Obstetrics and Gynaecology 2

Data

Official data in SubjectManager for the following academic year: 2024-2025

Topic

The subject is intended to reveal the anatomic, physiologic, pathophysiologic and pathologic background of the gynecologic diseases, moreover it aims to explain the etiology, symptoms, diagnosis, differential diagnosis and the treatment options of them. During the course, the congenital anomalies of the genital tract, the normal and the abnormal ovulatory cycle, the bleeding disorders, benign and malignant gynecologic tumors, pelvic inflammatory diseases, and endometriosis will be discussed in detail. Pelvic floor disorders will also be interpreted. Similarly, reasons and the diagnostic procedures of both male and female infertility will be covered. Modern contraceptive methods will also be explored. The main goal of the subject is to convey fundamental gynecologic knowledge to medical students necessary for general practitioners.

Lectures

• 1. Anatomy of the genital tract (architecture of the pelvic floor, lymphatic drainage, relation of the genital organs with the surrounding organs) - Farkas Bálint (Szülészeti Klinika)
• 2.

  Physiology of the menstrual cycle

  - Nagy Bernadett (Élettan)
• 3. Dysmenorrhea and amenorrhea, Functional and organic bleeding disorders - Hantosi Eszter
• 4. Benign tumors of the uterus - Farkas Bálint (Szülészeti Klinika)
• 5. Benign diseases of the vulva and ovary - Rácz Sándor Attila
• 6. Endometriosis - Rácz Sándor Attila
• 7. Infertility Assisted reproductive techniques, andrology - Kovács Kálmán András
• 8. Pelvic inflammatory disease, HPV, STD - Rácz Sándor Attila
• 9. Menopause - Hantosi Eszter
• 10. Pelvic organ prolapse, Female urinary incontinence - Farkas Bálint (Szülészeti Klinika)
• 11. Premalignant and malignant diseases of the uterine cervix - Hantosi Eszter
• 12. Malignant diseases of the vulva,Trophoblast diseases - Gőcze Péter
• 13. Endometrial cancer - Rácz Sándor Attila
• 14. Borderline and malignant ovarian tumors (etiology, symptoms, diagnosis) - Gőcze Péter

Practices

• 1. Gynecologic examination: medical history, examination of the external and internal genital organs, bimanual physical examination, ultrasound examination. Diagnosis of the ovulatory cycle. Kaltenbach scheme.
• 2. Gynecologic examination: medical history, examination of the external and internal genital organs, bimanual physical examination, ultrasound examination. Diagnosis of the ovulatory cycle. Kaltenbach scheme.
• 3. Clinical Skills lab practice, female pelvic phantoms, breast models, ultrasound simulator
• 4. Clinical Skills lab practice, female pelvic phantoms, breast models, ultrasound simulator
• 5. Congenital anomalies of the genital tract. Childhood and adolescent disorders (primary amenorrhea and intersexuality)
• 6. Congenital anomalies of the genital tract. Childhood and adolescent disorders (primary amenorrhea and intersexuality)
• 7. Bleeding disorders, D&C, hysteroscopy, "one day surgery" in gynecology
• 8. Bleeding disorders, D&C, hysteroscopy, "one day surgery" in gynecology
• 9. Gynecologic endocrinology, hormone examinations, ovulation induction, pubertal- and perimenopausal bleeding abnormalities
• 10. Gynecologic endocrinology, hormone examinations, ovulation induction, pubertal- and perimenopausal bleeding abnormalities
• 11. Family planning and contraception
• 12. Family planning and contraception
• 13. Assisted reproductive methods, andrology
• 14. Assisted reproductive methods, andrology
• 15. Gynecologic operations (vaginal, abdominal and minimal invasive interventions)
• 16. Gynecologic operations (vaginal, abdominal and minimal invasive interventions)
• 17. Operation room (OR) practice
• 18. Operation room (OR) practice
• 19. Pelvic inflammatory disease
• 20. Pelvic inflammatory disease
• 21. Acute gynecologic disorders
• 22. Acute gynecologic disorders
• 23. Gynecologic tumor screening, cervical smear, colposcopy, punch biopsy, cone biopsy, cervical erosion
• 24. Gynecologic tumor screening, cervical smear, colposcopy, punch biopsy, cone biopsy, cervical erosion
• 25. Cervical- and endometrial cancer
• 26. Cervical- and endometrial cancer
• 27. Ovarian cancer
• 28. Ovarian cancer

