PANCE Blueprint Reproductive System (7%)

• Abscess
• Fibroadenoma
• Fibrocystic changes
• Galactorrhea
• Gynecomastia
• Mastitis

Cervical disorders

• Cervicitis
• Dysplasia

Complicated pregnancy

• Abortion
• Abruptio placentae
• Breech presentation
• Cesarean delivery
• Cord prolapse
• Dystocia
• Ectopic pregnancy
• Fetal distress
• Gestational diabetes
• Gestational trophoblastic disease
• Hypertension disorders in pregnancy
• Incompetent cervix
• Multiple Gestations
• Placenta previa
• Postpartum hemorrhage
• Premature rupture of membranes
• Rh incompatibility
• Shoulder dystocia

Contraceptive methods

Human sexuality

Infertility

Menstrual disorders

Neoplasms of the breast and reproductive tract benign and malignant

• Breast Cancer
• Cervical Cancer
• Ovarian Cancer
• Endometrial Cancer
• Vulvar and Vaginal Cancer

Ovarian disorders

• Cysts
• Polycystic ovarian syndrome
• Torsion

Sexually transmitted infections /Pelvic inflammatory disease

Trauma

• Physical assault
• Sexual assault
• Trauma in pregnancy

Uncomplicated pregnancy

• Normal labor/delivery
• Postnatal/postpartum care
• Preconception/prenatal care

Uterine disorders

• Endometriosis
• Leiomyoma
• Prolapse

Vaginal/vulvar disorders

• Cystocele
• Prolapse
• Rectocele
• Vaginitis

Reproductive System Exam

Here is a summary of the new additions/updates to the 2024 PANCE Reproductive System Blueprint that took effect in 2025.

• Removed (Male and Female) from the System title.
• The topic of human sexuality now includes gender identity.
• Pelvic inflammatory disease is no longer grouped with sexually transmitted infections.
• Sexually transmitted infections have been removed from the PANCE blueprint. They are covered as individual topics in the infectious disease blueprint.
• Pregnancy is a singular topic and is no longer divided into uncomplicated and complicated subtypes.
  • New topics within the category of pregnancy include:
    • Postpartum pituitary disorders
    • Postpartum psychiatric disorders
    • Cervical insufficiency (previously “incompetent cervix”)
    • Prelabor rupture of membranes (previously “premature rupture of membranes”)
    • Umbilical cord prolapse (previously “cord prolapse)
• Trauma in pregnancy category updated with the addition of “psychological” trauma.
• New topic of Bartholian gland cysts added to vaginal/vulvar disorders.