OBGYN.net Editorial Advisor
Pelvic Pain

Deborah Metzger, MD, PH.D

Deborah Metzger, MD, PH.D. - USA
Index of Articles by Dr. Metzger

2101 Forest Ave., Ste. 220
San Jose, CA 95128
(408) 999-7900 fax. (408) 999-6980
http://www.helenahealth.com 

 

Birth Date: 3/4/51
Doylestown, Pennsylvania
Married with 2 children

Education

Fellowship training: 1986-1988
Division of Reproductive Endocrinology and Infertility
Department of Obstetrics and Gynecology
Duke University Medical Center

Residency: 1982-1986
Department of Obstetrics and Gynecology
Duke University Medical Center

Medical School: 1978-1982, M.D.
University of Texas Medical School at Houston

Graduate School: 1974-1979, Ph.D.
Department of Cell Biology
Baylor College of Medicine

Thesis advisor: James H. Clark, Ph.D.
Thesis: Characterization of the rat uterine estrogen receptor

College: 1969-1970, SUNY/Albany
1970-1972, SUNY/Buffalo, B.A.
1972-1973, Purdue University

Current Research Interests:


Licensure Status:


Professional Experience:

1998-present: Medical Director, Helena Women’s Health, Palo Alto, CA
1997-1998: Associate Professor, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Yale University School of Medicine, New Haven, CT
1994-1998: Director, Reproductive Medicine Institute of Connecticut 95 Woodland St, Hartford CT 06105
1994-1997: Associate Clinical Professor, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Connecticut Health Center, Farmington CT
1992-1994: Director, Endometriosis and Pelvic Pain Center, University of Connecticut Health Center, Farmington CT
1992-1993 Director, Reproductive Endocrine and Infertility Clinic, University of Connecticut Health Center, Farmington CT
1991-1992: Berlex Scholar
1988-1991: Co-director, In Vitro Fertilization Program, University of Connecticut Health Center, Farmington CT
1988-1994: Assistant Professor, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Connecticut Health Center, Farmington CT
1987-1988 ACOG-Ortho Academic Training Fellow
1/87-6/88 Guest Scientist, National Institute of Environmental Health Sciences, NIH, Laboratory of Reproductive and Developmental Toxicology, Receptor Biology Section, Research Triangle Park NC
1986-1988: Fellow, Division of Reproductive Endocrinology & Infertility Duke
University Medical Center, Durham NC
1982-1986 Resident, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham NC
5/79-9/79 Research Associate, Department of Physiology, University of Texas Medical School at Houston, Houston TX
1974-1976 Teaching Assistant (Histology), Department of Cell Biology, Baylor College of Medicine, Houston TX
1974-1979 Doctoral Candidate, Department of Cell Biology, Baylor College of Medicine, Houston TX
1973-1974: Research Technician, Great Lakes Chemical Corporation, Lafayette



Current Membership in Professional Societies:


Honors, Current Consultancies, Committee Memberships, Etc.

