THEMATIC PLAN workshops for 5th year student of medical faculty
IX semester
1. Fundamentals of organization gynecological care in Belarus. Anatomical and
physiological characteristics of the female reproductive system. The menstrual
cycle and its neurohumoral regulation. Propaedeutics gynecological diseases.
2. Menstrual function.
3. Neuroendocrine syndromes in gynecology.
4. Hyperplastic and premalignant processes and the cervix and endometrium.
5. Endometriosis. Dishormonal breast disease.
6. Benign tumors of the uterus and ovaries.
X semester
7. Inflammatory diseases of the female reproductive organs.
8. Emergency care in gynecology. Preoperative and postoperative gynecological
patients.
9. Congenital anomalies. Wrong position of the female genital organs.
10. Barren marriage. Family planning.
11. Pediatric gynecology
THEME 1: "Basics of gynecologic care in Belarus. Anatomical and physiological
characteristics of the female reproductive system. The main symptoms of
gynecological diseases. Survey methods of gynecological patients. "
1. The main stages of the provision of obstetric care. The main activities of
gynecological services. Specialized gynecological care.
2. Organization of the women's clinic and hospital service gynecological patients.
3. Anatomy and physiology of the female genital organs.
4. Age periods in a woman's life. Anatomical and physiological features of the
genital organs of women in different age periods.
5. The main symptoms of gynecologic diseases: a painful symptom, abnormal
discharge (leukorrhea), itching, menstrual disorders, infertility, disruption of
neighboring organs.
6. Survey methods of gynecologic patients:
- Clinical examination methods: the history, physical examination and physical
examination, inspection and palpation of the breast examination and investigation
of internal and external genitalia (vulva examination, examination with speculum,
vaginal examination, two-hand, and vaginal-rectal research);
- Instrumental methods (sounding the uterus, separate diagnostic curettage of
cervical mucus and uterine cavity, biopsies, puncture of the abdominal cavity
through the posterior vaginal vault);
- Methods of ovarian function (functional diagnostic tests, hormone tests, the level
of hormones);
- Endoscopic techniques (colposcopy, hysteroscopy, laparoscopy and Culdoscopy);
- Ultrasound Diagnosis;
- X-ray techniques in gynecology;
- Medical genetics, cytology, morphological techniques in gynecology.
THEME 2: "menstruation and its violation."
1. Menstrual cycle. Definition. Characteristics of the normal menstrual cycle.
Levels of regulation of the reproductive system:
• ekstragipotalamicheskie structure of the brain (cerebral cortex, neurotransmitter
systems);
• hypothalamus: releasing hormones;
• adenohypophysis: gonadotropic hormones (LH, FSH, prolactin). Effects of
gonadotropin-releasing hormone.
• Ovaries: folliculogenesis, ovulation, hormonal function. The biological effects of
estrogen, progesterone and androgen.
• target organs: cyclic changes in them (stock cycle). Feedback system.
2. Classification of menstrual function. Etiology and pathogenesis.
3. Amenorrhea. Definition.
a) Primary:
- Gonadal;
- Ekstragonadnaya (AGS congenital hypothyroidism, a defeat of the hypothalamicpituitary region, uterine).
b) secondary:
- Hypothalamic;
- Pituitary;
- Ovarian;
- Masterbatch.
4. Hypomenstrual syndrome.
5. Dysfunctional uterine bleeding. Definition. Classification.
- Ovulation;
- Anovulatory.
6. Juvenile uterine bleeding.
7. Dysfunctional uterine bleeding reproductive period.
8. Dysfunctional uterine bleeding premenopausal and postmenopausal periods.
9. Dysmenorrhea.
THEME 3: "neuro-endocrine syndromes in gynecology."
1) Premenstrual syndrome (PMS).
2) Polycystic Ovary Syndrome (PCOS).
3) adrenogenital syndrome (pubertal and post-pubertal form).
4) Hyperprolactinemia.
5) climacteric syndrome.
6) postcastration syndrome.
7) Sheehan's syndrome (postpartum panhypopituitarism).
THEME 4: "hyperplastic and premalignant processes and cervix and
endometrium"
1. Classification of pathological processes in the cervix. The causes and
pathogenesis of pathological conditions of the cervix.
2. Background diseases of the cervix:
- Pseudo;
- Leukoplakia;
- Polyp;
- Genital kandilomy;
- Erythroplakia.
3. Precancerous lesions of the cervix (dysplasia).
4. Etiopathogenesis and classification of endometrial hyperplastic processes.
5. Clinic and diagnosis of endometrial hyperplastic processes.
6. Conservative and surgical treatment of endometrial hyperplastic processes.
Prevention.
THEME 5: "Endometriosis. Dishormonal breast disease. "
1. Endometriosis. Definition. General characteristics of the foci of the disease.
Theory of the origin.
2. The main pathogenesis of endometriosis. Classification.
3. Clinic and diagnosis of various forms of endometriosis:
• uterine endometriosis;
• ovarian endometriosis;
• Endometriosis cervix and vagina;
• retrocervical endometriosis;
• extragenital endometriosis.
4. Modern methods of treatment of endometriosis:
• conservative;
• surgical technique, indications for surgery, the amount of surgery;
• mixed.
5. Prevention of endometriosis.
6. Dishormonal breast disease.
THEME 6: Benign tumors of the uterus and ovaries.
1. Uterine fibroids. Etiopathogenesis and classification.
2. The clinical picture and diagnostics of uterine fibroids.
3. Conservative treatment of uterine fibroids.
4. Surgical treatment of uterine fibroids. Indications for surgical treatment.
Technique conservative myomectomy, hysterectomy supravaginal, hysterectomy.
