Module 1: Maternal Medicine

Reproductive Medicine Module 1: Female Reproductive Endocrinology Number  = Not required Observed Direct supervision Independent practice

Anatomy and physiology

Neuroendocrine anatomy and physiology

Screening

Pituitary MRI/CT

Pelvic MRI/CT

Abdominal CT

Hypothalamic / Pituitary dysfunction

Hypogonadatrophic hypogonadism

Hypothalamic Disorders

Anorexia Nervosa/exercise and lifestyle- related disorders

Pituitary adenoma

Kallman Syndrome

Hyperprolactinaemia

Experience Last updated 20 July 2007 Reproductive Medicine Module 1: Female Reproductive Endocrinology Number  = Not required Observed Direct supervision Independent practice

Adrenal Dysfunction

Cushing Syndrome

Nelson Syndrome

Addison Disease

Adrenal Hyperplasia

Thyroid Disorders

Hypothyroidism

Hyperthyroidism

Diabetes Mellitus

Experience Last updated 20 July 2007 1b: The ovary and polycystic ovary syndrome Number  = Not required Observed Direct supervision Independent practice Ovary and polycystic ovary syndrome (PCOS)

Ovarian anatomy physiology

Diagnosis of PCOS

Ultrasound imaging of polycstic ovaries

Management of obesity

Dietary advice

Management of anovulation/oligo-ovulation

Ovulation induction in PCOS

Antioestrogens

Metformin/insulin sensitisers

Gonadotropin therapy

Ovarian diathermy

Aromatase inhibitors

Management of hyperandrogenism (hirsutism / acne / alopecia)

Experience Last updated 20 July 2007 1c: Paediatric and adolescent gynaecology Number  = Not required Observed Direct supervision Independent practice

Screening and diagnosis

Pelvic / abdominal MRI/CT

Developmental Disorders

Normal growth and development/ambiguous genitalia/genital anomalies

Intersex disorders/Turner syndrome

Endocrine disturbance

Precocious puberty

Delayed puberty

Late-onset adrenal hyperplasia

Primary amenorrhoea

Management of survivors of childhood cancer

Experience Last updated 20 July 2007 Gynaecological endocrine clinic attendance

Clinic Date attended Comments

Experience Last updated 20 July 2007 1d: Contraception and termination of pregnancy Number  = Not required Observed Direct supervision Independent practice

Contraceptive Counselling

Combined oral contraceptive pill

Progesterone-only pill

Implants

Intrauterine contraceptive devices (including Cu and Levonorgestrel based systems)

Termination Provision

First trimester termination

Mid trimester termination

Late termination

Selective fetal reduction

Experience Last updated 20 July 2007 Family planning clinic attendance

Experience Last updated 20 July 2007 1e: Menopause and premature ovarian failure Number  = Not required Observed Direct supervision Independent practice

Management of Menopause

Menopause clinic attendance

Choice or hormone replacement therapy (HRT)

Adverse effects and risks of HRT

Management of premature ovarian failure

Endocrine assessment

Fertility management

Immunological investigation

Counselling

HRT therapy

Dual energy X-ray absorptiometry bone scanning

Experience Last updated 20 July 2007 Premature ovarian failure clinc attendance

Experience Last updated 20 July 2007 Menopause clinic attendance

Experience Last updated 20 July 2007