Honors:
1993-1998 Physician’s Recognition Award
1991 Searle-Donald F. Richardson Memorial Prize, ACOG District I
1991 Berlex Scholar Award
1989 Sigma Xi (Scientific Honor Society)
1989 President’s Award, Society for Gynecologic Surgeons
1987-1988 ACOG-Ortho Academic Training Fellowship
1986 Second Prize Research Paper, Resident’s Day, Department of Obstetrics and Gynecology, Duke University Medical Center
1984 Best Research Paper, Resident’s Day, Department of Obstetrics and Gynecology, Duke University Medical Center
1982 Citation for achievement in Obstetrics and Gynecology, University of Texas Medical School at Houston
1982 Honors Citation by the American Medical Women’s Association
1981 Alpha Omega Alpha (Medical Honor Society)
1979 Texas Merit Scholarship
1976 Pendulum Club (Washington, DC) Award for doctoral thesis research proposal
1969-1973 New York State Regents Scholarship
Board Memberships:
American Board of Obstetrics and Gynecology - 12/90, recertified until 4/02
American Board of Obstetrics and Gynecology, Certification of Special Qualification in Reproductive Endocrinology and Infertility - 12/91
Consultancies:
American Journal of Obstetrics & Gynecology - Ad Hoc Reviewer
Fertility & Sterility - Ad Hoc Reviewer
International Urogynecology Journal - Ad Hoc Reviewer
Journal of the American Association of Gynecologic Laparoscopists - Editorial Review Board
National Institute of Environmental Health Sciences - outside reviewer
New York State Journal of Medicine - Ad Hoc Reviewer
Obstetrics & Gynecology - Ad Hoc Reviewer
Proceedings of the Society for Experimental Biology & Medicine -Editorial Board
Local Committees:
UConn:
1988-1993 Credentials Committee
1989-1994 Senior Advisory Committee of the Clinical Research Center
1990-1993 Institutional Review Board
1990-1991 Surgical Case Review Committee
1990-1994 Faculty Research Grants - Medical Clinical Panel
1991-1994 Ambulatory Operations and Managed Care Committee
Appointment Waiting Times Subcommittee
Courtesy Subcommittee
1992-1993 Strategic Planning and Oversight Committee
1992 Women’s Health Center Organizing Committee
1992-1994 NSABP Tamoxifen Trial Organizing Committee
1993 Chairman-Multidisciplinary Steering Committee of The Women’s HealthbnCenter
1993 Nominating Committee - School of Medicine Council
1993-1996 School of Medicine Council (elected)
1993-1994 Operating Room Committee
1993-1994 Chairman - Laser Committee
1993-1995 School of Medicine Council Steering Committee (elected)
Other:
1995-1998 Hartford County Medical Association, Medical-Legal Committee
1993-1996 Hartford County Medical Association, Medical Review Committee
1995-1997 YMCA Adolescent clinic-volunteer
National/International Board & Committee Memberships:
1992-1995 ACOG - College Subcommittee on Reproductive Endocrinology
1992-1994 Gynecologic Laser Society - Membership Committee
1993-1994 American Fertility Society - Research Career Development Committee
1994-1995 American Fertility Society - Classification and Nomenclature Committee
1993-1998 Gynecologic Study Group - Organizing member, Chairman Membership Committee
1993-present Journal of the American Association of Gynecologic Laparoscopists - Editorial Review Board
1994-1998 Board of Editors, Society for Experimental Biology and Medicine
1992-1997 Zeneca Corp Board of Consumer Affairs
1991-1997 Blue Cross/Blue Shield OB/GYN Advisory Board
1993-1997 Zeneca Gynecology International Advisory Board
1994 ACOG/Ciba Pharmaceutical Fellowship Review Committee
1994 NICHHD Special Study Section, December
1994-present Endometriosis Association Advisory Board
1995 ACOG/Ciba Pharmaceutical Fellowship Review Committee-Chairman
1996-present Solvay Medical Advisory Committee
1996-present Solvay Mental Health Consortium
1997-present International Pelvic Pain Society-founding member and chairman of Research Committee



Grant Support

1987 - 1988 ACOG - Ortho Academic Training Fellowship "The use of diethylstillbestrol metabolites and analogues as probes for estrogen receptor-nuclear acceptor site interaction" - $25,000.
1989 - 1990 Research Initiation Program, University of Connecticut Health Center - "Biochemical markers of normal and abnormal endometrial function" - $35,545.
1990 - 1991 Bristol Myers - "Effect of hormone replacement on recovery of bone mass in amenorrheic athletes" - $7,500.
1990 - 1991 Upjohn - "Markers of endometrial function in hormone treated menopausal patients" - $10,000.
1990 - 1991 Genzyme - "Experimental use of SurgicoatTM for the prevention of adhesions" $66,875.
1991- 1992 Berlex Scholar Award "Biochemical markers of normal and abnormal endometrial function" - $60,000
1991- 1992 TAP Pharmaceuticals - "Use of Lupron to prevent postoperative adhesion formation"- $12,387.
1991-1992 Genzyme "HAL-F Bioresorbable membrane to reduce the formation of postsurgical adhesions" - $15,000.
1991- 1992 Gore-Tex "The use of the Gore-Tex Surgical Membrane for prophylaxis of adhesions to myomectomy incisions: A controlled randomized multi-center clinical study" - $5,000.
1991 - 1992 ICI "A multicenter trial comparing the local tolerance of the 3.6 mg Zoladex subcutaneous injection vs the 3.75 mg Lupron intramuscular injection in women treated for endometriosis" - $60,000.
1991 - 1992 Upjohn "The role of Provera in adhesion formation" - $20,000.
1993 - 1995 Zeneca "A multicenter trial comparing 3.6 mg Zoladex therapy with or without hormone replacement therapy for the treatment of endometriosis" - $100,000.
1993 - 1994 Ostex "OST-C1 Clinical Study" - $35,000
1993 - 1995 Wyeth-Ayerst "Heart and Estrogen/Progestin Replacement Study" $1,600,000.
1998 - 2001 FemRx "CARMEN-Cryo-Ablative Reduction of Menstruation" - $40,000



