Dr. Selk interviews Dr. Michelle Jacobson, a gynecologist in Toronto, about graft versus host disease (GVHD). Topics covered include the definition of GVHD, counselling of stem cell transplant patients, assessing for genital GVHD, patient presentation, detecting GVHD in the context of menopause, physical features of genital GVHD, when to treat with surgery, recurrence risk, medical therapies and other treatments, vaginal creams versus ointments, treating post-menopausal women with vaginal steroids, the role of biopsy in diagnosis, and important information to communicate to your pathologist.