Assisted Reproduction Consultation for Nursing

A Postgraduate Diploma created so that you can offer the best nursing care in the most demanding Assisted Reproduction Units"

In order to prepare the student to perform the work of patient care in the consultation of assisted reproduction units, this specialization has prepared a complete development of the competencies that the nurse must perform in this field. To this end, you will learn in detail the functioning of all phases of care in the office with special emphasis on all those basic tests necessary for the initiation and continuation of treatment, finding out the fundamental role of the nursing service: assistance, management and education.  

Regarding the pharmacology of assisted reproduction, the main objective of this Postgraduate Diploma is to familiarize nurses with the different pharmacological and hormonal treatments that exist during the assisted reproduction process. 

In addition, we will study the different techniques performed in the AR Laboratory, aimed at achieving pregnancy in patients with fertility problems both female and male, the characteristics of the surgical field and the work in it and the intervention of the nursing staff in preoperative, intraoperative and postoperative moments. 

With this Postgraduate Diploma you will be able to combine a high intensity specialization with your professional and personal life, achieving your goals in a simple and real way"

This Postgraduate Diploma in Assisted Reproduction Consultation for Nursing contains the most complete and up-to-date scientific program on the market. The most important features include: 

• The latest technology in online teaching software 
• A highly visual teaching system, supported by graphic and schematic contents that are easy to assimilate and understand
• Practical cases presented by practising experts
• State-of-the-art interactive video systems
• Teaching supported by telepractice
• Continuous updating and recycling systems
• Autonomous learning: full compatibility with other occupations
• Practical exercises for self-evaluation and learning verification
• Support groups and educational synergies: questions to the expert, debate and knowledge forums
• Communication with the teacher and individual reflection work
• Content that is accessible from any fixed or portable device with an Internet connection
• Supplementary documentation databases are permanently available, even after the course

Acquire the specific competencies of nursing in the field of Assisted Reproduction consultation and perform with the solvency of a high-level professional"

Our teaching staff is made up of professionals from different fields related to this specialty. In this way, we ensure that we provide you with the educational update we are aiming for. A multidisciplinary team of professionals educated and experienced in different environments, who will cover the theoretical knowledge in an efficient way, but, above all, will bring the practical knowledge from their own experience to the course: one of the differential qualities of this course. 

This mastery of the subject matter is complemented by the effectiveness of the methodological design of this Postgraduate Diploma in Assisted Reproduction Consultation for Nursing. Developed by a multidisciplinary team of Postgraduate Diplomas, it integrates the latest advances in educational technology. In this way, you will be able to study with a range of easy-to-use and versatile multimedia tools that will give you the necessary skills you need for your specialization.  

The design of this program is based on Problem-Based Learning: an approach that conceives learning as a highly practical process. To achieve this remotely, we will use telepractice:  With the help of an innovative interactive video system, and learning from an expert, you will be able to acquire the knowledge as if you were actually dealing with the scenario you are learning about. A concept that will allow you to integrate and fix learning in a more realistic and permanent way. 

A specialization created and directed by professional experts in Assisted Reproduction that make this Postgraduate Diploma a unique opportunity for professional growth"

Our innovative telepractice concept will give you the opportunity to learn through an immersive experience: “learning from an expert”. A system of recognized effectiveness for the integration of knowledge"

The contents of this Postgraduate Diploma have been developed by the different experts involved in the program, with a clear purpose: to ensure that our students acquire each and every one of the necessary skills to become true experts in this field.  

A complete and well-structured program that will take you to the highest standards of quality and success.

A comprehensive teaching program, structured in well-developed teaching units, oriented towards learning that is compatible with your personal and professional life" 

Module 1. Assisted Reproduction Consultation and Donor Bank

1.1. Importance of the Nurse in the Assisted Reproduction Consultation 

1.1.1. Nursing Consultation. An Emerging Requirement
1.1.2. Work Fields Care, Management and Education
1.1.3. The Integral Continuum of Care

1.2. Care Area. Follow-Up Consultation

1.2.1. Patient Care in Stimulation Cycles
1.2.2. Folliculometry
1.2.3. Cytology

1.3. Blood Tests for Fertility Study. Programming, Interpretation and Extraction

1.3.1. Hypophyseal Hormones or Gonadotropins

1.3.1.1. FSH
1.3.1.2. LH
1.3.1.3. Prolactin
1.3.1.4. TSH

1.3.2. Ovarian Hormones

1.3.2.1. Estradiol
1.3.2.2. Progesterone 
1.3.2.3. Antimullerian (HAM) 

1.3.3. Other Hormones

1.3.3.1. Free Triiodothyronine (T3)
1.3.3.2. Free Thyroxine (T4)
1.3.3.3. Total Testosterone (T)
1.3.3.4. Inhibin B

1.3.4. Implantation Failure Study. Interpretation and Extraction

1.3.4.1. Definition  
1.3.4.2. Immunological Profile 
1.3.4.3. Thrombophilias 
1.3.4.4. Endometrial Biopsy 
1.3.4.5. Endocervical and Vaginal Culture 