Publications, Presentations, Conferences, etc.:

Books (authored)
Nezhat C, Nezhat F, Luciano AA, Siegler A, Metzger DA, Nezhat C. Operative Gynecologic Laparoscopy: Principles and Techniques. McGraw-Hill Inc. Philadelphia, 1995.

Books and Monographs (edited)
Luciano AA, Metzger DA. "Sex Steroids". Infertility and Reproductive Medicine Clinics NA. WB Saunders Co. Philadelphia, 1992.

Metzger DA. "The Endometrium". Infertility and Reproductive Medicine Clinics NA. WB Saunders Co. Philadelphia, 1995.

Metzger DA. "An Integrated Approach to the Management of Chronic Pelvic Pain". Pharmedica Press, Killingworth, CT, 1997

Steege JF, Metzger DA, Levy BS. "Chronic Pelvic Pain: An Integrated Approach", WB Saunders Co. Philadelphia, 1998.

Chapters and Reviews

1. Metzger DA, Haney AF: Endometriosis: Etiology and pathophysiology of infertility. Clin Obstet Gynecol 31:801-812, 1988.

2. Metzger DA, Hammond CB: Are estrogens indicated for the treatment of postmenopausal women? Drug Intel Clin Pharm 22:493-496, 1988.

3. Metzger DA, Hughes CL Jr: Applications of hormone receptors in Obstetrics and Gynecology. Adolescent Ped Gynecol 1:221-229, 1988.

4. Metzger DA, Luciano AA: Hormonal therapy of endometriosis. Obstet Gynecol Clin (NA) 16:105-122, 1989.

5. Metzger DA, Haney AF: Etiology of endometriosis. Obstet Gynecol Clin (NA) 16:1-14,1989.

6. De Souza MJ, Metzger DA. Reproductive dysfunction in amenorrheic athletes and anorexic patients. Med Sci Sports Excer 23:995-1007, 1991.

7. Luciano AA, Metzger DA. Endometriosis - What can medical therapy offer? International Workshop on Endometriosis. May 30-31, 1991 London, U. British J of Clinical Practice Supplements, 45:14-23, 1991.

8. Metzger DA. Luteal phase following ovulation induction: Endometrial pathology and luteal support. Assisted Reprod Rev 2:62-77, 1992.

9. Metzger DA. Sex steroid effects on the endometrium. Infertility and Reproductive Medicine Clinics NA 3:163-186, 1992.

10. Maier DB, Metzger DA. Antiestrogens for ovulation induction. Infertility and Reproductive Medicine Clinics NA 3:201-217, 1992.

11. Metzger DA. Hormonal responsiveness of ectopic endometrium. Infertility and Reproductive Medicine Clinics NA 3:597-617, 1992.

12. De Souza MJ, Arce JC, Metzger DA: The impact of exercise training on reproductive physiology. In, Women in Sports (Costa DM, Guthrie SR, eds) Human Kinetic Publishers 1993.

13. Metzger DA. Trocar injuries to the small intestine. In, Intra Abdominal Endoscopic Complications: Prevention, Recognition and Management (Corfman RS, Diamond WP, DeCherney AH, eds) Blackwell Scientific Publications Inc, Cambridge MA 1993.

14. Metzger DA. Cyclic changes in endometriosis implants. In, The Current Status of Endometriosis Research and Management (Brosens I, Donnez V, eds) Parthenon Publishing Group Ltd., London, 1993.

15. Metzger DA. Luteal phase deficiency: An update. Resolve National Newsletter19(2):1-7, 1993

16. Luciano AA, Metzger DA, Zupi E. Clinical and experimental studies of adhesion formation after laparoscopic ovarian surgery. In, Proceedings of the First Raoul Palmer European Club of Gynecologic Endoscopy (Bruhat M, Canis D, eds),1994.

