2nd Virtual Preceptorship in male infertility
The landscape of male infertility factors in ART
26 November 2022
02 December 2022
10 December 2022
Free On demand and E-learning
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Free On demand and E-learning

Overview

Andrology, the branch of medicine concerned with male sexual and reproductive health, emerged as a specialty at the end of the nineteenth century. However, it was not until the latter half of the past century that andrology had been recognized as one of the most intriguing sub-specialties of human reproduction.

The demand for andrologists and reproductive urologists is increasing but there are insufficient experts to keep pace with the requirement. The scope of modern andrology covers a broad spectrum from genetic studies to assisted reproduction techniques, and there is a clear need for updating healthcare professionals in these aspects.

This preceptorship will offer urologists, gynecologists, embryologists, andrologists and scientists working in ART an opportunity to learn the tools to implement reproductive andrology in a Fertility Center. The participants will be guided by international experts through lectures, debates and interactive discussions. Apart from providing new insights into male infertility, this educational activity will give a guided journey through a modern centre specialised in male reproductive health.

Learning Objectives

  • With this preceptorship, the participants will:
  • • Standardize the male infertility evaluation and its importance for ART success.
  • • Learn about basic and specialized sperm function tests, how to order and interpret results.
  • • Acquire knowledge on the most effective treatments for infertile males and how they can add value to improve ART success.
  • • Be able to describe the procedure to set up a successful sperm retrieval program.

Target Audience

The program is intended for clinicians, embryologists, andrologists, scientists, and managers working in ART who wish to update their knowledge of advanced techniques and scientific innovations and understand best practices using evidence-based models of care.

Accredition

2nd Virtual Preceptorship in male infertility – The landscape of male infertility factors in ART Milan, Italy, 26/11/2022 – 02/12/2022 – 10/12/2022 has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) for a maximum of 2 European CME credits (ECMEC®s).

The content of the following has been certified by the CPD Certification Service as conforming to continuing professional development principles, 2nd Virtual Preceptorship in male infertility – The landscape of male infertility factors in ART. 

Language

The official language of the activity will be English. 

Partnership

 Association of Reproductive Medicine and Surgery (ARMS) 

Algerian Society of Reproductive Medicine (SAMERE)

Brazilian Association of Assisted Reproduction (SBRA)

Brazilian Society of Human Reproduction (SBRH)

Brazilian Society of Urology (SBU)

Spanish Fertility Society (SEF)

Italian Society of Fertility and Sterility (SIFES)

POSEIDON – Patient Oriented Strategies Encompassing IndividualizeD Oocyte Number

Portuguese Society of Reproductive Medicine (SPMR)

Turkish Society of Reproductive Medicine (TSRM) 

Tunisian Society of Gynecology and Obstetrics (STGO)
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Androfert – Andrology and Human Reproduction Clinic (Campinas, Brazil)

Atlantic Reproductive Medicine Specialists

Skive Fertility Clinic, Faculty of Health. Aarhus University, Denmark
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Archipelagos Institute of Marine Conservation

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2nd Virtual Preceptorship in male infertility

The landscape of male infertility factors in ART

26 November 2022

02 December 2022

10 December 2022

Free On demand and E-learning

Language

The official language of the activity will be English.
eng

Accreditation

The live sessions has been submitted for CME accreditation to EACCME® (European Accreditation Council for Continuing for Medical Education).

Format

The virtual preceptorship will feature 4 video lectures and 2 videos that will be released throughout the course period. In addition, three live sessions (practical session in three ‘host’ clinics) will be streamed live and each session will provide the opportunity for more practical in-depth learning. Each live session will engage a group of participants that has prepared case studies and questions. The chair will present selected case studies/ questions focusing on male infertility and ART, and discuss them live together with the host Clinic team. Prior to each live session, relevant MCQ and literature will be shared with participants. The pre-live exercises will guide discussion on the optimal clinical management for each case. During the live sessions, users will be able to visit the chat room to discuss interesting topics and debate with colleagues. Further, a library with a collection of articles related to the program will be provided.

