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Methods of Determining the State of Reproductive Health, Infertility
Study Course Description
Course Description Statuss:Approved
Course Description Version:6.00
Study Course Accepted:06.01.2023 12:35:29
| Study Course Information | |||||||||
| Course Code: | DUGK_009 | LQF level: | Level 6 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Obstetrics and Gynaecology | Target Audience: | Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Elizabete Pumpure | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Obstetrics and Gynaecology | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, Miera street 45, Riga Municipality Ltd. Riga Maternity Hospital, dzgk rsu[pnkts]lv, +371 67293837 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 11 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 22 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | In anatomy, physiology, pathological anatomy, endocrinology, laboratory and functional diagnostics, visual diagnostics. | ||||||||
| 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. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Reproductive history and women’s complaints in the context of infertility. Examination of the menstrual cycle and endocrine system. Genetic investigation. Lifestyle and nutrition. | Classes | 1.00 | clinical base | |||||
| 2 | Definition of infertility, statistical indicators. Examination of an infertile couple. Male infertility. Semen analysis. | Lectures | 1.00 | clinical base | |||||
| Classes | 1.00 | clinical base | |||||||
| 3 | Gynaecological diseases and infertility (polycystic ovary syndrome, endometriosis, congenital anomalies). Prevention, diagnosis and solutions. | Classes | 1.00 | clinical base | |||||
| 4 | Pelvic inflammatory disease, consequences thereof. Tubal patency test. Ultrasonography and X-ray examination in gynaecology. Laparoscopy. | Lectures | 1.00 | clinical base | |||||
| Classes | 1.00 | clinical base | |||||||
| 5 | Hysteroscopy, resectoscopy, indications for use. Biopsy, fractional abrasion of the uterine cavity. Histological and cytological examination. | Lectures | 1.00 | clinical base | |||||
| Classes | 1.00 | clinical base | |||||||
| 6 | Medicinal infertility treatment. Infertility treatment: insemination, assisted reproductive technologies. | Lectures | 1.00 | clinical base | |||||
| Classes | 1.00 | clinical base | |||||||
| 7 | Pregnancy after the age of 35 – the risks involved. Pregnancy after IVF. Habitual abortion. Antiphospholipid syndrome. | Classes | 1.00 | clinical base | |||||
| 8 | Pregnancy planning – necessary examinations and recommendations. Vaccine-preventable diseases, pre-pregnancy vaccination, including before fertility treatment and during pregnancy. | Classes | 1.00 | laboratory | |||||
| 9 | Fertility preservation in oncology patients. Pregnancy after oncological treatment – problems and solutions. | Lectures | 1.00 | clinical base | |||||
| Classes | 1.00 | clinical base | |||||||
| 10 | Women’s sexual health. Psycho-emotional aspects of infertility treatment. | Classes | 1.00 | clinical base | |||||
| 11 | Methods of determining reproductive status in women – clinical situations. Using a contraceptive. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | 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=9558208…. ). | ||||||||
| Assessment Criteria: | Test results of multiple-choice questions (25%), self-prepared presentation (25%), exam (50%). | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | 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: | 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. | ||||||||
| Competencies: | 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. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| 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 | ||||||||
