Lesson 1Psychosocial an emotional screenin: mood, anxiety, body image, relationship dynamics, an intimate partner violence screeninDis section tackle psychosocial an emotional screenin in gynecology visits, includin mood, anxiety, body image, relationships, an intimate partner violence, wid trauma-informed ways an referral paths fi support.
Screening for depression, anxiety, and suicidalityExploring body image and reproductive identityAssessing relationship quality and sexual coercionIntimate partner violence screening and safety plansTrauma‑informed communication during examsReferral to mental health and social servicesLesson 2Systemic an lifestyle history: weight changes, diet, sleep, exercise, substance use, an work/stressDis section explore systemic an lifestyle factors weh influence gynecology health, includin weight, nutrition, sleep, exercise, substance use, an work stress, an mix in counselin fi support behavior change.
Weight changes, BMI, and menstrual irregularitiesDietary patterns, anemia, and bone healthSleep quality, circadian disruption, and hormonesExercise, athletic amenorrhea, and energy balanceSubstance use and reproductive health outcomesWork stress, shift work, and coping strategiesLesson 3Detailed menstrual history: cycle patterns, bleedin quantity, intermenstrual bleedin, duration, an changes over timeDis section detail how fi get a precise menstrual history, includin cycle regularity, flow volume, pain, an associated symptoms, fi tell normal variation from patterns weh suggest endocrine, structural, or bleedin disorders.
Defining menarche, cycle length, and variabilityAssessing flow volume, clots, and flooding episodesDocumenting dysmenorrhea and associated symptomsIdentifying intermenstrual and postcoital bleedingRecognizing patterns suggesting endocrine disordersMenstrual history in perimenopause and menopauseLesson 4Reproductive intentions an preconception plannin: timin, fertility factors, folic acid an immunizationsDis section focus pon assessin reproductive intentions an preconception health, includin timin, fertility awareness, chronic disease optimization, folic acid, immunizations, an medication review before pregnancy.
Clarifying short‑ and long‑term reproductive goalsFertility awareness and timing of intercourseOptimizing chronic conditions before conceptionFolic acid, nutrition, and weight optimizationImmunization review and needed updatesTeratogenic medication review and adjustmentsLesson 5Sexual an contraceptive history: partners, practices, STI risk, condom use, barrier an hormonal optionsDis section guide collectin a sensitive, inclusive sexual an contraceptive history, coverin partners, practices, STI risk, barrier an hormonal methods, adherence, side effects, an shared decision-makin in method selection.
Using inclusive, nonjudgmental sexual history questionsAssessing partners, practices, and STI risk factorsEvaluating current contraceptive use and adherenceReviewing barrier, hormonal, and LARC optionsAddressing side effects and method dissatisfactionCounseling on dual protection and emergency optionsLesson 6Focused documentation techniques an SOAP note structure fi outpatient gynecology visitsDis section explain how fi structure outpatient gynecology documentation usin SOAP, emphasizin concise, clinically relevant notes weh support continuity of care, legal standards, billin, an interprofessional communication.
Organizing the gynecologic subjective databaseKey objective findings in pelvic and general examsFormulating focused gynecologic assessment statementsWriting clear, prioritized plans and follow‑upUsing templates and electronic health recordsLegal, billing, and confidentiality considerationsLesson 7Family an gynecology history: cancers, thromboembolic disease, PCOS, endometriosis, early menopauseDis section cover collectin detailed family an gynecology history, focusin pon hereditary cancers, thromboembolic disease, PCOS, endometriosis, an early menopause fi spot risk patterns an guide counselin an screenin.
Eliciting family history of breast and ovarian cancerIdentifying hereditary colon and endometrial cancersFamily and personal history of thromboembolismDocumenting PCOS, endometriosis, and infertilityRecognizing patterns of early or premature menopauseWhen to refer for genetic counseling and testingLesson 8Use of screenin tools an questionnaires: PHQ-9, GAD-7, bleedin assessment tools (PBAC), an sexual health screensDis section review validated screenin tools use in gynecology care, includin PHQ-9, GAD-7, PBAC, an sexual health questionnaires, wid guidance pon administration, scorIN, interpretation, an integratin results into care plans.
Selecting appropriate screening tools by indicationAdministering PHQ‑9 and interpreting depression scoresUsing GAD‑7 for anxiety in gynecologic settingsApplying PBAC to quantify menstrual blood lossSexual function and satisfaction screening toolsDocumenting and acting on abnormal screening resultsLesson 9Medication, supplement, an allergy review wid potential gynecology implicationsDis section emphasize systematic review of medications, supplements, an allergies, highlightin agents weh affect bleedin, fertility, bone health, an contraception, an teachin nurses fi spot interactions an contraindications.
Identifying hormonal therapies and contraceptivesAnticoagulants and drugs affecting bleeding patternsSupplements impacting fertility and bone healthMedication interactions with contraceptive methodsDocumenting allergies and prior adverse reactionsCounseling on safe over‑the‑counter product useLesson 10Red flags an urgent symptoms: abnormal bleedin requirin immediate evaluation, severe pelvic pain, fever, syncopeDis section train nurses fi recognize red flag gynecology symptoms, such as hemodynamically significant bleedin, severe pelvic pain, fever, an syncope, an fi start timely triage, stabilization, an referral.
Criteria for urgent abnormal uterine bleedingSevere pelvic pain and concern for torsion or ectopicFever, discharge, and suspected pelvic infectionSyncope, dizziness, and hemodynamic instabilityWhen to escalate to emergency services or surgeryPatient education on warning signs and self‑triage