Chairs

Sandro C. Esteves

Androfert - Andrology and Human Reproduction Clinic
Campinas, Brazil
Biography

Matthew R. Coward

Atlantic Reproductive Medicine Specialists Raleigh, NC, USA
Biography

Co-Chairs

Carlo Alviggi

Federico II University
Naples, Italy
Biography

Robert Fisher

Fertility Centre Hamburg
Hamburg, Germany
Aarhus, Denmark
Biography

Peter Humaidan

Fertility Clinic, Skive Regional Hospital
Faculty of Health, Aarhus University
Biography

Faculty

26 November 2022

Arnold P. Achermann

Reproductive Urologist
Androfert-Andrology and Human Reproduction Clinic
Campinas, Brazil
Biography

Fabiola Bento

Quality Manager
Androfert - Andrology and Human Reproduction Clinic
Campinas, Brazil
Biography

Sandro C. Esteves

Medical Director, Androfert - Andrology and Human Reproduction Clinic
Professor of Urology, University of Campinas (UNICAMP)
Campinas, Brazil
Biography

Jorge Hallak

Medical Director, Androscience
Science and Innovation Center in Andrology and High-Complex Clinical and Research Andrology Laboratory
Sao Paulo, Brazil
Biography

Ricardo Miyaoka

Reproductive Urologist, Androfert - Andrology and Human Reproduction Clinic
Professor of Urology, University of Campinas (UNICAMP)
Campinas, Brazil
Biography

Marina Viana

Fellow, Male Infertility
Federal University of Sao Paulo & Androfert
Sao Paulo & Campinas, Brazil
Biography

Tainah Moraes

Embryologist
Androfert - Andrology and Human Reproduction Clinic
Campinas, SP, Brazil
Biography

Maria Gabriela Mulato

Laboratory Andrologist
Androfert - Andrology and Human Reproduction Clinic
Campinas, SP, Brazil
Biography

Sidney Verza

Senior Embryologist
Androfert - Andrology and Human Reproduction Clinic
Campinas, SP, Brazil
Biography

2 December 2022

Susannah Copland

Atlantic Reproductive Medicine Specialists
Raleigh, NC, USA
Biography

Mary Peavey

Atlantic Reproductive Medicine Specialists
Raleigh, NC, USA
Biography

R.Matthew Coward

Atlantic Reproductive Medicine Specialists
Raleigh, NC, USA
Biography

Sandro C. Esteves

Medical Director, Androfert - Andrology and Human Reproduction Clinic
Professor of Urology, University of Campinas (UNICAMP)
Campinas, Brazil
Biography

Sushma Singh

Atlantic Reproductive Medicine Specialists
Raleigh, NC, USA
Biography

10 December

Betina Boel Povlsen

Fertility Clinic, Skive Regional Hospital
Faculty of Health, Aarhus University
Aarhus, Denmark
Biography

Sandro C. Esteves

Medical Director, Androfert - Andrology and Human Reproduction Clinic
Professor of Urology, University of Campinas (UNICAMP)
Campinas, Brazil
Biography

Peter Humaidan

Fertility Clinic, Skive Regional Hospital
Faculty of Health, Aarhus University
Aarhus, Denmark
Biography

Rita Laursen

Fertility Clinic, Skive Regional Hospital
Faculty of Health, Aarhus University
Aarhus, Denmark
Biography

Educational Materials

Access our E-learning platform and watch the educational materials for your preparation of the next live sessions. 

26 November 2022 – 02 December 2022 – 10 December 2022

 

Video lectures, videos surgeries and mappping are released throughout the course period in our E-Learning platform.

 

On demand Sessions and E-learning material available

E-learning platform

Scientific Program

Download PDF

Agenda

Funding

Our educational activities are supported by an independent grant from the Healthcare business of Merck KGaA, Darmstadt, Germany; and additional support from FUJIFILM EUROPE GMBH, Fujifilm Italia S.p.A., FUJIFILM France S.A.S.

· Sandro C. Esteves ·

Sandro Esteves, MD., Ph.D. is a board-certified urologist and consultant in assisted reproduction with over 25 years of clinical experience in all areas of reproductive medicine, with specialization in male reproduction.

He is listed by Expertscape among the top three world experts in the areas of male infertility, azoospermia, varicocele, and sperm retrieval techniques. Sandro has been also included in the list of the world’s most influential scientists.

He is the Founder and Medical Director of the ANDROFERT Andrology & Human Reproduction Clinic, in Campinas, Brazil. Dr. Esteves established the first Brazilian Fertility Clinic with a primary focus on male infertility, as well as the very first to introduce quality management as per the ISO 9001 standards and IVF cleanroom technology (ISO 14644-1).

