Monday, May 18, 2020

Module 14: Subfertility

Infertility RCOG


This post is an outline of Module 14: Subfertility. In this module, we need to demonstrate an understanding of subfertility causes, counselling of couples, investigations and treatment options.
  • The mainstay to mastering this module is to have a holistic approach to the patient and not just focus on presenting complaints
  • This can be achieved by keeping in mind all levels of subfertility starting from the hypothalamus, pituitary, ovaries, fallopian tubes, and uterus as well as psychological aspects
  • Good history with a focus to reach a diagnosis is paramount
  • Be clear about the indications, limitations and interpretation of investigations
  • Even though some treatment options are beyond the scope of ST5 but it is required to have appropriate knowledge and understanding in order to be able to provide appropriate counselling and further referrals
  • There are some ethical and legal issues like surrogacy, dealing with same-sex partnerships, single parenthood, gamete donations and the HFEA act which need to be covered well
  • Role of involving colleagues from other disciplines both clinical and non-clinical
  • There are certain UK practices which are required to be understood well e.g. referral pathways for IVF, and funding in NHS to name a few
  • If you look at the details on the RCOG website, it will be clear that this module can be broadly divided into
    • Female Subfertility
      • Ovulatory Dysfunction (PCO)
      • Endometriosis
      • Uterine and Tubal Factor Subfertility
    • Male Subfertility
    • Unexplained Subfertility
    • Assisted Reproduction
    • Surrogacy/Adoption
  • The following outline may be beneficial in collecting and organizing the study material
  • You can make a big folder “Subfertility” and then make sub-folders based on the tables provided below
  • Your NOTEs are the most crucial step in revision and help you to retain information
  • Keep practising SBAs and EMQs once a topic is covered. If you come across a ‘new fact’ during practising “do not forget to add that point in your notes”
  • You are strongly advised to modify it according to your own preferences, as all this is just a little effort from my end to give you an idea to approach this module
Kindly let me know if it was helpful and suggestions to improve future posts are welcome
Thanks

Module 14: Subfertility Details RCOG

NICE


Female Subfertility
Polycystic Ovarian Syndrome
GTG
SIP
TOG
Endocrine Factors
TOG
Reproductive Aging / NK Cells
SIP
TOG
Early Ovarian Aging 2019 Click Here: Summary
Endometriosis
NICE
ESHRE
SIP
TOG
Uterine and Tubal Factor
SIP
TOG

Unexplained Subfertility
TOG

Male Subfertility
TOG

Assisted Reproductive Techniques
SIP
GTG
TOG

Other relevant TOGs
Turner Syndrome
Counselling
Surrogacy
Hysteroscopy
Fertility Preservation


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2 comments:

  1. Pinky sharma3 September 2021 at 11:52


    i thought this article is the great way to explain everything about the Gestor and gynae knowledge to children. thanks for sharing. i would appreciate more your blog

    ReplyDelete
  2. arjun8 January 2022 at 11:24

    Nice informative blog, if you are seeking the best IVF treatment then come to visit Sofat Infertility & Women care cente and regenerate the hope of getting pregnant.

    ReplyDelete

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