1.3.5. Serologies. Interpretation and Extraction 

1.3.5.1. Introduction and Necessity
1.3.5.2. HBV
1.3.5.3. HCV
1.3.5.4. HIV
1.3.5.5. Syphilis (RPR) 
1.3.5.6. Rubella
1.3.5.7. Toxoplasmosis 

1.3.6. Karyotypes 

1.4. Patient Education Area 

1.4.1. Effective Communication 
1.4.2. Basic Hygienic-Dietetic Measures. Importance of BMI 
1.4.3. Self-Administration of Medications 

1.5. Management Area 

1.5.1. Medical History 
1.5.2. Informed Consents 
1.5.3. Gamete Request 

1.5.3.1. Male Gamete Request 
1.5.3.2. Female Gamete Request 

1.5.4. Transfer of Genetic Material 

1.6. Patient Monitoring after BHCG Result 

1.6.1. Introduction. Interpretation of the Result  
1.6.2. First Consultation after BHCG Result 

1.6.2.1. Negative Result 
1.6.2.2. Positive Result 

1.6.3. Food Education for Pregnant Women 
1.6.4. Monitoring of Pregnant Women. Medication and Ultrasound Monitoring Discharge
1.6.5. Obstetrical Control after Delivery 

1.7. Donor Bank 

1.7.1. Donor Requirements. Testing and Compatibility. Importance of Blood Type
1.7.2. Limits on the Number of Stimulations and/or Donations 
1.7.3. Limit on the Number of Pregnancies
1.7.4. International Donations
1.7.5. Anonymity
1.7.6. Financial Compensation
1.7.7. Donor Registration
1.7.8. Additional Tests

1.8. Frequently Asked Questions
1.9. Conclusions

Module 2. Pharmacology

2.1. Folliculogenesis Inducer: Clomiphene Citrate 

2.1.1. Introduction
2.1.2. Definition
2.1.3. Mechanism of Action
2.1.4. Administration and Use
2.1.5. Side Effects
2.1.6. Advantages and Disadvantages
2.1.7. Results

2.2. Induction of Folliculogenesis with Gonadotropins

2.2.1. Introduction and Indications
2.2.2. Types

2.2.2.1. Follicle Stimulants
2.2.2.2. Corpus Luteum Stimulants

2.2.3. Stimulation with Increasing or Decreasing Doses 
2.2.4. Treatment Results
2.2.5. Complications 
2.2.6. Instruction in Self-Administration 

2.3. Ovulation Inducers

2.3.1. Human Chorionic Gonadotropin (hCG) and Recombinant Chorionic Gonadotropin
2.3.2. Human Menopausal Gonadotropin (hMG)
2.3.3. Recombinant Follicle Stimulating Hormone (FSH)
2.3.4. Recombinant Luteinizing Hormone (LH)
2.3.5. GnRH Agonists

2.4. Other Hormonal Treatments

2.4.1. Hypothalamic Gonadotropin-Releasing Hormone (GnRH)

2.4.1.1. Introduction
2.4.1.2. Mechanism of Action
2.4.1.3. Administration Guideline
2.4.1.4. Complications

2.4.2. Aromatase Inhibitors

2.4.2.1. Definition and What It Is Used For
2.4.2.2. Mechanism of Action and Mode of Use
2.4.2.3. Administration Guideline
2.4.2.4. Types
2.4.2.5. Advantages and Disadvantages

2.5. Use of Gonadotropin Analogues in Assisted Reproduction

2.5.1. Agonists

2.5.1.1. Introduction and Main Agonists
2.5.1.2. Origin, Chemical Structure and Pharmacodynamic Properties 
2.5.1.3. Pharmacokinetics and Method of Administration
2.5.1.4. Effectiveness

2.5.2. Antagonists

2.5.2.1. Types and Mechanism of Action
2.5.2.2. Form of Administration
2.5.2.3. Pharmacokinetics and Pharmacodynamics 

2.6. Other Coadjuvant Pharmaceutical Products Used in Assisted Reproduction

2.6.1. Insulin-Sensitizing Drugs: Metformin
2.6.2. Corticoids
2.6.3. Folic Acid 
2.6.4. Estrogens and Progesterone
2.6.5. Oral Contraceptives

2.7. Pharmacological Support of the Luteal Phase in In Vitro Fertilization

2.7.1. Introduction
2.7.2. Ways to Treat Luteal Phase Deficit

2.7.2.1. Luteal Support with hCG
2.7.2.2. Luteal Phase Supplementation with Progesterone
2.7.2.3. Luteal Phase Supplementation with Estrogens
2.7.2.4. Luteal Phase Maintenance with GnRH Agonists