Sandro is also a Collaborating Professor of Urology at the University of Campinas (UNICAMP, Brazil) and Honorary Professor of Reproductive Medicine at Aarhus University (Denmark). Dr. Esteves received his Master’s in Surgery from the University of Campinas Medical School and his Ph.D. in Urology from the Federal University of São Paulo Medical School. His post-doctoral training was at the American Center for Reproductive Medicine at the Cleveland Clinic in the United States. He has received many research grants and awards from national and international societies.

Prof. Esteves is the author of 10 textbooks in the fields of infertility and reproductive medicine. He was also the co-editor of several Journal Supplements and has published over 400 hundred scientific papers in journals like Lancet, Nature, Human Reproduction Update, Human Reproduction, Fertility and Sterility, etc. His current Hirsch index (h-index) is 63 while his citation count is over 12K. He is a member of ‘Faculty Opinions’ in the area of reproductive endocrinology & infertility. Dr. Esteves is Associate Editor of Frontiers in Endocrinology (Reproduction), Andrology, International Brazilian Journal of Urology, Regional Editor of the Société Internationale d’Urologie Journal, an editorial board member of Nature Reviews Urology, and a dozen of other peer-reviewed scientific journals. He is also a co-founder of the POSEIDON group and currently serves as a Chair of the Male Infertility Section of the WHO Infertility Guidelines Development Group.

Dr. Esteves is a very much requested speaker and presents over 50 lectures annually. He also regularly conducts infertility workshops, provides consulting services in the area of quality management for ART Clinics,

· Matthew R. Coward ·

Dr. Matt Coward is the Director of Male Reproductive Medicine and Surgery at Atlantic Reproductive Medicine Specialists in Raleigh, NC.  He is also Adjunct Professor of Urology and Obstetrics and Gynecology at the UNC School of Medicine.  He earned his MD with Distinction followed by urology residency at UNC, and he completed fellowship in Male Reproductive Medicine and Surgery at the Baylor College of Medicine.  He has received grants from the NIH, the SMSNA, the Doris Duke Foundation, and UNC Healthcare, and he has served as a co-investigator with the Reproductive Medicine Network of the NICHD.  He has published more than 75 peer-reviewed scientific articles and chapters.  He currently serves on the Boards of Directors for the AUA’s Society for the Study of Male Reproduction as well as the ASRM’s Society for Male Reproduction and Urology. 

· Carlo Alviggi ·

Carlo Alviggi earned his MD degree in 1994, from the Faculty of Medicine of the University of Naples “Federico II” in Naples, Italy; he specialized in obstetrics and gynaecology in 1998, and gained a PhD in 2001, from the same university. During his career, he collaborated with: The Imperial College of London, in London, UK; the Laboratory of Immunology of the Italian National Research Council in Naples; and the Autoimmunity and Tolerance Laboratory of the University of California in Los Angeles, CA, USA. This network resulted in various publications, some of which concern new hypotheses on the pathogenesis of pelvic endometriosis. He is now an associate professor in reproductive medicine at the Fertility Unit of the University of Naples “Federico II”. Professor Alviggi’s current research interests are the role of luteinizing hormone (LH) in folliculogenesis; the use of LH-containing drugs in patients undergoing ovarian controlled stimulation for IVF; the pathogenesis of pelvic endometriosis; oncofertility; reproductive endicrinology and the genetics of human reproduction. He has participated in several national and international (phase 2 and 3) multicentric, prospective randomized trials. Professor Alviggi has published extensively and has been invited to lecture at over 200 international meetings dealing with reproductive medicine and gynaecological endocrinology; he is also starter and co-founder of the Poseidon group, an international collaborative network dedicated to low prognosis patients in Assisted Reproductive Technology and vice-President of the “Società Italiana di Fertilità e Sterilità – Medicina della Riproduzione”.

· Robert Fischer ·

Robert Fischer is the founder and Medical Director of the Fertility Center Hamburg (FCH) in Hamburg, Germany. Dr Fischer trained in obstetrics and gynaecology at the University Hospital of Münster, Germany, from 1979 to 1982 and at the Queen’s Medical Centre, University of Nottingham, UK. In 1983, Dr Fischer pioneered the first German outpatient IVF unit in Hamburg and became its Medical Director. The unit moved to a new location in 1998, and its name was changed to the “Fertility Center Hamburg”.