17. Olive DL, DeWane JC, Metzger DA, Redwine DB. Managing endometriosis: Pearls and pitfalls. OBG Management, July 1994, 17-24.

18. Metzger DA. Endometriosis. Conn’s Current Therapy. WB Saunders, Philadelphia 989-994, 1995.

19. Metzger DA, Luciano AA. Laparoscopy. In, Endoscopic Management of Gynecologic Disease (Adamson G, Martin D, eds) Lippincott-Raven, MD, 1995.

20.Luciano AA, Metzger DA. Laparoscopic Assisted Vaginal Hysterectomy. In, Proceedings of the International Cruise Meeting (Lezoche E, Berci G, eds) 1995.

21.Metzger DA. Nonsurgical Treatment of Infertility Associated with Endometriosis. In, Endometriosis: Advanced Management and Surgical Techniques (Nezhat C, Buttram VC, Berger GS, eds) Springer-Verlag, NY, 1995.

22.Metzger DA. The regulation of cell growth: Implications for endometriosis and leiomyomas. In, Advances in Obstetrics and Gynecology, Vol 2 (Rock JA, Faro S, Gant NF, Horowitz IR, Murphy A, eds) Mosby, Boston, 1995.

23.Metzger DA. Laparoscopic Assessment. In, An Integrated Approach to the Managment of Chronic Pelvic Pain (Metzger DA, ed) Pharmedica Press, Killingworth, 1997

24.Metzger DA. Treating endometriosis pain: A multidisciplinary approach. Seminars in Reproductive Endocrinology 15(3):245-250, 1997

25. Metzger DA. Diagnostic laparoscopy. In, Chronic Pelvic Pain: An Integrated Approach (Steege JA, Metzger DA, Levy B, eds) WB Saunders Co, Philadelphia, 1998

26. Metzger DA. An integrated approach to endometriosis. In, Chronic Pelvic Pain: An Integrated Approach (Steege JA, Metzger DA, Levy B, eds) WB Saunders Co, Philadelphia, 1998

27. Metzger DA. Pelvic congestion. In, Chronic Pelvic Pain: An Integrated Approach (Steege JA, Metzger DA, Levy B, eds) WB Saunders Co, Philadelphia, 1998

28. Metzger DA. Nerve cutting procedures. In, Chronic Pelvic Pain: An Integrated Approach (Steege JA, Metzger DA, Levy B, eds) WB Saunders Co, Philadelphia, 1998

29. Metzger DA. Research directions. In, Chronic Pelvic Pain: An Integrated Approach (Steege JA, Metzger DA, Levy B, eds) WB Saunders Co, Philadelphia, 1998

30. Metzger DA. Endometriosis. Conn’s Current Therapy. WB Saunders, Philadelphia, 1998

31. Metzger DA. GnRH agonist physiology. In, The Endocrine Management of Benign Gynecologic Disease (Goldfarb AF, ed) Thomson Science, Phila, 1998

32. Metzger DA, Pritts E. Pelvic Pain and Premenstrual Syndrome. In, Reproductive Endocrinology and Infertility: the Basics (Olive DA, Arici A, eds) Churchill Livingstone (in preparation)

33. Metzger DA. Endometriosis. In, The Endometrium (Aplin J, Giudice L, Tabibzadeh S, Glasser SR, eds) Harwood Academic Publishers, London (in press)

34. Metzger DA. Neuroablation. In, Procedures Done for Pain Relief (Steege J, ed) Saunders, Phila, (in preparation)

35.Metzger DA. Integrated diagnostic evaluation of the patient with chronic pelvic pain. Infertil Reprod Med Clin NA (in preparation)

36. Metzger DA. Managing pelvic pain. OBG Management (in preparation)

Journal Articles (peer reviewed):

1. Olive DO, Stohs GF, Metzger DA, Franklin RR: Expectant management and hydrotubations in the treatment of endometriosis-associated infertility. Fertil Steril 44:35-41, 1985.

2. Metzger DA, Olive DL, Stohs GF, Franklin RR: Association of endometriosis and spontaneous abortion: effect of control group selection. Fertil Steril 45:18-22, 1986.

3. Metzger DA, Bowie J, Killam A: Expectant management of partial placental abruption in previable pregnancies. J Repro Med 32:789-792, 1987.

