Does surgery improve fertility in women with endometriosis – Professor Christian Becker, Nuffield Department of Women’s and Reproductive Health, UK

This talk will enable delegates to:
• Differentiate between spontaneous conception and ART success rates after surgery for endometriosis.
• Assess the differences in surgical outcome in women with different types and stages of endometriosis.

Professor Christian Becker is an associate professor at the Nuffield Department of Obstetrics and Gynaecology at the University of Oxford. He studied medicine in Budapest, Berlin and San Francisco and qualified in 1995. He received his medical doctorate degree at the Freie Universität Berlin in 1998.

Christian then trained in obstetrics and gynaecology at the Charité in Berlin and became fully accredited in 2003. In addition, he did two postdoctoral fellowships at Children’s Hospital and Brigham and Women’s Hospital of Harvard Medical School in Boston working on angiogenesis and endometriosis.

In 2005 Christian moved to Oxford where he did a RCOG Fellowship in Reproductive Medicine and Surgery as and was appointed as Consultant Gynaecologist at the John Radcliffe Hospital and Senior Fellow at the University of Oxford.

Christian’s clinical and research interests focus on reproductive conditions including endometriosis and uterine fibroids. Together with Krina Zondervan he co-directs the Endometriosis CaRe Centre in Oxford leading a comprehensive basic, translational and clinical research programme on endometriosis at the University of Oxford. Christian is the current Chair of the ESHRE Endometriosis Guideline Development Group and was involved in the development of the NICE Guideline for Endometriosis in the UK. He has authored and co-authored numerous peer-reviewed publications in the field of endometriosis and has a special interest in biomarker studies.

Endometriosis fertility index – ART after surgery, who and when – Professor Dr Carla Tomessitti, University Hospitals Leuven and KULeuven, Belgium

This talk will cover:
• What is the EFI (endometriosis fertility index).
• Postoperative use of the EFI.
• The use of the EFI in preoperative triage and research.

Professor Dr Carla Tomassetti obtained her medical degree (summa cum laude – 2001), her specialisation in obstetrics and gynaecology (2006) and her subspecialist degree in reproductive medicine (2008) at KU Leuven, Belgium. From then on, she has been working as a staff member of the Leuven University Fertility Centre, while she obtained her PhD degree in Biomedical Sciences in October 2017 for her thesis entitled Fertility in women with endometriosis: prognosis and treatment strategies. In October 2018 she was appointed as associate professor (part-time) at KU Leuven, Faculty of Medicine, Unit Woman and Child (LEERM). Her clinical and research fields of interest include surgical and medical treatment of severe forms of endometriosis and pelvic pain, pathogenesis of endometriosis (including stem cells), reproductive endocrinology and medically assisted reproduction.

Recent advances in diagnosing and managing adenomyosis outcomes – Dr Silvia Vannuccini, University of Florence, Italy

This talk will cover:
– The impact of adenomyosis on fertility: endometrial and myometrial factors.
– Non-invasive diagnosis of adenomyosis: the role of trasvaginal ultrasound and MRI.
– Epidemiological data on IVF outcome in women with adenomyosis.
– The co-existence of adenomyosis and endometriosis.

Dr Silvia Vannuccini a Consultant at University Careggi Hospital in Florence, Italy, since 2017. She graduated in 2011 and she has been trained in University of Siena as a specialist in Obstetrics and Gynecology from 2011 to 2017. She worked as a clinical research fellow in Maternal-Fetal Medicine at University of Oxford from 2016 to 2017. During her Phd program, she focused her interest in uterine disorders (endometriosis, adenomyosis and uterine fibroids), the imaging diagnosis and the medical management, attending centres of Excellence for Endometriosis and Adenomysosi (Centre Hospitalier Universitaire (CHU) Cochin, Service de Gynécologie Obstétrique et Médecine de la Reproduction, Paris, France; KU Leuven, UZ Leuven – Gynecology Ultrasound Unit (Leuven, Belgium).

Her scientific interest is devoted to women’s health, from pre-conception to pregnancy. She is interested in how uterine disorders and related endometrial and myometrial abnormalities may influence placental function and thus pregnancy development and outcome. She is investigating endometriosis, adenomyosis and uterine fibroids from both the basic science (pathogenetic pathways and mediators) and the clinical (ultrasound diagnosis and comorbidities) point of view.