Knowledge guides

LG17: Reproductive health

Key presentations and conditions

Advanced Trainees will have a comprehensive depth of knowledge of these presentations and conditions.

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Less common or more complex presentations and conditions

Advanced Trainees will understand these presentations and conditions.

Advanced Trainees will understand the resources that should be used to help manage patients with these presentations and conditions.

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Epidemiology, pathophysiology, and clinical sciences

Advanced Trainees will have a comprehensive depth of knowledge of the principles of the foundational sciences.

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Investigations, procedures, and clinical assessment tools

Advanced Trainees will know the scientific foundation of each investigation and procedure, including relevant anatomy and physiology. They will be able to interpret the reported results of each investigation or procedure.

Advanced Trainees will know how to explain the investigation or procedure to patients, families, and carers, and be able to explain procedural risk and obtain informed consent where applicable.

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Important specific issues

Advanced Trainees will identify important specialty-specific issues and the impact of these on diagnosis and management and integrate these into care.

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Presentations and conditions
  • Abnormal uterine bleeding
  • Cervical screening
  • Contraception:
    • barrier methods
    • emergency contraception
    • hormonal contraception
    • intrauterine devices (IUDs)
    • permanent contraception
  • Haematospermia
  • Menopause
  • Pelvic pain
  • Postcoital bleeding
  • Pregnancy:
    • early / late
    • miscarriage
    • preconception care
    • sexually transmitted infections (STIs) in pregnancy
    • termination of pregnancy, including complications
    • unwanted pregnancy
  • Premenstrual syndrome
  • Prostatitis

For each presentation and condition, Advanced Trainees will know how to:

Synthesise
  • recognise the clinical presentation
  • identify relevant epidemiology, prevalence, pathophysiology, and clinical science
  • take a comprehensive clinical history
  • conduct an appropriate examination
  • establish a differential diagnosis
  • plan and arrange appropriate investigations
  • consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
  • provide evidence-based management
  • prescribe therapies tailored to patients’ needs and conditions
  • recognise potential complications of disease and its management, and initiate preventative strategies
  • involve multidisciplinary teams
Consider other factors
  • identify individual and social factors and the impact of these on diagnosis and management
Presentations and conditions
  • Endometriosis
  • Infertility / Subfertility
  • Molar pregnancy
  • Ovarian cysts
  • Polycystic ovary syndrome (PCOS)
  • Pregnancy:
    • antenatal care
    • complications
    • ectopic
  • Contraception:
    • adverse effects
    • contraindications
    • drug interactions
    • efficacy
    • mechanism of action
    • suitability
  • Fertility throughout the course of life
  • Human papillomavirus-related cancers
  • Menopause:
    • associated comorbidities
    • diagnostic criteria
    • pharmacological versus non-pharmacological management
  • Menstrual cycle:
    • factors or conditions that can affect menstruation
  • Pregnancy:
    • complications, including:
      • ectopic
      • miscarriage
    • pregnancy-related STIs, including:
      • management
      • screening
    • trimesters
  • Termination of pregnancy:
    • follow-up management, including:
      • failed termination
      • management of complications
    • medical
    • pharmacology of medications used in medical termination
    • pre-termination counselling
    • relevant pharmacology and pharmacotherapy
    • surgical
  • Bimanual examination
  • Cervical screening
  • Digital anorectal examination
  • Long-acting reversible contraception:
    • implant insertion / removal
    • intrauterine device (IUD) insertion / removal
  • Permanent contraception:
    • tubal ligation
    • vasectomy
  • Pregnancy:
    • antenatal screening
    • calculation of gestation and expected date of delivery
    • diagnosis
  • Role of ultrasound:
    • abnormal uterine bleeding
    • pelvic pain
    • pregnancy
  • Termination of pregnancy:
    • pre-termination screening
  • Legislation in relation to termination of pregnancy
  • Professional and legislative frameworks that apply to reproductive health areas, such as provision of contraceptives or termination of pregnancy for minors or people with a disability