5. Principles of follow-up of patients with uterine cancer and precancerous
endometrium.
6. Uterine fibroids and pregnancy.
7. Etiology and international classification of ovarian tumors.
8. Methods of diagnosis of ovarian tumors.
9. Basic principles of treatment and follow-up of patients with ovarian tumors.
Theme 7: "Inflammatory diseases of female genital mutilation."
1. Protective factors against pathogenic organisms.
2. Etiology, pathogenesis, classification of inflammatory diseases.
3. Nonspecific inflammatory diseases of the lower part of the etiology of sexual
organs:
• vulvitis;
• bartholinitis;
• colpitis;
• endocervicitis;
• bacterial vaginosis
4. Nonspecific inflammatory diseases of the upper part of the etiology of genital
organs:
- Endometritis - salpingitis, oophoritis, hydrosalpinx, piosalpinks,
piosaktosalpinks, purulent tubovarialnye tumor - Parameters - pelvioperitonit,
abscess rectouterine space.
5. Indications and methods of surgical treatment of non-specific inflammatory
disease etiology.
6. Inflammatory diseases of female genital specific etiology:
- Gonorrhea;
- Trichomoniasis;
- Chlamydia;
- Myco-and ureaplasmosis;
- Vulvovaginal candidiasis;
- Genital herpes;
- Tuberculosis of female genital mutilation.
7. Features of treatment of specific infections during pregnancy.
8. Anaerobic infection: common signs of infection, principles of treatment of
anaerobic infections. Prevention.
Topic 8: "Emergency care in gynecology. Preoperative and postoperative
gynecological patients. "
1. Ectopic pregnancy. Classification. Etiology and pathogenesis. Diagnosis and
differential diagnosis. Treatment.
2. Ovarian apoplexy.
3. Torsion of the ovarian tumors.
4. Other conditions in gynecology, requiring emergency treatment (incomplete
abortion, dysfunctional uterine bleeding, vulvar trauma, perforation of the uterus
during intrauterine manipulations, nascent submucous site, necrosis of myoma
node, rupture of ovarian cyst’s capsule).
5. Preparation for planned and emergency gynecological operations.
6. Surgical approach in gynecology.
7. Postoperative care.
8. Postoperative complications and their prevention.
THEME 9: "Congenital abnormalities. Wrong position of the female genital
organs."
1. Features of the development of the reproductive system in the embryonic period.
2. Causes of congenital malformations of female genital mutilation. Pathogenesis.
3. Anomalies of the hymen and vagina. Clinic. Diagnostics. Methods of treatment.
4. Developmental abnormalities of the uterus. Clinic. Diagnostics. Surgical
treatment.
5. Developmental abnormalities of the fallopian tubes and ovaries. Clinic.
Diagnostics. Treatment.
6. The normal position of the uterus in the pelvis.
7. Classification of the wrong position of female genital organs. The reasons for
the wrong position.
8. Anomalies of position, an inclination, an flexion of a uterus.
9. Pelvic organ prolapsed (POP).
TOPIC 10: "Infertile marriages. Family planning. "
1. Causes of infertility.
2. Organization survey infertile couples.
3. Methods of conservative treatment of female infertility.
4. Methods of surgical endoscopy in the treatment of infertility.
5. Assisted reproductive technology. Artificial insemination (IVF, ICSI).
Surrogacy.
6. Social and medical indications for abortion.
7. Methods of abortion up to 12 weeks, complications.
8. Methods of termination of pregnancy between 12 and 22 weeks, complications.
9. Medical abortion.
10. Methods of contraception. Classification. Indications and contraindications.
Complications of contraception.
TOPIC 11: "Children's Gynecology"
1. Dysmenorrhoea in girls.
2. Dysfunctional uterine bleeding of juvenile period.
3. Violation of sexual development.
• Premature puberty.
• Delayed puberty.
4. Inflammatory diseases of the reproductive organs in childhood and adolescence.
5. Tumor and ovarian tumor formation in children and adolescents.
6. Injuries of the genitals.
1. Gynecology: a textbook / edited by SN Zanko, Minsk: "Higher School", 2010.
640 p.
2. Gynecology: Textbook / L.N.Vasilevskaya, V.I.Grischenko, N.V.Kobzeva, VP
Yurovskaya. - M.: Medicine, 1985. - 430 p.
Further reading:
3. Saveliev, GM Gynecology: Textbook / G.M.Saveleva, V.G.Breusenko. M.
GEOTAR-MED, 2004, 476 p.
4. Duda IV etc. Clinical Gynecology. In 2 volumes Vol.1 / I.V.Duda, Vl.I. Duda,
VI Duda. Pl.: Vysh.shk., 1999. - 352 p.
5. Duda IV etc. Clinical Gynecology. In 2 volumes Volume 2 / I.V.Duda, Vl.I.
Duda, VI Duda. Pl.: Vysh.shk., 1999. - 379 p.
6. Bogdanova, EA Gynecology children and adolescents / EA Bogdanov. M.:
MIA, 2000. 332.
7. Mozheiko LF The formation of the reproductive system in adolescent girls and
correction of its disorders. Minsk: Belarusian State Medical University, 2002. 231
p.
8. Serov, VN Emergency care in obstetrics and gynecology: a brief guide /
V.N.Serov. M. GEOTAR Media, 2007, 256 p.
9. Directory of medical clinic. / Ed. Yu.K.Malevicha, Mn., 2001. - 703 p.
10. Belyakovskaya, VN Dysplasia and cervical cancer.
11. Baranovskaya, EI Lecture notes on obstetrics and gynecology.
12. Baranovskaya, EI Tests in Obstetrics and Gynecology.
13. Lyzikova, Y. Rational pharmacotherapy of gynecological diseases.