In July 1998, the Fertility Center Hamburg was one of the first centres, both in Germany and worldwide, to introduce quality management, and it was certified according to the ISO 9001 and accredited for IVF laboratories (ISO 17025). Dr Fischer’s main research interests are in the development of stimulation protocols, luteinizing hormone supplementation, and gonadotropin-releasing hormone agonist triggering, as well as further development of quality management systems in IVF centres. He is a founding member of the European Society of Human Reproduction and Embryology (ESHRE); a founding member of the POSEIDON (Patient Oriented Strategies Encompassing IndividualizeD Oocyte Number) group);  Member of the  Scientific Committee of Excellence in Medical Education (EXCEMED- formerly the Serono Symposia International Foundation) and Scientific director of  Med.E.A.( Medical Education Academy)

· Peter Humaidan ·

Professor Peter Humaidan is a specialist in reproductive endocrinology, professor at The Fertility Clinic Skive Regional Hospital, Aarhus University, Denmark and Honorary professor at Odense University, Denmark. During his scientific work he has primarily focused on developing individualized treatment protocols for the infertile patient. His doctoral thesis (DMSc) explored the role of LH during the follicular and luteal phases in controlled ovarian stimulation. His main fields of interest are triggering of ovulation with GnRH agonist, role of LH during the follicular and luteal phases, role of the female genital tract microbiota for reproductive outcomes, OHSS prevention, and role of sperm DNA fragmentation for spontaneous and assisted reproduction. He is the founder of the international society “The Copenhagen GnRHa Triggering Workshop Group” who introduced the GnRHa trigger in modern IVF, changing trigger policies worldwide. Moreover, he is co-founder of the POSEIDON group which suggested a new stratification of the poor responder patient, and a past board member of the ESHRE SIG Endocrinology Group. He is in the Elsevier, Stanford global list of 2% top scientists, and he authored and co-authored 250 + articles (H-index 67, Google Scholar) in international peer reviewed journals as well as chapters in textbooks and the Danish guidelines for OHSS prevention. Peter Humaidan has a wide international scientific network and is frequently invited as a speaker at international conferences. 

· Arnold P. Achermann ·

Arnold Achermann, MD. is a reproductive urologist and staff of ANDROFERT (Andrology & Human Reproduction Clinic, Campinas, Brazil) since 2020.

Arnold completed a Urology residency program at the University of Campinas (UNICAMP, Brazil). After that, he was a male infertility fellow at ANDROFERT under Dr. Sandro Esteves supervision.  

His main interests include the interface of male factor infertility and assisted reproductive technology. His work has focused on the importance of semen analysis and sperm DNA fragmentation testing in the evaluation of men with infertility, and treatment modalities, including varicocele repair and sperm retrieval techniques using microsurgery.

Dr. Achermann is currently a Post-graduate student of the Department of Surgery (Division of Urology) at the University of Campinas (UNICAMP) Faculty of Medical Sciences. His ongoing thesis is focused on the role of hormonal modulation before sperm retrieval in men with non-obstructive azoospermia.

Dr. Arnold is the author/co-author of three book chapters and two peer-reviewed articles in male infertility. He serves as a reviewer for the World Journal of Urology and the International Brazilian Journal of Urology.

· Fabiola Bento ·

Fabiola Bento obtained her Business Administration Bachelor Degree in 1993 and her Master in Business Economics in 1995, from the Pontifical Catholic University of Campinas, São Paulo, Brazil. In 2015 she was awarded the Diploma in Quality Management by BSI – British Standards Institute, London, UK.
She is the co-founder of ANDROFERT, Andrology and Human Reproduction Clinic, a referral center for male reproduction in Brazil, and was responsible for the implementation and certification in 2010 of its Quality Management System according to ISO 9001. ANDROFERT was the first Assisted Reproductive Technology (ART) center in South America to obtain a full ISO 9001 certification.
Fabiola is ANDROFERT’s Administrative and Quality Manager.
Mrs. Bento has, along with Dr. Sandro Esteves, written various papers and book chapters in the field. She is the leading editor of a best-selling textbook entitled ‘Quality Management in ART Clinics: A Practical Guide’, published in 2013 by Springer USA, and translated to Chinese in 2015. She has since then offered training and consultancy in Quality Management to various doctors and Fertility Clinics from many countries.

