Obstetrics and Gynecology · Advanced

Endocrine disorders in gynecology

Understand the hormonal causes of gynecological disorders and learn to select therapy where the standard regimen does not work.

144academic hours

Advancedlevel

Distance learningmode of study

Course curriculum

Anatomy and physiology of the female reproductive system. Legal issues in obstetric and gynecological practice
Normal anatomy and physiology of the female reproductive system
Regulation of the menstrual cycle
Orders: No. 203N, No. 231 N, No. 785n, No. 103n
Menstrual cycle disorders (1): amenorrhea, oligomenorrhea, luteal phase deficiency
Etiology and pathogenesis
Epidemiology
Coding by ICD-10
Classification
Diagnosis
Treatment
Rehabilitation
Prevention
Etiology of primary and secondary amenorrhea
Medications
Menstrual cycle disorders (2): abnormal uterine bleeding
Etiology and pathogenesis
Epidemiology
Features of disease coding
Disease classification
Clinical presentation
Diagnosis
Treatment, including pharmacological and non-pharmacological therapy, diet therapy, pain management
Medical indications and contraindications for the use of treatment methods
Medical rehabilitation
Prevention and dispensary follow-up
Organization of the provision of medical care
Normal menstrual cycle and abnormal uterine bleeding. According to FIGO 2018
FIGO – 2022 classification of ovulation disorders
Menstrual cycle disorders (3): endometrial hyperplasia
Etiology and pathogenesis
Epidemiology
Features of coding
Classification
Clinical presentation
Diagnosis of disease
Treatment
Medical rehabilitation
Prevention and dispensary follow-up
Organization of the provision of medical care
Algorithms of physician actions in diagrams
Menstrual cycle disorders (4): dysmenorrhea, chronic pelvic pain
Classification of pain
Pain assessment
Main causes of chronic pelvic pain in women
Diagnosis
Main stages of the differential diagnostic search
General principles of treatment of chronic pelvic pain
Somatic causes of dyspareunia
Principles and methods of treating CPP tables
Polycystic ovary syndrome
Etiology and pathogenesis
Epidemiology
Clinical code according to ICD-10
Classification
Diagnosis
Treatment
Medical rehabilitation
Prevention and dispensary follow-up
Organization of the provision of medical care
Differential diagnosis
ART and PCOS
Obstetric aspects of PCOS
Algorithms for managing patients with PCOS
Endometriosis
Etiology and pathogenesis
Epidemiology
Coding by ICD-10
Classification
Diagnosis
Treatment
Rehabilitation
Prevention
Uterine fibroids
Etiology, pathogenesis, and epidemiology of the disease
Classification
Clinical presentation of the disease
Menopause and climacteric state in women
Features of treating metabolic complications
Physiotherapeutic treatment methods
Prevention
Menopausal replacement therapy in early and premature menopause
Contraception
Methods and means of hormonal and non-hormonal contraception
Medical eligibility criteria for the use of contraceptive methods
Assessment of the patient before initiating combined hormonal contraceptives
Algorithms for contraceptive selection from the standpoint of evidence-based medicine
Female phenotypes
Eligibility categories for the use of contraceptive methods
Female infertility
Examination in the diagnosis of infertility
Pharmacological, non-pharmacological, and surgical methods of treating infertility
Ovulation stimulation regimens with clomiphene citrate and gonadotropins in ART
Algorithm of physician actions with a patient with infertility
Benign breast dysplasia
Differential diagnosis of breast lesions
Classification of examination results according to the BI-RADS system
Drug treatment with recommendations on medications
Risk stratification

Menstrual cycle disorders, hyperandrogenism, infertility and premenstrual disorders often have an endocrine nature that is easy to miss in the flow of appointments. The course builds a clear algorithm for hormonal diagnosis and helps link the laboratory picture with patient management tactics.

After training, you will more confidently interpret complex test results and choose therapy in a well-grounded way, relying on modern clinical guidelines rather than intuition.

Shchepetova Marina Sergeevna

Преподаватель-практик

Obstetrician-gynaecologist, ultrasound diagnostics physician, gynaecologist-endocrinologist, mammologist. Marina Sergeevna Shchepetova is a specialist with 12 years of experience, working at the Yekaterinburg Clinical Perinatal Centre and providing consultative appointments at a number of medical centres in Yekaterinburg and the Sverdlovsk Region (including RMC Clinic, "Novaya Bolnitsa", "MedAr"), where she combines clinical gynaecology with ultrasound diagnostics.

In 2013 she graduated from the Ural State Medical Academy with a degree in General Medicine, completed a residency in obstetrics and gynaecology, and then obtained professional retraining in ultrasound diagnostics. She additionally studied urogenital infections and skin pathology of the vulva, pathology of the cervix, vulva and vagina (with the basics of colposcopy and radiosurgery), genetic and phenotypic aspects of thrombosis and bleeding, endocrinology in obstetrics and gynaecology with the basics of mammology, female infertility, aesthetic gynaecology, ultrasound diagnostics in obstetrics, gynaecology and perinatology, as well as the basic and advanced aspects of ultrasound diagnostics during pregnancy.

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