian aging begins long before menopause and how cellular senescence affects fertility: biological aging mechanisms · cellular senescence · DNA damage · telomere shortening · epigenetics · mitochondrial aging · oxidative stress · senescent ("zombie") cells · SASP (senescence-associated inflammation) · impact on ovarian reserve · pregnancy after 35 years · premature ovarian aging · future anti-aging strategies.
The role of mitochondrial medicine in fertility, ovarian function and healthy aging: NAD+ · NADH · cellular metabolism · ATP production · DNA repair · PARP · sirtuins · cellular communication · neuroprotection · brain function · memory · fatigue · metabolic optimization · clinical indications · IV NAD protocols · patient selection · practical tips.
How intravenous nutraceutical therapies can support regenerative gynecology: principles of IV micronutrient therapy · advantages over oral supplementation · Myers Cocktail · Vitamin C · Glutathione · Curcumin · Resveratrol · Magnesium · Vitamin B Complex · Coenzyme Q10 · NMN · NAD+ · Folate · Vitamin B6 · clinical indications · contraindications · safety · practical protocols · combination therapies.
Evidence-based strategies to optimize ovarian function before conception and IVF: oocyte quality optimization · oxidative stress reduction · immune regulation · IVF preparation · ovarian rejuvenation · premature ovarian insufficiency · recurrent implantation failure · recurrent miscarriage · oral supplementation · IV supplementation · step-by-step fertility protocols · timing before IVF · monitoring response · clinical cases.
Using oxygen therapies to improve cellular function and reproductive health: intravenous oxygen therapy · ozone therapy · mechanisms of action · prostacyclin · microcirculation · anti-inflammatory effects · immune modulation · clinical indications · fertility applications · pregnancy support · practical protocols.
Photobiomodulation and mitochondrial stimulation in regenerative medicine: principles of LLLT · photobiomodulation · ATP stimulation · nitric oxide · ROS signaling · tissue regeneration · intravenous laser · transcranial laser · dermatologic applications · fertility applications · brain health · clinical protocols.
Current concepts in regenerative therapies and future applications: stem cells · mesenchymal stem cells · secretome · exosomes · cell communication · growth factors · cytokines · tissue regeneration · cell reprogramming · iPSC technology · clinical indications · fertility applications · ovarian rejuvenation · future perspectives.
How to combine therapies into practical clinical protocols: patient assessment · biological age vs. chronological age · choosing appropriate therapies · combination protocols · treatment sequencing · monitoring outcomes · safety considerations · case discussions.
Internationally recognized clinicians combining scientific evidence with hands-on experience.
Since 2021: Founder & President of the Romanian Society of Aesthetic and Regenerative Gynecology (SREG)
Doctor since 2013: Consultant Obstetrician & Gynecologist · PhD in Infertility & IVF
Since 2016: International Trainer & KOL
Dr. Diana Mihai is an internationally recognized expert in Regenerative Gynecology, Hormone Therapy, Female Sexual Medicine and Longevity Medicine. She is the Founder of Ladies Excellence Clinic in Bucharest, Romania, CEO of DM Medical Courses & Training, and President of the Romanian Society of Aesthetic Gynaecology (SREG).
A pioneer in Romania since 2015 in the clinical use of Platelet-Rich Plasma (PRP), Vaginal CO₂ Laser, Radiofrequency, HIFEM technology, Botulinum Toxin, Hyaluronic Acid and other regenerative therapies, Dr. Mihai combines evidence-based medicine with extensive hands-on clinical experience.
Since 2016, she has been an international trainer and Key Opinion Leader (KOL), educating physicians through hands-on workshops, live procedure demonstrations, webinars, mentorship programs and international medical courses. Since 2017, she has organized educational programs almost every month, training hundreds of physicians from Europe, Asia, the Middle East and Africa.
Dr. Diana Mihai has served as President of 7 international congresses, Vice-President of 3 international congresses, and member of the Scientific or Organizing Committee of more than 15 international medical congresses.
Her clinical interests include:
She has received multiple national and international awards for excellence in clinical practice, medical education, leadership and healthcare innovation.
📄 See full CVCertified — with her own medical center in both the European Union and Switzerland — Dr. Raluca Hera is an internationally recognized expert in Hormone Therapy, Functional Gynecology and Longevity Medicine. She has completed advanced postgraduate training and professional certifications in the USA, Germany and other leading international centers, continuously integrating the latest evidence-based approaches into clinical practice.
As a dedicated educator, Dr. Hera has been organizing advanced educational courses several times each year since 2020, training physicians in Hormone Therapy, Menopause Management, Peptide Medicine, Functional Medicine and interpretation of the DUTCH Test. She also leads exclusive Masterclasses and Mentorship Programs designed to help physicians confidently implement advanced hormone optimization protocols in daily practice.
Her areas of expertise include:
Dr. Hera combines scientific evidence with a personalized, holistic approach focused on hormone optimization, healthy aging, disease prevention and long-term patient wellbeing. Through her international collaborations, educational activities and clinical expertise, she has become one of the leading voices in Longevity and Hormonal Medicine in Eastern Europe.
Our mission is to provide practical, evidence-based education that physicians can immediately integrate into daily clinical practice while maintaining the highest standards of patient safety and medical excellence.
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