University of Liege | Version française
Academic year 2014-2015Value date : 12/05/2015
Version 2013-2014
SEXL0120-1  Multidisciplinary approach to the genital system

Duration :  40h Th
Number of credits :  
Bachelor in medicine, 2nd year5
Lecturer :  Pierre Bonnet, Jean-Pierre Bourguignon, Alain Carlier, Vincent Geenen, Philippe Kolh, Michelle Nisolle, Pascale Quatresooz
Coordinator :  Sophie Perrier d'Hauterive
Language(s) of instruction :  
French language
Course contents :  
Physiology in reproductive medicine
  • Hypothalamo-pituitary axis function
  • Ovarian cycle
  • Menstrual cycle
  • Fecondation and embryonic implantation
  • Adapatations and physiological modifications associated to pregnancy
  • Normal delivery: foetus and placenta
  • The placenta, the cord and the membrans
  • Maternal breast feeding
Learning outcomes of the course :  
  • Describe the role of hypothalamus in ovulation induction
  • Describe the hypothalamic neuro-endocrine system
  • Describe the relations between the hypothalamus and the pituitary gland
  • Understand the importance of the pulsatility of GnRH secretion
  • Describe the pulsatility of the GnRH during the cycle
  • Describe the clinical consequences of continuous administration of GnRH
  • Schematize the hypothalamo-pituitary secretions in relation with the ovarian and menstrual cycles
  • Knowledge of the external and internal regulation of the hypothalomo-pituitary axis
  • Describe the steroidal feedback on the hypothalamo-pituitary axis
  • Describe the role of the pituitary hormones on the ovulation induction
  • Describe the follicular growth until the ovulation
  • Describe the different phases of the ovarian cycle and variations
  • Describe endocrine and exocrine functions of the ovary
  • Knowledge of the inhibines role on the ovarian cycle
  • Knowledge the follicular atresia and the importance
  • Describe the bi-cellular theoric of the steroidal ovarian secretion
  • Describe the different steps of the steroidal hormones synthesis
  • Describe how to determine the ovarian reserve
  • Describe the mecanisms responsible of the ovulation
  • Precise the role of the corpus luteum
  • Compare the peripheric effects of the progesterone and oestrogens
  • Explain the consequences of oestrogens exces
  • Describe and compare the different phases of the menstrual cycle
  • Explain the initiation of the menstruations
  • Describe the embryo implantation and trophoblastic invasion
  • Describe the relation between the ovarian cycle and the menstrual cycle
  • Describe the implantation window and its importance
  • Describe the different possibilities to evaluate the clinical impregnation on oestrogens and progesterone
  • Explain the importance of the LH-RH test in amenorrhea
  • Explain the different possibilities to explore the ovarian function
  • Explain the irregular cycles at the puberty and peri-menopausis
  • What are the hormonal analysis needed to diagnose the menopausis
  • Explain the role of the progesterone test
  • Explain the mecanism of the hormonal contraception
  • Describe the role of the foeto placental unit in the steroids production
  • Explain the hormones producted by the placenta and the role of the human chorionic gonadotrophin (hCG)
  • Describe the mecanisms of the delivery
  • Describe the lactation mecanism
  • Knowledge of the anatomy and histology of the placenta
  • Knowledge of the uterine contraction, consequences on the cervix and the dilatation
  • Knowledge of the different physiological maternal modifications in relation with the pregnancy
  • Knowledge of the steps of the pulmonary maturation and its clinical implication
  • Knowledge of the myometrial histology, main receptors on muscular fibers and the physiology of the contraction
  • Knowledge of the mammal gland outside and during the pregnancy and the lactation
  • Knowledge of the formation of amniotic liquid and its role
  • Knowledge of the insuline resistance during pregnancy
  • How to detect the gestational diabetis
  • Knowledge of the foetal consequences of the hyperglycemia
  • Knowledge of the cinetic and the regulations of the prolactin liberation
  • Knowledge of the main signs of aneuploidia
  • Knowledge of the different types of twin pregnancies
  • Knowledge of the mecanism of the placental explusion
  • Knowledge of the modifications of the uterus during pregnancy
  • Knowledge of the cervical modification during labor
  • Pelvic anatomy during pregnancy and delivery
Prerequisites and co-requisites/ Recommended optional programme components :  
  • Anatomy of the hypothalamo-pituitary system and of the female genital tract
  • Histology of the female genital tract
  • Embryology of the female genital tract
Planned learning activities and teaching methods :  
Mode of delivery (face-to-face ; distance-learning) :  
Ex-Cathedra courses: 8x2 hours
  • Hypothalamo-pituitary axis function
  • Ovarian cycle
  • Menstrual cycle
  • Fecondation and embryonic implantation
  • Adapatations and physiological modifications associated to pregnancy
  • Normal delivery: foetus and placenta
  • The placenta, the cord and the membrans
  • Maternal breast feeding
Recommended or required readings :  
Courses notes available
Assessment methods and criteria :  
QROC and QCM Oral evaluation: complete evaluation of the genital module knowledge
Work placement(s) :  
Organizational remarks :  
Contacts :  
Professor Michelle NISOLLE michelle.nisolle@chu.ulg.ac.be
Secretary: Barbara DENEUMOSTIER barbara.deneumostier@chrcitadelle.be



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