Module 13: General Gynaecology

This blog post is an outline of Module 13: General Gynaecology. It is an extensive module which needs in-depth study and a good grip on the subject. This module can be tested in a variety of ways along with other modules like contraception, urogynaecology, subfertility etc

• An important point to keep in mind while preparing for the MRCOG exam is that “None of the modules can be clearly distinguished”
• All we need is to learn how to apply the knowledge collected from different resources in a given question/scenario
• In this module, some topics can be covered which do not fit in any other module (Misc)
• If you have a look at the module on the RCOG website, you will find that this module can be divided into various portions
• It would be easy to study if followed in the chronology of age starting from pre-pubertal, puberty, adolescence, reproductive period and way up to climacteric
• The following tables are to give an outline of the module which might be helpful to collect and organize the reading materials
• You can make a BIG folder “General Gynaecology” and add subfolders based on the following tables
• Make your own NOTES and keep adding points as you come along
• Keep practising SBAs & EMQs from various resources which helps to retain facts 
• As this is a very vast topic, so there is a likely possibility that I might have missed a few topics. So, it is advised to modify it according to your preference

Kindly let me know if it was helpful and suggestions to improve future posts are welcome.

Thanks

Module 13: General Gynaecology Details: Click Here

Amenorrhea
Very important & tricky topic Divided into primary and secondary amenorrhea To understand the basics, my suggestions is to read it from a standard textbook (Dewhursts or Evidence Based) Make your own NOTES in the form of FLOWCHARTS, so that you do not miss anything. Remember to go in order starting from hypothalamus, pituitary, ovarian, uterine, outflow tract obstruction, genetic etc
TOG	Mayer–Rokitansky–Ku ̈ ster–Hauser syndrome: diagnosis and management 2012 Hyperprolactinaemia and female reproductive function 2012 Outflow tract disorders of the female genital tract 2013
PCO	Polycystic ovarian syndrome as its an important cause of amenorrhea. The reading resources for PCO are covered in Module 14: Subfertility
ESHRE	Premature Ovarian Insufficiency
Books	Reproductive endocrinology for MRCOG and beyond: RCOG press p.77-88

Paediatric & Adolescent Gynaecology
SIP	#40 Sex Steroid Treatment for Pubertal Induction and Replacement in adolescent girl
TOG	Differences of Sexual Development and their implication 2020 Management of ovarian cysts in children and adolescents 2020 Child sexual exploitation: a guide for obstetricians and gynaecologists 2017 Prepubertal vaginal discharge 2007 Management of menstrual problems in adolescents with learning and physical disabilities 2013 Understanding precocious puberty in girls 2012 Fused labia: a paediatric approach 2009

Abnormal Uterine Bleeding
NICE	Heavy Menstrual Bleeding  2018
TOG	Laparoscopic myomectomy 2018 Surgical management of HMB: part 2 2017 Surgical management of HMB: part 1 2017 Review of evidence-based management of uterine fibroids 2016 Uterine arteriovenous malformations: clinical implications 2015 Ambulatory Hysteroscopy 2013 The management of endometrial polyps in 21st century 2012 Pregnancy outcomes after uterine artery embolisation for fibroids 2009

Premenstrual Syndrome (PMS)
GTG	#48 Management of Premenstrual Syndrome
TOG	Diagnosis, pathophysiology & management of PMS 2015

Chronic Pelvic Pain
GTG	#41 Initial Management of Chronic Pelvic Pain
SIP	#30 Acupuncture & Chinese Herbal Medicine for women with CPP #46 Therapies Targeting the Nervous System for Chronic Pelvic Pain Relief #55 The effect of surgery for Endometriomas on Fertility
TOG	Management of endometriosis-related pelvic pain 2017 Pelvic congestion syndrome 2013 (only for info)

Climacteric / Menopause
NICE	#23 Menopause: diagnosis and management
SIP	#6 Alternatives to HRT for management of symptoms of Menopause
TOG	HRT following treatment of gynaecological malignancies 2019 Vaginal Estrogen Deficiency 2019 Click Here: Summary Unscheduled bleeding with HRT 2019 Click Here: Summary Early ovarian ageing Click Here: Summary Contraceptive methods and issues around menopause 2017 Latest evidence on using HRT in menopause 2015 Endometrial pathology in postmenopausal woman 2015 Nonpharmacological treatment of postmenopausal symptoms 2013 Prevention and treatment of postmenopausal osteoporosis 2012

Miscellaneous
GP	#9 Gynaecology: Emergency Services Standards of practice and service organization
TOG	A review of acupuncture in obstetrics and gynaecology 2019 Sports Gynaecology 2019 Click Here: Summary Transgender Population 2019 Click Here: Summary Gynaecological disease in developing world 2018 The management of vulval itching caused by benign vulval dermatoses 2017 Robotic surgery in gynaecology 2016 Selective progesterone receptor modulators and their use in gynaecology 2014 Update: Diagnosis & management of ovarian torsion 2012 Who should perform ultrasound in gynaecology 2012

You may also like:

Module 2-3: Teaching-Apppraisl-Clinical Governance-Research 
Module 5,6,7: Core Surgical Skills, Post-op Care & Surgical Procedures

Module 8: Antenatal Care — Part 1

Module 8: Antenatal Care — Part 2
Module 9: Maternal Medicine
Module 10/11: Labour & Delivery 12: Puerperium

Module 14: Subfertility
Module 15: Sexual and Reproductive Health

Module 16: Early Pregnancy Care

Module 17: Gynaecological Oncology

Module 18: Urogynaecology & Pelvic Floor Problems
Starting Point for MRCOG Part 2
3Ws and General Advice for MRCOG Part 2

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