Fellowship on Reproductive Medicine and Assisted Reproductive Technology (ART)

Class Schedule

Classes will be held on:

Saturday, Tuesday & Thursday

Session: 45 minutes × 3

Course Curriculum

Module 1: Reproductive Physiology, Developmental Defect, Genetics & Endocrinology

Key Topics

• Anatomy and physiology of male and female reproductive systems
• Hypothalamic-pituitary-gonadal axis
• Role of FSH, LH, Inhibin, AMH, estrogen, progesterone and GnRH
• Physiology of ovulation and menstruation
• Abnormal uterine bleeding (AUB)
• Amenorrhoea
• Developmental defects of the female genital tract
• Prolactin and thyroid hormones in reproduction
• Intersex conditions
• Hirsutism
• Genetic basis of infertility

Course Learning Outcomes

At the end of this module, students will be able to:

• Explain the endocrine regulation of human reproduction.
• Describe the anatomy and physiology of the male and female reproductive systems.
• Understand the hormonal regulation of ovulation and menstruation.
• Identify common reproductive endocrine disorders.
• Explain the genetic and developmental factors associated with infertility.

Teaching & Learning Strategy

• Lecture
• Guided discussion
• Video demonstration
• Hands-on practical

Assessment

• Multiple Choice Questions (MCQ)
• Short Answer Questions (SAQ)

Module 2: Gametogenesis to Implantation

Key Topics

• Oogenesis and folliculogenesis
• Spermatogenesis
• Gametogenesis
• Fertilization
• Implantation
• Fertilization failure
• Implantation failure

Course Learning Outcomes

At the end of this module, students will be able to:

• Understand the origin and development of male and female gametes.
• Explain the processes of oogenesis and spermatogenesis.
• Describe fertilization and early reproductive development.
• Understand the mechanisms of implantation and implantation failure.

Teaching & Learning Strategy

• Lecture
• Guided discussion
• Video demonstration
• Hands-on practical

Assessment

• MCQ
• SAQ

Module 3: Infertility – Diagnosis & Management

Key Topics

• Overview and causes of infertility
• Male and female infertility evaluation
• Genetic basis of infertility
• PCOS
• Endometriosis
• Adenomyosis
• Fibroid uterus
• Genital tuberculosis
• Tubo-peritoneal factors
• Unexplained infertility
• Ovulation induction
• Male factor infertility
• Semen analysis
• Intrauterine insemination (IUI)
• Role of ultrasonography
• Laparoscopy in infertility
• Hysteroscopy in infertility
• Counseling in infertility

Course Learning Outcomes

At the end of this module, students will be able to:

• Describe the investigation pathway for infertile couples.
• Identify common causes and pathologies associated with infertility.
• Understand the role of genetic testing, ultrasonography, laparoscopy and hysteroscopy.
• Develop an appropriate investigation and management pathway for infertility cases.

Teaching & Learning Strategy

• Lecture
• Guided discussion
• Video demonstration
• Hands-on practical

Assessment

• MCQ
• SAQ

Module 4: Assisted Reproductive Technologies (ART)

Key Topics

• Overview of Assisted Reproductive Technology
• Patient selection for ART
• Ovarian stimulation
• Ovarian Hyperstimulation Syndrome (OHSS)
• Premature Ovarian Insufficiency (POI)
• IVF
• ICSI
• Oocyte and embryo grading
• Preimplantation Genetic Diagnosis (PGD)
• Fertility preservation
• IVF laboratory quality control
• Troubleshooting of ART

Course Learning Outcomes

At the end of this module, students will be able to:

• Understand clinical indications and patient selection for ART.
• Explain different ovarian stimulation protocols.
• Understand the principles of IVF and ICSI.
• Identify potential complications of ART.
• Understand embryo grading and fertility preservation.
• Develop an appropriate treatment approach for infertile couples requiring tertiary-level care.

Teaching & Learning Strategy

• Lecture
• Guided discussion
• Video demonstration
• Hands-on practical

Assessment

• MCQ
• SAQ

Module 5: IVF Laboratory

Key Topics

• IVF laboratory structure and design
• Controlled laboratory environment
• Quality control and quality assurance
• IVF laboratory management
• Air quality and filtration
• Laboratory equipment
• Incubators and microscopes
• Gamete handling
• Fertilization practices
• Laboratory safety and quality management

Course Learning Outcomes

At the end of this module, students will be able to:

• Understand the principles of IVF laboratory design.
• Identify essential laboratory equipment and facilities.
• Understand quality assurance and quality control procedures.
• Recognize the importance of air quality and environmental control.
• Develop knowledge of basic clinical embryology laboratory practices.

Teaching & Learning Strategy

• Lecture
• Guided discussion
• Video demonstration
• Hands-on practical

Assessment

• MCQ
• SAQ

Module 6: USG (TAS + TVS) in Infertility

Key Topics

• Ultrasound machine selection and setup
• Probe selection and orientation
• Transabdominal and transvaginal ultrasonography
• Endometrial assessment
• Ovarian assessment
• Fallopian tube assessment
• Adnexal assessment
• Endometrial and myometrial abnormalities
• IETA classification
• Adenomyosis
• Cervical ultrasonography
• Ovarian abnormalities
• IOTA classification
• Ultrasonography in infertility
• Folliculometry
• Endometrial thickness
• Doppler assessment
• Doppler applications in gynecology
• Introduction to 3D ultrasound
• Structured reporting
• Patient communication
• Follow-up and multidisciplinary referral

Course Learning Outcomes

At the end of this module, students will be able to:

• Select and set up an ultrasound machine appropriately.
• Perform systematic assessment of the uterus, endometrium, ovaries and adnexa.
• Understand folliculometry and endometrial assessment.
• Recognize common gynecological and infertility-related abnormalities.
• Apply Doppler and basic 3D ultrasound techniques.
• Prepare appropriate written summaries and structured reports.
• Communicate findings and arrange appropriate follow-up.

Teaching & Learning Strategy

• Lecture
• Guided discussion
• Video demonstration
• Hands-on practical

Assessment

• MCQ
• SAQ

Module 7: Laparoscopy in Infertility

Key Topics

• Laparoscopic instruments and devices
• Cleaning and sterilization of instruments
• Energy sources in laparoscopic surgery
• Operating room setup
• Ergonomic principles
• Laparoscopic access and port placement
• Tissue approximation
• Knotting and suturing
• Patient positioning and associated injuries
• Common mistakes and errors in laparoscopic surgery
• Laparoscopic endo-trainer practice
• Endo-suturing
• Intracorporeal knotting
• Extracorporeal knotting
• Clipping, tacking and stapling

Practical Skills

Participants will receive hands-on exposure to:

• Laparoscopic instruments and devices
• Laparoscopic ergonomics
• Laparoscopic access
• Endo-trainer exercises
• Endo-suturing
• Intracorporeal knotting
• Extracorporeal knotting
• Clipping, tacking and stapling

Course Learning Outcomes

At the end of this module, students will develop knowledge and practical familiarity with essential laparoscopic instruments, operating room setup, access techniques, ergonomics and basic laparoscopic suturing and knotting skills.

Teaching & Learning Strategy

• Lecture
• Guided discussion
• Video demonstration
• Hands-on practical

Assessment

• MCQ
• SAQ

Module 8: Instruments & Room Setup for Hysteroscopy

Key Topics

• Distension media for uterine cavity
• Cold light source