4. Metzger DA, Massad LS, Piscitelli JT: Leiomyoma in a Mullerian remnant. J Reprod Med 33:246-248, 1987.

5. Metzger DA, Olive DO, Haney AF: Limited hormonal responsiveness of ectopic endometrium: Histologic correlation with intrauterine endometrium. Human Path 19:1417-1424, 1988.

6. Lessey BA, Killiam AP, Flowers J, Metzger DA, Haney AF, McCarty KS: Immunohistochemical analysis of human estrogen and progesterone receptor throughout the menstrual cycle. J Clin Endo Metab 67:334-340, 1988.

7. Lessey BA, Metzger DA, Haney AF, McCarty KS Jr: Immunohistochemical analysis of estrogen and progesterone receptors in endometriosis: Comparison with normal endometrium during the cycle and the effect of medical therapy. Fertil Steril 51:409-415, 1989.

8. Metzger DA, Korach KS. Cell-free interaction of the estrogen receptor with mouse uterine nuclear matrix: Evidence of saturability, specificity and resistance to KCl extraction. Endocrinology 126:2190-2195, 1990.

9. Nezhat C, Nezhat F, Metzger DA, Luciano AA. Adhesion reformation after reproductive surgery by videolaseroscopy. Fertil Steril 53:1008-1011, 1990.

10. Jacobs SL, Metzger DA, Dodson WC, Haney AF. Effect of age on response to human menopausal gonadotropin stimulation. J Clin Endo Metab 71:1525-1530, 1990.

11.Metzger DA, Curtis S, Korach KS. Diethylstilbestrol metabolites and analogs: Differential ligand effects on estrogen receptor interactions with nuclear matrix sites. Endocrinology 128:1785-1791, 1991.

12. Chaffkin LM, Nulsen JC, Luciano AA, Metzger DA. A comparative analysis of the cycle fecundity rates associated with combined human menopausal gonadotropin (hMG) and intrauterine insemination (IUI) versus either hMG or IUI alone. Fertil Steril 55:252-257, 1991.

13. Metzger DA, Lessey B, Soper JT, McCarty KS, Haney AF. Hormone resistant endometriosis following surgical castration: Correlation with histology and steroid receptor content. Obstet Gynecol 78:946-950, 1991.

14. Maier DB, Metzger DA. Slow excretion of exogenous human chorionic gonadotropin simulating repeated pregnancies and pregnancy losses. Fertil Steril 56:783-785, 1991.

15. Nezhat C, Metzger DA, Nezhat F. A simplified approach to laparoscopic presacral neurectomy. Brit J Obstet Gynecol 99:659-663, 1992.

16. Nezhat F, Metzger DA, Allan CJ, Sears DL, Nezhat C. A clinical and histologic classification of endometriomas: Implications for a mechanism of pathogenesis. J Reprod Med 37:771-776, 1992.

17. Nulsen JC, Steinhoff M, Metzger DA. Occult male factor diagnosed by sperm electron-microscopy. J Assist Reprod Genetics 9:491-497, 1992.

18. Metzger DA, Szpak CS, Haney AF. Histologic factors associated with hormonal responsiveness of endometriosis. Fertil Steril 59:83-88, 1993.

19. Chaffkin L, Metzger DA. Pelvic vein dilatation mimicking an adnexal mass in a postmenopausal woman: A case presentation. J Gynecol Surg 9:49-52, 1993.

20. Budnick S, Jacobs SL, Nulsen JC, Metzger DA. Conservative management of interstitial pregnancy. Obstet Gynecol Surv 48:694-698, 1993.

21.Nulsen JC, Walsh S, Dumez S, Metzger DA. A randomized prospective trial of human menopausal gonadotropin (hMG) with intrauterine insemination (IUI) versus IUI alone in the treatment of endometriosis, male factor infertility and unexplained infertility. Obstet Gynecol 82:780-6, 1993.

22. Benadiva C, Metzger DA. Superovulation with human menopausal gonadotropins (hMG) is associated with endometrial gland-stroma dyssynchrony. Fertil Steril 61:700-704, 1994.