2.7.3. Controversies
2.7.4. Conclusions

2.8. Complications of Ovarian Stimulation: Ovarian Hyperstimulation Syndrome (OHSS)

2.8.1. Introduction
2.8.2. Pathophysiology
2.8.3. Symptomatology and Classification 
2.8.4. Prevention
2.8.5. Treatment 

2.9. Commercial Presentations in Fertility Treatments 

2.9.1. Ovitrelle®, Elenva®, Ovaleap®, Porgoveris®, Bemfola®, Monopur®, Gonal®, Puregon®, Fostipur®, HMG-Lepori®, Decapeptyl®, Cetrecide®, Orgaluntan®

2.10. Anesthetic Management in Assisted Reproduction 

2.10.1. Introduction
2.10.2. Local Anesthesia
2.10.3. Opioids
2.10.4. Benzodiazepines
2.10.5. Inhalation and Intravenous General Anesthesia: Nitrous Oxide, Halogenated and Propofol
2.10.6. Regional Anesthesia
2.10.7. Conclusions

Module 3. Assisted Reproduction Techniques

3.1. Artificial Insemination

3.1.1. Definition
3.1.2. Types
3.1.3. Indications
3.1.4. Requirements
3.1.5. Procedure
3.1.6. IVF/ICSI Results and Pregnancy Probability
3.1.7. Definition and Differences  
3.1.8. IVF/ICSI Indications
3.1.9. Requirements
3.1.10. Advantages and Disadvantages
3.1.11. Probability of Pregnancy
3.1.12. Procedure

3.1.12.1. Oocyte Puncture
3.1.12.2. Oocyte Evaluation
3.1.12.3. Oocyte Insemination (IVF/ICSI) 

3.1.12.3.1. Other Insemination Techniques: IMSI, PICSI, ICSI+MACS, Use of Polarized Light

3.1.12.4. Evaluation of Fertilization
3.1.12.5. Embryo Culture

3.1.12.5.1. Types 
3.1.12.5.2. Cultivation Systems
3.1.12.5.3. Time-Lapse Culture Equipment      

3.1.13. Possible Risks

3.2. Preimplantation Genetic Test (PGT)

3.2.1. Definition
3.2.2. Types
3.2.3. Indications
3.2.4. Procedure
3.2.5. Advantages and Disadvantages

3.3. Embryo Transfer

3.3.1. Definition 
3.3.2. Embryo Quality and Selection

3.3.2.1. Transfer Day
3.3.2.2. Number of Embryos to Be Transferred

3.3.3. Assisted Eclosion 
3.3.4. Procedure 

3.4. Freezing and Vitrification 

3.4.1. Differences
3.4.2. Sperm Freezing

3.4.2.1. Definition

3.4.3. Egg Vitrification 

3.4.3.1. Definition 
3.4.3.2. Procedure
3.4.3.3. Devitrification
3.4.3.4. Advantages: Preservation and Donation

3.4.4. Embryo Vitrification

3.4.4.1. Definition
3.4.4.2. Indications
3.4.4.3. Vitrification Day
3.4.4.4. Procedure
3.4.4.5. Devitrification
3.4.4.6. Advantages

3.4.5. Fertility Preservation (experimental)

3.4.5.1. Ovarian Tissue 
3.4.5.2. Testicular Tissue

3.5. Donation

3.5.1. Definition 
3.5.2. Types of Donation

3.5.2.1. Egg Donation

3.5.2.1.1. Definition
3.5.2.1.2. Indications 
3.5.2.1.3. Types of Egg Donation
3.5.2.1.4. Procedure 

3.5.2.1.4.1. Donor Ovarian Puncture 
3.5.2.1.4.2. Recipient Endometrial Preparation

3.5.2.2. Egg Bank: Storage System 
3.5.2.3. Advantages and Disadvantages 
3.5.2.4. Sperm Donation 

3.5.2.4.1. Procedure

3.5.2.5. Embryo Donation

3.5.2.5.1. Definition
3.5.2.5.2. Indications
3.5.2.5.3. Procedure
3.5.2.5.4. Advantages

3.5.2.6. Double Donation

3.5.2.6.1. Definition
3.5.2.6.2. Indications
3.5.2.6.3. Procedure

3.6. ROPA Method

3.6.1. Definition
3.6.2. Indications
3.6.3. Procedure
3.6.4. Legal Requirements

3.7. Traceability

3.7.1. Definition 
3.7.2. Materials
3.7.3. Samples 
3.7.4. Double Check 
3.7.5. Technological Traceability Systems (Witness, Gidget)

3.8. Biovigilance
3.9. Other techniques 

3.9.1. Endometrial Receptivity Test (ERA)
3.9.2. Study of the Vaginal Microbiome

A very complete teaching program, structured in complete and specific educational units, in a learning process that is totally compatible with your personal and professional life"