Led
by Dr. Witten, a Board Certified Reproductive Endocrinologist, this
exciting field rounds out the general gynecological services available here
at St. John's Mercy Medical Center.
The Reproductive Endocrinology rotation
occurs in both the second and third year. A five week rotation in the second
year serves as an introduction to the principles of eliciting a reproductive
history, first exposure to techniques of ovulation induction as well as surgical
correction for infertility and evaluation of patients with endocrinopathy.
A follow up 5 week rotation occurs in the third year for which the residents
again have exposure to the evaluation of infertility and the different modalities
that are available to these couples.
Teaching includes insemination, ovulation
induction with oral and injectable gonadotrophins, and in vitro fertilization.
Additionally, residents are trained in ultrasound for follicle development
and confirmation of ovulation, diagnosis of and management of ectopic treatment
both medically and surgically, and the psychosocial issues that often accompany
the diagnosis of infertility. The scope of surgery in this rotation includes
management of uterine myoma both laparoscopically and through laparotomy,
laparoscopic laser ablation, and microsurgical techniques.