Sarah Martins Da Silva

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Sarah Martins Da Silva
Alma mater University of Edinburgh
AwardsThe BBC 100 Women of 2019 [1]
Scientific career
Fields Fertility
Reproductive medicine
Institutions University of Dundee
Ninewells Hospital
Website www.dundee.ac.uk/people/sarah-martins-da-silva

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]

Contents

Early life and education

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.

Career

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]

Research

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]

Personal life

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.

Membership

Honors

Selected works and publications

Related Research Articles

<span class="mw-page-title-main">In vitro fertilisation</span> Assisted reproductive technology procedure

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.

<span class="mw-page-title-main">Intracytoplasmic sperm injection</span> In vitro fertilization procedure

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.

<span class="mw-page-title-main">Assisted reproductive technology</span> Methods to achieve pregnancy by artificial or partially artificial means

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.

<span class="mw-page-title-main">Robert Edwards (physiologist)</span> English physiologist and pioneer in reproductive medicine (1925–2013)

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".

<span class="mw-page-title-main">Azoospermia</span> Medical condition of a man whose semen contains no sperm

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.

<span class="mw-page-title-main">Human fertilization</span> Union of a human egg and sperm

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.

<span class="mw-page-title-main">Reproductive medicine</span> Branch of medicine

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.

<span class="mw-page-title-main">Ashok Agarwal</span> Medical Scientist

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.

<span class="mw-page-title-main">Male infertility crisis</span> Observed decline in male fertility and sperm quality

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.

References

  1. 1 2 3 "BBC 100 Women 2019: Who is on the list?". BBC News. 16 October 2019. Retrieved 26 June 2020.
  2. 1 2 "Our Team: Assisted Conception Unit Dundee Ninewells". www.acudundee.org. Retrieved 26 June 2020.
  3. 1 2 3 4 "Sperm Counts Have Dropped 50 Percent. Can She Find a Fix?". OZY. 29 August 2018. Retrieved 26 June 2020.
  4. "Alumna named on the BBC's '100 Women 2019'prestigious list". Stephen Perse Foundation. 18 October 2019.
  5. 1 2 3 ORCID. "Sarah Martins Da Silva (0000-0003-2579-4866)". orcid.org. Retrieved 26 June 2020.
  6. De Sousa, P.a.; Martins Da Silva, S.j.; Anderson, R.a. (1 December 2004). "Neurotrophin Signaling in Oocyte Survival and Developmental Competence: A Paradigm for Cellular Toti-Potency". Cloning and Stem Cells. 6 (4): 375–385. doi:10.1089/clo.2004.6.375. ISSN   1536-2302. PMID   15671666.
  7. Martins Da Silva, Sarah Justine (2007). Activin and Neurotrophin Regulation of Human Follicular Development and Bovine Oocyte Maturation (PhD). University of Edinburgh. hdl:1842/24911. OCLC   1065314574.
  8. Kirkby, Rhiane (September 2017). "Buying Time: More Women are Relying on Egg Freezing to Preserve their Fertility, But How Effective is it Really?". Baby London. p. 96.
  9. "BBC Scotland - Making Babies". BBC. Retrieved 26 June 2020.
  10. 1 2 Ogston, Graeme (29 October 2019). "The doctor trying to solve male infertility". BBC News. Retrieved 26 June 2020.
  11. "Sarah Martins Da Silva". Discovery - the University of Dundee Research Portal. Retrieved 26 June 2020.
  12. Sturgis, India (27 January 2018). "Spermageddon: Why the human race could be infertile in 50 years". The Telegraph. ISSN   0307-1235 . Retrieved 26 June 2020.
  13. Williams, Hannah L.; Mansell, Steven; Alasmari, Wardah; Brown, Sean G.; Wilson, Stuart M.; Sutton, Keith A.; Miller, Melissa R.; Lishko, Polina V.; Barratt, Christopher L.R.; Publicover, Steven J.; Martins Da Silva, Sarah (8 October 2015). "Specific loss of CatSper function is sufficient to compromise fertilizing capacity of human spermatozoa". Human Reproduction. 30 (12): 2737–46. doi: 10.1093/HUMREP/DEV243 . PMC   4643530 . PMID   26453676.Wikidata-logo.svg Wikidata ()
  14. Brown, Sean G.; Costello, Sarah; Kelly, Mark C.; Ramalingam, Mythili; Drew, Ellen; Publicover, Stephen J.; Barratt, Christopher L.R.; Da Silva, Sarah Martins (1 October 2017). "Complex CatSper-dependent and independent [Ca2+]i signalling in human spermatozoa induced by follicular fluid". Human Reproduction. 32 (10): 1995–2006. doi:10.1093/humrep/dex269. ISSN   0268-1161. PMC   5850303 . PMID   28938737.
  15. "Male Contraceptive Drug Development Using a Novel Human Sperm Phenotypic Screening Platform (Grand Challenges Phase II)". Discovery - the University of Dundee Research Portal. Retrieved 26 June 2020.
  16. "Novel Phenotypic Drug Discovery for Contraception". Discovery - the University of Dundee Research Portal. Retrieved 26 June 2020.
  17. Martins Da Silva, Sarah J.; Brown, Sean G.; Sutton, Keith; King, Louise V.; Ruso, Halil; Gray, David W.; Wyatt, Paul G.; Kelly, Mark C.; Barratt, Christopher L.R.; Hope, Anthony G. (May 2017). "Drug discovery for male subfertility using high-throughput screening: a new approach to an unsolved problem". Human Reproduction. 32 (5): 974–984. doi: 10.1093/HUMREP/DEX055 . PMC   5850465 . PMID   28333338.Wikidata-logo.svg Wikidata ()
  18. "Meet the finalists from 2019's Scotswoman of the Year". Glasgow Times. Retrieved 26 June 2020.