The PSREI midyear convention exhibit is opened by keynote lecturer and past president Dr. Lilia Luna, current vice president Dr. Ma. Antonia Habana, and president Dr. Rudie Frederick Mendiola, while past president Dr. Rogelio Mendiola looks on.
MANILA, Philippines – The Philippine Society of Reproductive Endocrinology and Infertility (PSREI) has recently conducted one of the first Philippine medical conventions that will be turned into a full online course, with locally recognized continuing medical education (CME) units granted to its online attendees.
“This is a testament to our effort in raising the bar in the practice of reproductive medicine in the Philippines,” said PSREI president Dr. Rudie Frederick Mendiola.
The event, the PSREI 14th Midyear Convention, was themed “Leaps and Strides in the Management of Abnormal Uterine Bleeding (AUB).”
According to Dr. Leonardo Almeda, chairman of the PSREI scientific committee, “AUB is one of the most common complaints encountered in OB-GYN clinics.”
The lectures were started off by Dr. Anna Belen Alensuela, who reviewed the key events required for menstruation to start and stop, and the possible disorders or actions that could prevent the normal stoppage of uterine bleeding.
Dr. Alensuela interestingly noted that while AUB is a common complaint, it is abnormally low bleeding, not heavy bleeding, that usually brings Filipino patients to clinics.
“Filipinas love to menstruate,” Dr. Alensuela observed. “The only time that a Filipina would come to us because of heavy menses is when the adolescent is involved.”
To this she attributes the high prevalence of iron-deficiency anemia among females in the country.
Dr. Alensuela’s lecture was followed by that of Dr. Ina Irabon, who gave the audience a systematic method for investigating and evaluating AUB, beginning with a reminder that before any of these steps are taken, the doctor should first ascertain that the bleeding is not from a urinary or gastrointestinal source, and that the patient is not pregnant.
Dr. Irabon also noted the importance of first assessing the patient’s hemodynamic status: “If the patient is hemodynamically unstable, all efforts should first be directed towards resuscitation.”
The keynote lecturer, Dr. Lilia Luna, underscored the importance of having a single language for all doctors to use in describing the symptoms, signs, and causes of AUB.
She then explained the new standard AUB terminologies, as well as the terms that should no longer be used (e.g., "dysfunctional uterine bleeding"), as per the 2011 FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age.
Dr. Ma. Katherine Lipana lectured on the various methods of managing AUB, such as intravenous conjugated equine estrogen and combined oral contraceptive pills, and their corresponding risks. She also presented the clinical studies (or the lack thereof) supporting or opposing each method.
These four overview lectures were followed by specifically focused lectures on the presentations, methods of diagnosis, and medical and surgical management of each of the anatomic and non-anatomic causes of AUB, or the PALM-COEIN (polyps, adenomyosis, leiomyoma, malignancy and hyperplasia, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and “not yet classified”).
In her video presentation, Dr. Regina Paz Tan-Espiritu tackled the more challenging presentations of polyps, myomas, and adenomyosis.
Before presenting the summary of the convention’s learning points, PSREI vice president Dr. Ma. Antonia Habana expressed gratification at the uncommonly high number of people who attended the conference.
“We are overwhelmed,” she beamed.
“Unfortunately, we can’t fit every practicing OB-GYN in this ballroom,” Dr. Mendiola said, hence the society’s decision to make the course available online for other interested doctors who were unable to attend the live event.
The digitized lectures of the PSREI 14th Midyear Convention, as well as their corresponding online assessments, will be available some time in June or July.
If you are interested in taking the online course (with CME credits), you may sign up at mdpie.com/psrei-midyear so that you can be notified when the online course is open for registration.
Meanwhile, attendees of the live event may also register at mdpie.com/psrei-midyear to gain free access to the digitized lectures so that you can review them on your computer or mobile device at your own convenient place and time.