23. Crain J, Curole D, Hill G, Hurst B, Metzger DA, Murphy AA, Perloe M, Reich H, Rowe G, Sanfillipo J, Schlaff W, Taylor S, Wing R. Laparoscopic implant of Gore-Tex surgical membrane. J Am Assoc Gynecol Lap 2:417-420, 1995

24. Metzger DA. Nontraditional sites of estrogen action. Environ Health Perspect 103(suppl 7):39, 1995

25.Montanino-Oliva M, Metzger DA, Luciano AA. Use of medrosyprogesterone acetate in the prevention of postoperative adhesions. Fertil Steril 65:650-4, 1996

26. Hurst B, Crain J, Metzger DA, et al. Permanent implantation of expanded polytetrafluoroethylene is safe in pelvic surgery. Hum Reprod (in press)

27.Skinner SM, Kieback D, Chunn J, Jones LA, Metzger DA, Dunbar B. Identification of a meiotically expressed carbohydrate antigen in ovarian carcinoma. II. Association with proteins in tumors and peritoneal fluid.(submitted)

28. Devi A, Metzger DA, Luciano AA, Clive J, Benn P. X-chromosome abnormality in patients with premature ovarian failure. Human Genetics (submitted).

29.Metzger DA, Wilbur D, Szpak CS. Immunohistochemical assessment of steroid hormone receptors in endometrium and endometriosis from patients undergoing hormonal therapy (in preparation).

30.Jacobs SL, Shangold MM, Metzger DA. Does endometrial histologic maturation decline with advancing age? (in preparation)

31.Metzger DA, Jacobs SL, Dodson WC, Haney AF. Age-related parameters associated with optimal pregnancy rates in a Pergonal superovulation and intrauterine insemination program (in preparation).

32. Metzger DA, Kavel S, Chaffkin LM, Wilbur D. Immunohistochemical assessment of estrogen and progesterone receptor content and distribution in endometrial biopsies from women undergoing clomiphene citrate ovulation induction (in preparation).

33. Metzger DA, Nulsen JC, Manzi D, Wilbur D, Luciano AA. Effect of human menopausal gonadotropin ovulation induction on estrogen and progesterone receptor content of late luteal phase endometrium (in preparation).

34. Metzger DA, Scott L, Nulsen JC, Luciano AA. Optimal use of human menopausal gonadotropin (hMG) superovulation combined with intrauterine insemination (IUI) as an adjunct to conservative laparoscopic surgery for the treatment of infertility associated with endometriosis (in preparation).

35. Metzger DA, Breault DT, Chaffkin L, Luciano AA. The role of estrogen in adhesion reformation (in preparation).

36. Metzger DA, Breault DT, Chaffkin L, Luciano AA. The role of estrogen suppression vs oophorectomy in adhesion formation (in preparation).

Abstracts:

1. Metzger DA, Clark JH, Schrader WT, Peck EJ, Jr.: Characterization of the rat uterine estrogen receptor. Pro 59th Ann Meeting Endocrine Society, 1977.

2. Metzger DA, Peck EJ, Jr., Clark JH: Estrogen receptor interaction with nuclear acceptor sites. Gordon Conference on Hormone Action, 1978.

3. Metzger DA, Peck EJ Jr., Clark JH: Specific binding of the estrogen receptor to nuclear acceptor sites. Proc Nat Student Res Forum (Galveston, TX),1978.

4. Metzger DA: Characterization of the rat uterine estrogen receptor. Dissertation Abstracts International, 1979.

5. Metzger DA, Olive DL, Haney AF: Hormonal responsiveness of ectopic endometrium. American Fertility Society Meeting Abstracts, Abstract #80, 1985.

6. Jacobs SL, Metzger DA, Dodson WC, Haney AF: Effects of age on response to pergonal stimulation. Society for Gynecologic Investigation, San Diego, CA Abstract #113, March 1989.

7. Nulsen JC, Maier DB, Metzger DA, Peluso J, Luciano AA: Prevention of premature luteinization: the importance of mode of GnRH agonist administration during the follicular phase. Society for Gynecologic Investigation, San Diego, CA, Abstract #460, March 1989.

8. Metzger DA, Szpak CS, Haney AF: Histologic factors associated with hormonal responsiveness of endometriosis. 2nd International Meeting in Houston, TX, Abstract #51, May 1989.

9. Nulsen JC, Metzger DA, Kuslis S, Luciano AA: Intrauterine insemination combined with human menopausal gonadotropin (hMG) superovulation in the treatment of infertility associated with antisperm antibodies in the male. The American Fertility Society, 45th Annual Meeting, San Francisco, CA November 1989. Abstract #366.

