Sarah Martins Da Silva | |
---|---|
Alma mater | University of Edinburgh |
Awards | The BBC 100 Women of 2019 [1] |
Scientific career | |
Fields | Fertility Reproductive medicine |
Institutions | University of Dundee Ninewells Hospital |
Website | www |
Sarah Martins da Silva FRCOG is a British gynaecologist and researcher specialising in male infertility. Martins da Silva is a Clinical Reader in reproductive medicine at the University of Dundee. She also works as an honorary consultant gynaecologist at Ninewells Hospital in Dundee, specialising in fertility problems and assisted conception. [2] She was named one of the BBC's "100 Women of 2019" for her contribution to fertility science. [1]
Martins da Silva was born and raised near Cambridge, England. [3] Her father was an engineer and her mother was engaged in charity work. [3] From a young age, she aspired to become a doctor and scientist. [3]
Martins da Silva attended the Perse School for Girls in Cambridge from 1978 to 1990. [4] In 1995, she received a Bachelor of Medicine, Bachelor of Surgery (MBChB) from the University of Edinburgh Medical School. In 2001, Martins da Silva qualified with a Diploma of the Faculty of Family Planning (DFFP) from the Royal College of Obstetricians and Gynaecologists, Faculty of Sexual and Reproductive Healthcare. [5] In 2007, Martins da Silva received an M.D. from University of Edinburgh Medical School where her residency was in obstetrics and gynaecology. Martins da Silva's doctoral thesis was titled "Activin and Neurotrophin Regulation of Human Follicular Development and Bovine Oocyte Maturation" and investigated egg cell maturation and the development of the ovaries. [6] Her advisor was Richard Anderson. [7] In 2008 she qualified with a Diploma in Obstetric Ultrasound from Royal College of Obstetricians and Gynaecologists / Royal College of Radiologists and also received her MRCOG there. [5] Martins da Silva was awarded FRCOG in 2021.
From 2000 to 2004, Martins da Silva was a clinical lecturer at the MRC Centre for Reproductive Health at the University of Edinburgh School of Medicine. From 2004 to 2011, she worked as a specialist registrar in the obstetrics and gynaecology division of the Royal Infirmary of Edinburgh within NHS Lothian.
From 2011 to 2013, Martins da Silva was a Scottish Clinical Research Excellence Development Scheme (SCREDS) Clinical Lecturer in reproductive medicine at the University of Dundee School of Medicine. From 2013 to 2019, Martins da Silva was a consultant gynaecologist and honorary senior lecturer at Ninewells Hospital at NHS Tayside in Dundee, Scotland.
In 2021, Martins da Silva became Clinical Reader in reproductive medicine and an honorary Consultant Gynaecologist at the University of Dundee School of Medicine.
In addition to her research in sperm count and function, Martins da Silva is a consultant gynecologist and fertility specialist, including in the area of freezing eggs. [8]
In 2019, Martins da Silva featured in a BBC documentary on fertility issues and IVF. [9] She delivered a speech highlighting the problem of decreasing sperm counts at the BBC 100 Women event in Delhi, India. [10]
Martins da Silva leads a research group on male infertility, sperm biology and drug discovery. [11] She is the lead on a UK-wide research clinic on sperm studies for couples affected by unexplained infertility post-IVF treatment. [2] Da Silva has published scientific papers predominantly focussing on human fertility. [5]
Martins da Silva's work on male infertility was motivated by the unexplained decrease in male fertility in the late 20th and early 21st centuries. [10] During her work as a consultant gynaecologist specialising in fertility problems and assisted conception, she noticed that treatment options for male fertility were limited, instead requiring the female partner to undergo invasive fertility treatments such as in-vitro fertilisation (IVF) and intracytoplasmic sperm injection that did not directly address the problem of low male fertility. [12] Martins da Silva's research investigates the functionality of sperm cells, particularly the sperm-specific calcium channel CatSper, and how modern lifestyle choices may affect sperm function. [13] [14] She is working on developing drugs to enhance sperm count and function, for which she has won funding from the Bill & Melinda Gates Foundation. [15] [16] Martins da Silva helped create a high-throughput system for screening many potential drugs, an approach which led to the discovery of two compounds that were able to enhance sperm motility in laboratory tests. [17]
Martins da Silva married fellow medic Mauricio Martins da Silva in 2000. They met while studying at the University of Edinburgh. [3] They have three children.
In vitro fertilisation (IVF) is a process of fertilisation where an egg is combined with sperm in vitro. The process involves monitoring and stimulating a woman's ovulatory process, removing an ovum or ova from her ovaries and letting sperm fertilise them in a culture medium in a laboratory. After the fertilised egg (zygote) undergoes embryo culture for 2–6 days, it is transferred by catheter into the uterus, with the intention of establishing a successful pregnancy.
Intracytoplasmic sperm injection is an in vitro fertilization (IVF) procedure in which a single sperm cell is injected directly into the cytoplasm of an egg. This technique is used in order to prepare the gametes for the obtention of embryos that may be transferred to a maternal uterus. With this method, the acrosome reaction is skipped.
Infertility is the inability of a person, animal or plant to reproduce by natural means. It is usually not the natural state of a healthy adult, except notably among certain eusocial species. It is the normal state of a human child or other young offspring, because they have not undergone puberty, which is the body's start of reproductive capacity.