Seminars

Reading material

Obligatory literature

Literature developed by the Department

Material prepared by faculty of department - materials of lectures and practices in PDF

Notes

Recommended literature

1. Cunningham, F. Gary, et al. Williams Obstetrics. 25th edition, New York: McGraw-Hill Education, 2018.

2. D. Keith Edmonds (ed.). Dewhurst Textbook of Obstetrics and Gynaecology. 9th edition, Blackwell Publishing, 2018.

3. www.acog.org

Conditions for acceptance of the semester

Semester exam (oral)

Less than two unauthorised absences. The number of authorised absences must not exceed 25% of the total number of classes. Attendance will be checked regularly.

Mid-term exams

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Making up for missed classes

Absences due to medical reason: extra practices organized during the hours of duty services.

Exam topics/questions

Group A:

1. Amenorrhea; classifications, diagnosis and therapy

2. Bleeding disorders; types and diagnosis

3. Uterine fibroids; types, diagnosis and therapy

4. Benign adnexal masses; classification, diagnosis and therapy

5. Adnexal inflammatory diseases; diagnosis, differential diagnosis, and therapy

6. Postmenopausal bleeding

7. Premalignant disease and carcinoma in situ of the uterine cervix: diagnosis and therapy

8. The role of HPV in the pathomechanism of gynecologic malignancies; HPV vaccination

9. Cervical cancer: symptoms and diagnosis

10. Endometrial cancer: symptoms and diagnosis

11. Ovarian cancer: classification, symptoms and diagnosis

12. Acute abdomen in gynecology

13. The criteria and the potential complications of IUD usage

14. Hormonal contraception: indications, contraindications, positive effects and potential complications

15. Menopause

Group B:

1. Genital fistulas: pathomechanism, diagnosis and therapy

2. Congenital anomalies of the genital tract (diagnosis and therapy)

3. Indications and methods of hysterectomy

4. Functional diagnostics of the ovarian capacity, cycle diagnostic

5. Intersexuality, gonadal dysgenesis

6. Physiology of puberty and menarche

7. The most common childhood gynecological diseases

8. Vulvar and vaginal inflammatory disorders and their treatment

9. Endometriosis: pathophysiology, classification, symptoms and diagnosis

10. Treatment of endometriosis

11. Hyperandrogenic disorders, PCOS

12. Infertility: classifications and diagnosis

13. Treatment of infertility (ovulation induction therapy, AIH, IVF, ICSI)

14. Ovarian hyperstimulation syndrome

15. Sexually transmitted diseases (STD)

16. Hormone replacement therapy guidelines, indications, contraindications, side effects

17. Pelvic organ prolapse: symptoms and diagnosis

18. Pelvic organ prolapse: therapy

19. Urinary incontinence and treatment

20. Endometrial cancer: FIGO classification and therapy

21. Cervical cancer: FIGO classification and therapy

22. Hydatiform mole: symptoms, types, endocrinology and therapy

23. Gestational throphoblast neoplasia (invasive mole, choriocarcinoma): diagnosis and therapy

24. Gonadal ovarian tumors

25. Tumor markers of malignant ovarian cancer. Diagnosis and treatment of borderline ovarian cancer.

26. Malignant ovarian cancer: operative treatment, chemo- and radiation therapy

27. Premalignant and malignant vulvar diseases (VAIN, VIN)

28. Diagnostic and operative hysteroscopy

29. Laparoscopy in gynecology

30. Modern contraceptive methods

Examiners

• Farkas Bálint (Szülészeti Klinika)
• Gőcze Péter
• Hantosi Eszter
• Kovács Kálmán András
• Nagy Bernadett (Élettan)
• Rácz Sándor Attila
• Várnagy Ákos György

Instructor / tutor of practices and seminars

• Berkó Barbara Éva
• Császár András
• Dombai Flóra
• Farkas Bálint (Szülészeti Klinika)
• Hantosi Eszter
• Kolumbán Szilárd-Szilamér
• Kondor Tibor
• Nagy Bernadett (Élettan)
• Papp Kata Szilvia
• Péntek Sándor Mátyás
• Plattner Boglárka
• Rácz Sándor Attila
• Vastag Fanni