What is a suggested outline for a 2-hour presentation on Gynecologic (Gyn) and Reproductive Health?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: December 29, 2025 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Comprehensive 2-Hour Presentation Outline: Gynecologic and Reproductive Health

Recommended Structure

This presentation should be organized into 6 major modules of approximately 15-20 minutes each, with integrated case discussions and interactive elements to maximize student engagement and clinical application.

Module 1: Foundations of Reproductive Health (15 minutes)

Human Sexuality and Gender Identity

  • Define reproductive health as encompassing sexuality, reproduction, family planning rights, and access to information 1
  • Address gender inequality and discrimination across the woman's life cycle, including cultural and religious practices 2
  • Discuss intimate partner violence screening at every wellness visit, with referral to appropriate resources 1
  • Include male reproductive health considerations, emphasizing paternal involvement in pregnancy outcomes 1

Preconception and Reproductive Planning

  • Assess reproductive goals at every visit for all patients of reproductive age 1
  • Screen for chronic disease management (hypertension, diabetes, depression) with medication optimization before conception 1
  • Recommend folic acid supplementation for all women of reproductive age; higher doses for those at high risk of neural tube defects 1
  • Review immunization status annually 1
  • Screen for substance use (alcohol, tobacco, drugs) and occupational hazards affecting fertility 1

Module 2: Contraception and Infertility (20 minutes)

Contraceptive Methods

  • Offer full range of contraceptive methods with counseling tailored to patient preference when pregnancy is not desired 1
  • Counsel on birth spacing importance 1
  • Discuss safe sex practices and STI prevention 1
  • Address contraceptive access during public health emergencies, prioritizing long-acting reversible contraception appointments 3
  • Consider pharmacist-provided hormonal contraception and patient-controlled injectable options 3

Infertility Assessment

  • Evaluate both partners: assess medications, health conditions, and activities affecting fertility 1
  • Conduct physical examination for signs/conditions impairing fertility 1
  • Screen for occupational hazards, diabetes, erectile dysfunction, and testicular conditions in males 1
  • Address weight extremes: BMI ≥30 or <18.5 kg/m² associated with infertility and pregnancy risks 1
  • Discuss genetic screening based on family history and paternal age 1

Module 3: Breast Disorders (15 minutes)

Benign Breast Conditions

  • Mastitis: Lactational infection requiring antibiotics and continued breastfeeding
  • Abscess: Requires drainage plus antibiotics
  • Fibroadenoma: Benign solid mass, most common in young women, typically observation unless symptomatic
  • Fibrocystic changes: Hormonal-related breast pain and nodularity, reassurance primary management
  • Galactorrhea: Evaluate for hyperprolactinemia and medications; hyperprolactinemia suppresses GnRH pulsatility and gonadotropin secretion 4
  • Gynecomastia: Assess for hormonal imbalances, medications, and underlying conditions

Breast Cancer Screening

  • Routine mammography screening may be safely delayed during public health emergencies for average-risk patients, but prioritize higher-risk populations per society guidelines 3
  • Consider patient-collected samples and telemedicine follow-up when appropriate 3

Module 4: Cervical, Vaginal, and Uterine Disorders (20 minutes)

Cervical Disorders

  • Cervicitis: Assess STI risk, provide testing and treatment; prioritize in-person appointments for symptomatic patients at risk for complications 3
  • Cervical dysplasia: HPV-related; routine screening may be delayed but not indefinitely 3
  • Expand patient-collected HPV self-samples for screening 3

Vaginal/Vulvar Disorders

  • Vaginitis: Bacterial vaginosis, candidiasis, trichomoniasis—diagnose and treat appropriately
  • Bartholin gland cysts: Observation if asymptomatic; incision and drainage or Word catheter if symptomatic
  • Cystocele/Rectocele/Prolapse: Pelvic floor dysfunction requiring pelvic examination and staging

Uterine Disorders

  • Endometriosis: Chronic pelvic pain, dysmenorrhea, infertility; diagnose clinically or surgically
  • Leiomyoma (fibroids): Benign smooth muscle tumors causing bleeding, pain, or bulk symptoms
  • Uterine prolapse: Pelvic organ prolapse requiring staging and management based on severity

Module 5: Ovarian Disorders and Menstrual Dysfunction (15 minutes)

Ovarian Disorders

  • Ovarian cysts: Functional vs. pathologic; most resolve spontaneously
  • Polycystic ovary syndrome (PCOS): Hyperandrogenism, ovulatory dysfunction, metabolic syndrome; associated with increased stroke risk (RR 1.36) 1
  • Ovarian torsion: Surgical emergency with acute pelvic pain and adnexal mass

Menstrual Disorders

  • Evaluate abnormal uterine bleeding patterns
  • Primary hypogonadism: Low estrogen/progesterone from ovarian damage (chemotherapy, radiation ≥10 Gy in prepubertal girls, ≥5 Gy postpubertal) 1
  • Central hypogonadism: Impaired GnRH/LH/FSH release from hypothalamic-pituitary damage; FSH/LH inappropriately normal or low despite low sex steroids 1, 4
  • Functional hypothalamic amenorrhea from excessive exercise, energy deficit, or psychological stress 4