Gamete intrafallopian transfer (GIFT) is a tool of assisted reproductive technology against infertility. Eggs are removed from a woman's ovaries, and placed in one of the fallopian tubes, along with the man's sperm. The technique, first attempted by Steptoe and Edwards and later pioneered by endocrinologist Ricardo Asch, allows fertilization to take place inside the woman's uterus.
Assisted reproductive technology (ART) includes medical procedures used primarily to address infertility. This subject involves procedures such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), cryopreservation of gametes or embryos, and/or the use of fertility medication. When used to address infertility, ART may also be referred to as fertility treatment. ART mainly belongs to the field of reproductive endocrinology and infertility. Some forms of ART may be used with regard to fertile couples for genetic purpose. ART may also be used in surrogacy arrangements, although not all surrogacy arrangements involve ART. The existence of sterility will not always require ART to be the first option to consider, as there are occasions when its cause is a mild disorder that can be solved with more conventional treatments or with behaviors based on promoting health and reproductive habits.
Sir Robert Geoffrey Edwards was a British physiologist and pioneer in reproductive medicine, and in-vitro fertilisation (IVF) in particular. Along with obstetrician and gynaecologist Patrick Steptoe and nurse Jean Purdy, Edwards successfully pioneered conception through IVF, which led to the birth of Louise Brown on 25 July 1978. They founded the first IVF programme for infertile patients and trained other scientists in their techniques. Edwards was the founding editor-in-chief of Human Reproduction in 1986. In 2010, he was awarded the Nobel Prize in Physiology or Medicine "for the development of in vitro fertilization".
Azoospermia is the medical condition of a man whose semen contains no sperm. It is associated with male infertility, but many forms are amenable to medical treatment. In humans, azoospermia affects about 1% of the male population and may be seen in up to 20% of male infertility situations in Canada.
Human fertilization is the union of a human egg and sperm, occurring primarily in the ampulla of the fallopian tube. The result of this union leads to the production of a fertilized egg called a zygote, initiating embryonic development. Scientists discovered the dynamics of human fertilization in the nineteenth century.
Male infertility refers to a sexually mature male's inability to impregnate a fertile female. In humans it accounts for 40–50% of infertility. It affects approximately 7% of all men. Male infertility is commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity. More recently, advance sperm analyses that examine intracellular sperm components are being developed.
Reproductive medicine is a branch of medicine concerning the male and female reproductive systems. It encompasses a variety of reproductive conditions, their prevention and assessment, as well as their subsequent treatment and prognosis.
The cation channels of sperm also known as Catsper channels or CatSper, are ion channels that are related to the two-pore channels and distantly related to TRP channels. The four members of this family form voltage-gated Ca2+ channels that seem to be specific to sperm. As sperm encounter the more alkaline environment of the female reproductive tract, CatSper channels become activated by the altered ion concentration. These channels are required for proper fertilization. The study of these channels has been slow because they do not traffic to the cell membrane in many heterologous systems.
Sammy Lee was an expert on fertility and in vitro fertilisation
The Centre for Human Reproductive Science was established in December 2006 to further develop research and innovation in fertility diagnosis and treatment, working in partnership as the academic and research wing of the Birmingham Women's Fertility Centre at Birmingham Women’s Hospital and the University of Birmingham Medical School. A particular emphasis in the biomedical research strategy is placing research and discovery in the true physiological context.
Pregnancy rate is the success rate for getting pregnant. It is the percentage of all attempts that leads to pregnancy, with attempts generally referring to menstrual cycles where insemination or any artificial equivalent is used, which may be simple artificial insemination (AI) or AI with additional in vitro fertilization (IVF).
The Genetics & IVF Institute (GIVF) is an international provider of infertility and genetics services and products, and also engages in biomedical research in these fields. The Institute was founded in 1984 by Dr. Joseph D. Schulman and associates. GIVF headquarters are in Fairfax, VA, US, and its facilities include locations in Pennsylvania, Minnesota, California, and Texas in the United States, as well as in China, Mexico, and several other countries.
Geeta Nargund is a professor, medical doctor, trainer, health writer, commentator, and pioneer in the field of natural and mild IVF and Advanced Technology in Reproductive Medicine.
Jacques Cohen is a Dutch embryologist based in New York, U.S. He is currently Director at Reprogenetics LLC, Laboratory Director at ART Institute of Washington at Walter Reed National Military Medical Center, and Scientific Director of R & D at IVF-online.
Ashok Agarwal is the Director of the Andrology Center, and also the Director of Research at the American Center for Reproductive Medicine at Cleveland Clinic, Cleveland, USA. He is Professor at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, USA. Ashok is a Senior Staff in the Cleveland Clinic's Glickman Urological and Kidney Institute. He has published extensive translational research in human infertility and assisted reproduction.
Antisperm antibodies (ASA) are antibodies produced against sperm antigens.
The male infertility crisis is an increase in male infertility since the mid-1970s. The issue attracted media attention after a 2017 meta-analysis found that sperm counts had declined by 52.4 percent between 1973 and 2011. The decline is particularly prevalent in Western countries such as New Zealand and Australia, Europe and North America. A 2022 meta-analysis reported that this decline extends to non-Western countries, namely those in Asia, Africa, Central America, and South America. This meta-analysis also suggests that the decline in sperm counts may be accelerating.