Gynaecology
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.Has good knowledge of the anatomy and physiology of the female reproductive organs, oogenesis, physiology of the menstrual cycle. Has good knowledge of the hormonal regulation of the female reproductive organs, the hypothalamic–pituitary–gonadal axis. Describes menstrual cycle disorders – amenorrhoea, dysmenorrhea, PCOS. Explains congenital vaginal anomalies, non-infectious and infectious pathologies of the vagina, neoplasms. Evaluates cervical and uterine pathologies. Explains pelvic inflammatory diseases and endometriosis, effect thereof on fertility function. Identifies and classifies infertility, its causes, pathogenesis, diagnosis and differential diagnosis. Names the medicinal and non-medicinal treatment methods for the various causes of infertility. Evaluates female contraception: different types thereof (hormonal, intrauterine, etc.), impact thereof on women’s reproductive function.
Skills
1.To perform smear test. To perform intrauterine insemination procedures. To perform oocyte punctures in medical insemination procedures. To perform embryo transfer procedures in medical insemination procedures.
Competences
1.Evaluates hormonal regulation tests of the female reproductive organs (gonadotropic hormones, oestrogen, progestins, androgens, etc.). Diagnoses menstrual cycle disorders, causes thereof. Diagnoses PCOS, evaluates indications for medical or surgical treatment. Diagnoses and treats infectious vaginal diseases. Diagnoses and treats pelvic inflammatory diseases. Diagnoses or evaluates indications for surgical diagnosis of endometriosis. Draws up an examination plan for female infertility. Selects the appropriate infertility treatment based on the cause. Performs a post-coital test.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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Getting acquainted with the recommended reading. Preparation of a presentation on the novelties of diagnosis and treatment of a current gynaecological-reproductive pathology.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
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Practical work – 90% (diagnosis and treatment of into gynaecological-reproductive patients). Final examination: oral exam (analysis of 3 clinical cases) – 10%.
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Study Course Theme Plan
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Seminar
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Modality
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Location
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Topics
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Anatomy and physiology of female reproductive organs, embryonic development thereof, oogenesis, physiology of the menstrual cycle. The period of female puberty.
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Seminar
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Modality
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Location
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Topics
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Hormonal regulation of female reproductive organs: hypothalamic–pituitary–gonadal axis, and impact of other endocrine glands on the reproductive function (thyroid gland, etc.).
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Seminar
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Modality
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Location
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Topics
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Hormonal regulation of the menstrual cycle and its abnormalities (abnormalities in the secretion of gonadotropic hormones, oestrogens, progestins, androgens). Menstrual cycle disorders – amenorrhoea, dysmenorrhea, PCOS. Pathogenesis, diagnosis, differential diagnosis, treatment.
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Seminar
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Modality
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Location
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Topics
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Pathologies of the vagina and uterus: congenital anomalies of the vagina, non-infectious and infectious pathologies, neoplasms. Cervical and uterine pathologies. Pathogenesis, diagnosis, differential diagnosis, treatment.
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Seminar
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Modality
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Location
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Topics
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Pelvic inflammatory disease and endometriosis: pathogenesis, diagnosis, differential diagnosis, medical and surgical treatment. Impact on the fertility function.
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Seminar
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Modality
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Location
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Topics
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Infertility, its causes, pathogenesis: ovulation disorders, metabolic disorders, endocrinopathies (pathologies of the thyroid gland, adrenal glands, etc.), cervical factors, uterine and fallopian tube factors. Diagnosis and differential diagnosis of infertility.
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Seminar
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Modality
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Location
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Topics
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Medicinal and non-medicinal treatment methods for various causes of infertility, including medical insemination methods (IUI, IVF, ICSI).
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Seminar
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Modality
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Location
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Topics
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Female contraception: different types thereof (hormonal, intrauterine, etc.), impact thereof on women’s reproductive function.
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Bibliography
Required Reading
Melmed, S., Koenig, R., Rosen, C., Auchus, R., Goldfine A. 2020. Williams Textbook of Endocrinology. 14th Edition. Elsevier. ClinicalKey
Vīberga, I. 2013. Ginekoloģija. Rīga: Nacionālais apgāds
Brinsden, P. R. 2005. A Textbook of In Vitro Fertilization and Assisted Reproduction: The Bourn Hall Guide to Clinical and Laboratory Practice. Informa Healthcare
Additional Reading
Latvijas Ginekologu un dzemdību speciālistu asociācijas Reproduktologu un embriologu sekcijas “Neauglības diagnostika un ārstēšana. Klīniskās vadlīnijas”
Mettler L., Alkatout I., Keckstein J., Meinhold-Heerlein I. 2018. Endometriosis – A Concise Practical Guide to Current Diagnosis and Treatment. Article in Journal of the Turkish German Gynecological Association 19(3). EBSCOhost