· Jorge Hallak ·

Dr. Jorge Hallak achieved his medical degree at the University of Sao Paulo Medical School (FMUSP) in Sao Paulo, Brazil (1984-1989). Specialized in General Surgery (1990-1992) and subsequently in Urology (1992-1995) at the same Institution. Fellowship in Andrology, and Male Infertility at the Cleveland Clinic Foundation, Department of Urology (1996-1998), with focus in microsurgery, sperm cryopreservation, sperm physiology and biochemistry. Achieved the Doctorate Ph.D. degree (1999) in Medicine in the Department of Surgery, Division of Urology at Hospital das Clínicas University of Sao Paulo Medical School (HCFMUSP). Currently, Dr. Jorge Hallak is Associate Professor of Medicine and Coordinator, Reproductive Toxicology Unit, Department of Pathology FMUSP and acting Urologist, Division of Urology HCFMUSP. Technical and Scientific Director, Androscience Science and Innovation Center in Andrology, Sexual and Male Reproductive Health and High-Complexity Clinical and Research Andrology Laboratory, in Sao Paulo, Brazil. Specialized in urology, andrology, human reproduction, male infertility, hypogonadism, and urological microsurgery. Expertise in advanced andrology laboratory and cryopreservation. 

· Ricardo Miyaoka ·

Dr. Miyaoka is a Reproductive Urologist, who works in this field since 2009 after completing a clinical fellowship under the guidance of Dr. Sandro Esteves (ANDROFERT). He is a staff of ANDROFERT – Referral Center for Male Infertility, Campinas/Brazil.
Ricardo was ranked no. 1 Urology resident-in-chief in Brazil and earned the “Alberto Gentile” award for this achievement in 2009.
Dr. Miyaoka completed a research fellowship in Minimally Invasive Surgery at the University of Minnesota (USA) in 2009, with a scholarship provided by the International Endourological Society.

He received his Ph.D. in Urology at the University of Campinas (UNICAMP) in 2013, where he currently works as an Assistant Professor.

Dr. Miyaoka main clinical interests includes the andrological evaluation, varicocele microsurgical repair, and microsurgical sperm retrieval techniques for assisted reproductive technology (ART).

He serves as a reviewer for many prestigious journals in Urology and has authored or co-authored several papers and book chapters in male infertility and related areas.

· Marina Viana ·

Dr Marina Viana is a brazilian urologist graduated by the University of Campinas (UNICAMP) and Fellow in Male Infertility and Reproductive Medicine at Federal University of Sao Paulo (UNIFESP) & Androfert São Paulo – Campinas, Brazil.

 

· Tainah Moraes ·

Embryologist with 6 years of experience in Assisted Reproduction Clinics.

Clinical embryologyst Certified by ASRM/2018.

· Maria Gabriela Mulato ·

Biologist and Master in Cell Biology graduated from UNICAMP. Working in the area of ​​assisted human reproduction.

· Sidney Verza ·

With an accumulated experience of 20 years in assisted reproduction, he coordinates the in vitro fertilization laboratory at Clínica Androfert. He is the embryologist responsible for the IVF_ICSI program, egg and pre-embryo cryopreservation program, preimplantation genetic diagnosis (PGT) and quality programs and general management of the IVF laboratory, participating in the process of implantation and maintenance of clean rooms for IVF, and the ISO 9001 implementation and maintenance process.

· Susannah Copland ·

Dr. Copland pursued an undergraduate education in agricultural and biological engineering as a stepping-stone to medicine. She graduated from Cornell with honors and distinction eager to apply the problem-solving rigor of engineering training to medical education, receiving a full scholarship to the Mayo Clinic School of Medicine.

She went on to complete her obstetrics and gynecology training at the Magee-Women’s Hospital in Pittsburgh and her Reproductive Endocrinology fellowship at Emory University in Atlanta, where she also completed a Master of Science in Clinical Research. Her ultimate career choices, leading her to become an infertility specialist, were influenced by her affinity for solving complex problems and a desire to develop long-term relationships with her patients.

