Veidlapa Nr. M-3 (8)
Study Course Description
Methods of Determining the State of Reproductive Health, Infertility
Course Code
DUGK_009
Branch of Science
Clinical medicine; Obstetrics and gynaecology
ECTS
3.00
Target Audience
Medicine
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Elizabete Ārgale
Structure Unit Manager
Dace Rezeberga
Structural Unit
Department of Obstetrics and Gynaecology
Contacts
Riga, Miera street 45, Riga Municipality Ltd. Riga Maternity Hospital, dzgk@rsu.lv, +371 67293837
About Study Course
Objective
To promote the acquisition of knowledge about the physiology of the female reproductive system, about methods of examination of the reproductive system used in gynaecology; to create an understanding of the reasons for a couple’s infertility, examination methods and treatment options, as well as expected risks in pregnancy.
Preliminary Knowledge
In anatomy, physiology, pathological anatomy, endocrinology, laboratory and functional diagnostics, visual diagnostics.
Learning Outcomes
Knowledge
1.Able to find laws on reproductive health issues in Latvian legislation, to describe and explain the physiology of the reproductive system and the process of fertilisation; To describe the examination of a woman’s menstrual cycle and the examination of the reproductive system in case of various gynaecological pathologies; describe genital infections and methods of detection thereof; To list and describe the causes of infertility (lifestyle factors, male infertility, ovulatory factors of infertility, tubal/peritoneal factors); Able to explain the principles of fertility treatment and assisted reproduction techniques (insemination, in vitro fertilisation and embryo transfer, luteal phase support, frozen embryo storage); Understands the foreseeable risks in pregnancy related to the causes of infertility, treatment thereof.
Skills
1.Able to justify and prescribe tests/examinations to investigate the female reproductive system, explain the need for the examinations and have an understanding of the interpretation of the results. Able to identify possible causes of female infertility and explain basic diagnostic methods for determining the causes of infertility. As a result of completing the study course, the student is able to: - identify infertility, explain to the woman the possible causes of infertility; - explain the infertility treatments available to the woman; - make recommendations on modifiable lifestyle factors that can improve infertility treatment and pregnancy outcomes; - advise the woman on the expected risks of pregnancy following infertility and the methods of treatment thereof.
Competences
1.As a result of acquiring theoretical and practical knowledge, the student is able to: - purposefully obtain information about risk factors related to infertility; - explain to the woman the specifics of pregnancy after the use of reproductive technologies, - advise the woman on the myths related to contraception or vaccination and infertility.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
|
|---|---|---|
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1.
Individual work |
-
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-
|
|
Preparation for the topic of the respective class, using recommended literature and Internet sources, with subsequent evaluation thereof and practical application in practical classes. Clinical case studies. Filling in the study course questionnaire.
https://panopto.rsu.lv/Panopto/Pages/Viewer.aspx?id=95582082-00d1-4d94-b033-ae32009e2fac. ).
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
|
1.
Examination |
-
|
-
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|
Test results of multiple-choice questions (25%), self-prepared presentation (25%), exam (50%).
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Study Course Theme Plan
FULL-TIME
Part 1
-
Class/Seminar
|
Modality
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Location
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Contact hours
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|---|---|---|
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On site
|
Specialized room
|
2
|
Topics
|
Reproductive history and women’s complaints in the context of infertility. Examination of the menstrual cycle and endocrine system. Genetic investigation. Lifestyle and nutrition.
|
-
Lecture
|
Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Definition of infertility, statistical indicators. Examination of an infertile couple. Male infertility. Semen analysis.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Definition of infertility, statistical indicators. Examination of an infertile couple. Male infertility. Semen analysis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Gynaecological diseases and infertility (polycystic ovary syndrome, endometriosis, congenital anomalies). Prevention, diagnosis and solutions.
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-
Lecture
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Pelvic inflammatory disease, consequences thereof. Tubal patency test. Ultrasonography and X-ray examination in gynaecology. Laparoscopy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Pelvic inflammatory disease, consequences thereof. Tubal patency test. Ultrasonography and X-ray examination in gynaecology. Laparoscopy.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Hysteroscopy, resectoscopy, indications for use. Biopsy, fractional abrasion of the uterine cavity. Histological and cytological examination.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Hysteroscopy, resectoscopy, indications for use. Biopsy, fractional abrasion of the uterine cavity. Histological and cytological examination.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Medicinal infertility treatment. Infertility treatment: insemination, assisted reproductive technologies.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Medicinal infertility treatment. Infertility treatment: insemination, assisted reproductive technologies.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Pregnancy after the age of 35 – the risks involved. Pregnancy after IVF. Habitual abortion. Antiphospholipid syndrome.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
|
On site
|
Laboratory
|
2
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Topics
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Pregnancy planning – necessary examinations and recommendations. Vaccine-preventable diseases, pre-pregnancy vaccination, including before fertility treatment and during pregnancy.
|
-
Lecture
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
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2
|
Topics
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Fertility preservation in oncology patients. Pregnancy after oncological treatment – problems and solutions.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Fertility preservation in oncology patients. Pregnancy after oncological treatment – problems and solutions.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Women’s sexual health. Psycho-emotional aspects of infertility treatment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Methods of determining reproductive status in women – clinical situations.
Using a contraceptive.
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Ginekoloģija, I. Vībergas redakcijā. Nacionālais apgāds, 2013
2.
Dzemdniecība. D. Rezebergas redakcijā. Nacionālais apgāds, 2016
3.
Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas mājas lapā
4.
Williams Gynaecology, atkārtoti izdevumi, 2022
Additional Reading
1.
Human Assisted Reproductive Technology, Future Trends in Laboratory and Clinical Practice. David K. Gardner redakcijā. Cambridge University Press, 2011.
2.
Manual of Assisted Reproductive Technologies and Clinical Embryology. Pankaj Talwar redakcijā. JP Medical Ltd, 2012.
Other Information Sources
1.
Lekciju materiāls.
2.
LR likumdošana
3.
RSU bibliotēkas resursi
4.
www.pubmed.com