Menopause

  • Average age 51 years; assess vasomotor symptoms and quality of life
  • Consider hormone replacement therapy when appropriate 1

Module 6: Pregnancy Complications and High-Risk Obstetrics (35 minutes)

Early Pregnancy Complications

  • Ectopic pregnancy: Life-threatening; requires immediate diagnosis and management
  • Classifications of abortion: Threatened, inevitable, incomplete, complete, missed, septic
  • Gestational trophoblastic disease: Molar pregnancy requiring surveillance

Antepartum Complications

  • Hypertensive disorders: Gestational hypertension (RR stroke 1.83), pre-eclampsia (RR stroke 2.95), recurrent pre-eclampsia (RR stroke 1.69) 1
  • Gestational diabetes: Increases stroke risk (RR 1.25) 1; requires glycemic control
  • Placenta previa: Painless vaginal bleeding; avoid digital examination
  • Abruptio placentae: Painful bleeding with fetal distress
  • Cervical insufficiency: Painless cervical dilation; consider cerclage
  • Prelabor rupture of membranes: Assess gestational age and infection risk
  • Rh incompatibility: Administer RhoGAM prophylaxis

Labor and Delivery Complications

  • Preterm birth: Associated with increased stroke risk (RR 1.65-1.71) 1
  • Breech presentation: External cephalic version vs. cesarean delivery
  • Shoulder dystocia: Obstetric emergency requiring specific maneuvers
  • Umbilical cord prolapse: Immediate cesarean delivery
  • Fetal distress: Continuous monitoring and intervention
  • Cesarean and operative delivery: Indications and complications

Postpartum Complications

  • Postpartum hemorrhage: Leading cause of maternal mortality; requires immediate management
  • Postpartum psychiatric disorders: Screen for depression and anxiety; untreated illness carries risks 1
  • Postpartum pituitary disorders: Sheehan syndrome from hemorrhage-induced necrosis
  • Postnatal/postpartum care: Phone follow-up for medication abortions when appropriate 3

Trauma in Pregnancy

  • Physical trauma: Leading non-obstetric cause of maternal death
  • Sexual trauma: Screen at every visit 1
  • Psychological trauma: Assess for intimate partner violence with increased screening during social distancing 3

Module 7: Pelvic Inflammatory Disease and STIs (10 minutes)

Pelvic Inflammatory Disease

  • Ascending infection from cervicitis causing endometritis, salpingitis, tubo-ovarian abscess
  • Requires prompt antibiotic therapy to prevent infertility and chronic pelvic pain
  • Offer expedited partner therapy 3

STI Management

  • Screen all reproductive-age patients for STI risk 1
  • Provide counseling and immunizations (HPV, hepatitis B) 1
  • Prioritize in-person appointments for symptomatic patients at risk for complications 3
  • Address increased STI acquisition risk during public health emergencies 3

Module 8: Health Equity and Special Populations (10 minutes)

Addressing Disparities

  • Racial and minority disparities in reproductive healthcare are exacerbated during public health crises 3
  • Ensure contraception and abortion access through reduced ultrasonography/laboratory requirements for eligible patients 3
  • Expand telemedicine with validated screening questionnaires for intimate partner violence and depression 3
  • Address barriers to technology access (continuous glucose monitors, insulin pumps) in minoritized populations 5

Reproductive Health in Special Populations

  • Cancer survivors: Assess fertility preservation and ovarian function 1, 5
  • Patients with rheumatic diseases: Multidisciplinary approach between rheumatology and obstetrics 1
  • Adolescents: Screen for intimate partner violence and promote consensual relationships 1

Presentation Delivery Tips

  • Use case-based learning for each module
  • Include visual aids (images of conditions, algorithms for management)
  • Incorporate audience response questions
  • Provide handouts with screening recommendations and management algorithms
  • Allow 5-10 minutes for Q&A at the end

References

1
Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

2
Research

Gender issues in reproductive health: a review.

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria, 2011

4
Guideline

Hypogonadotropic Hypogonadism Causes and Mechanisms

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

5
Guideline

Obesity in Type 1 Diabetes: A Critical Knowledge Gap

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Related Questions

What are the high-yield topics in reproductive health that I should focus on for the USMLE (United States Medical Licensing Examination) Step 1?
What is the recommended dosing regimen to titrate from 10mg Olanzapine to Seroquel (Quetiapine) for mood stabilization?
What medications are used to treat nocturnal enuresis (bedwetting)?
Is removal of posterior hardware medically indicated for a patient with prior Anterior Cervical Discectomy and Fusion (ACDF) at C4-5 and C5-7, and posterior C3-6 fusion, considering nonunion of anterior cervical spine fusion and pseudarthrosis after fusion or arthrodesis, and meeting Medical Coverage Guidelines (MCG) criteria?
How do you differentiate and manage migratory vs persistent pain in arthralgia (joint pain) in children?
Should synchronized cardioversion or defibrillation be used for atrial flutter with tachycardia and hypotension?
What is the appropriate diagnostic and treatment approach for a patient with white stools, darker urine, and fatigue, with elevated liver enzymes?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.

Ask Question