After fellowship, she was recruited by the Duke University Division of Reproductive Endocrinology to oversee clinical research and to direct the fertility preservation and third party reproduction programs, which she did for five years. While enjoying academic practice, she partnered with David Walmer to found Atlantic Reproductive to provide personalized patient care in a welcoming independent practice.

Susannah learned the value of hard work, perseverance, and family early in life from her parents, who were the first generation to complete higher education and go on to accomplish careers in the humanities and sciences. When Susannah was six, the choirmaster at St. Andrew’s in Cherry Hinton near Cambridge, England recommended that her parents support her education in music, recognizing that she had remarkable musical abilities. After years of musical training in vocal performance and cello, culminating in training with the principal cellists of both the Buffalo Philharmonic and the Cleveland Symphony Orchestra, she decided to make medical science her profession, while continuing her lifelong passion for music as an amateur. That passion now includes duets at home with her children.

· Mary Peavey ·

Dr. Mary Peavey began her undergraduate education at Duke, intending to study physics. When entrance exams placed her out of freshman physics, she enrolled in a biology course that won her interest in applied life sciences. She graduated with honors, having completed a major in biology and minors in neurobiology, chemistry, and religion. During an elective clinical Neurology rotation, the healing partnership witnessed between physicians & patients affirmed her decision to pursue medicine. Returning to Texas for medical education at the University of Texas Southwestern Medical Center at Dallas, she found that working on Lame Deer Indian Reservation drew her focus to women’s health.

Dr. Peavey returned to Duke for her obstetrics and gynecology residency, where she worked with Drs. Walmer & Copland during her Reproductive Endocrinology & Fertility rotation. She went on to complete her Reproductive Endocrinology fellowship at Baylor College of Medicine, where she also completed a Master of Science in Clinical Investigation. Choosing a career as a fertility specialist allows her to combine her love for science and “walking paths with people,” as she describes her collaborative connection with her patients.

After fellowship, she was recruited by the UNC Division of Reproductive Endocrinology where she directed both the Fertility Preservation & the Residency Rotation Programs. During her four years at UNC, Dr. Peavey mentored residents & fellows, collaborating on clinical research projects that resulted in multiple national presentations, peer-reviewed publications, and her first textbook, all while contributing to a busy clinical practice. While she enjoyed excelling in an academic practice, she joined Atlantic Reproductive to fully dedicate her talents and joys in mentorship and collaboration toward providing patient-centered care, “growing together” with patients on the path to building their families.

· Sushma Singh ·

Laboratory Director at ATLANTIC REPRODUCTIVE MEDICINE SPECIALISTS

· Betina Boel Povlsen ·

Betina Boel Povlsen is the laboratory director at the Fertility Clinic Skive Regional Hospital.

She did her master in Clinical Embryology at the University of Leeds in 2010 and achieved her certification as ESHRE Clinical Embryologist in 2011.

Betina has 26 years of experience working within the field of assisted reproduction. She is a board representative of the Danish Fertility Society and a former chair of the Nordic IVF Laboratory Society.

Betina is responsible for the implementation and adherence of the EU legislation on blood, tissue and cells as well as the ISO 9001 certification of the IVF Unit.

· Rita Laursen ·

Rita Jakubcionyte  Laursen is educated as an obstetrician/gynecologist in Lithuania, where I was also born and raised. I have worked in Lithuania as a specialist in obstetrics/gynecology at the University hospital in Kaunas (Lithuania), and in the period 2003-2005 also as head of Department in child and adolescent gynecology at the same hospital. In 2000, I defended my Ph.D. thesis ”Determinants for induced abortion in Lithuania”. At that time I started interested in fertility treatment and also worked at a private fertility clinic in Kaunas.

In 2005, I decided to continue my career in Denmark and was employed as a substitute physician at the obstetrics/gynecology department in Sønderborg. Based on my great interest in infertility treatment, I applied for a position as a medical doctor at the Fertility Clinic in Skive and was hired in 2006. Gradually I was trained in all forms of infertility treatment, have actively participated in all courses and congresses within the professional area, became involved in research projects that have taken place at the clinic.

Based on the general lack of knowledge about the causes of male infertility in Danmark, I chose to focus on investigating male infertility. Since 2015, the clinic has offered males with severely reduced sperm quality medical treatment with gonadotropins. This resulted in two recent professional publications which were published in international journals.  I am also a member of European Academy of Andrology.