10. Chaffkin LM, Metzger DA, Nulsen JC, Luciano AA: Pergonal and intrauterine insemination (IUI) for the treatment of infertility. The American Fertility Society Meeting, 45th Annual Meeting, San Francisco, CA November 1989.

Abstract #140.

11. Metzger DA, Wilbur D, Szpak CS. Immunohistochemical assessment of steroid

hormone receptors in endometrium and endometriosis from patients undergoing

hormonal therapy. Society for Gynecologic Investigation, St. Louis, March 21 -

24, 1990, Abstract #204.

12. Nulsen JC, Dumez S, Metzger DA. Randomized prospective trial of Pergonal

(HMG) superovulation with intrauterine insemination (IUI) versus IUI alone. The

American Fertility Society Meeting, 46th Annual Meeting, Wash DC, Oct 13-18,

1990, Abstract #0-131.

13. Metzger DA, Kavel S, Chaffkin LM, Wilbur D. Immunohistochemical assessment of estrogen and progesterone receptor content and distribution in endometrial biopsies from women undergoing clomiphene citrate ovulation induction. Society for Gynecologic Investigation, San Antonio, March 1991, Abstract #361.

14. Metzger DA, Jacobs SL, Dodson WC, Haney AF. Age-related factors contributing to conception with pergonal superovulation and intrauterine insemination. Society for Gynecologic Investigation, San Antonio, March 1991, Abstract #474.

15. Metzger DA, Nulsen JC, Manzi D, Wilbur D, Luciano AA. Effect of human

menopausal gonadotropin ovulation induction on estrogen and progesterone

receptor content of late luteal phase endometrium. 7th World Congress on

In Vitro Fertilization and Assisted Procreation, Paris, June 1991, Abstract #674.

16. Nulsen JC, Metzger DA, Luciano AA, Peluso JJ. A comparison of the

luteotrophic activity of luteal phase serum obtained from individuals undergoing

superovulation with and without luprolide acetate. 7th World Congress on

In Vitro Fertilization and Assisted Procreation, Paris, June 1991.

17. Nulsen JC, Metzger DA, Steinhoff M and Luciano AA. Electronmicroscopy (EM): a valuable tool in the evaluation of the male factor (MF) in couples experiencing repetitive fertilization failure (FF) while undergoing IVF. 7th World Congress on In Vitro Fertilization and Assisted Procreation, Paris, June 1991.

18. Metzger DA, Scott L, Nulsen JC, Luciano AA. Optimal use of human menopausal gonadotropin (hMG) superovulation combined with intrauterine insemination (IUI) as an adjunct to conservative laparoscopic surgery for the treatment of infertility associated with endometriosis. ACOG District I Meeting, Quebec, Canada, Oct. 1991.

19. Metzger DA, Scott L, Nulsen JC, Luciano AA. Optimal use of human menopausal gonadotropin (hMG) superovulation combined with intrauterine insemination (IUI) as an adjunct to conservative laparoscopic surgery for the treatment of infertility associated with endometriosis. The American Association of Gynecologic Laparoscopists, 20th Annual Meeting, Las Vegas NV, Nov 13-17, 1991.

20. Luciano AA, Wurzel R, Buch J, Metzger DA. Laparoscopic varicocelectomy for the treatment of male infertility. The American Association of Gynecologic Laparoscopists, 20th Annual Meeting, Las Vegas NV, Nov 13-17, 1991.

21. Metzger DA, Breault DT, Chaffkin L, Luciano AA. The role of estrogen in adhesion reformation. Society for Gynecologic Investigation, San Antonio TX, Mar 18-21, 1992, Abstract #187.

22. Jacobs SL, Shangold MM, Metzger DA. Does endometrial histologic maturation decline with advancing age? Society for Gynecologic Investigation, San Antonio TX, Mar 19-21, 1992, Abstract #415.

23. Metzger DA, Breault DT, Chaffkin L, Luciano AA. The role of estrogen suppression versus oophorectomy in adhesion formation. Raoul Palmer European Club of Gynecologic Endoscopy, Sept 9-11, 1992 Clermont-Ferrand, France.

24. Metzger DA, Zupi E, Luciano AA. Ureteral injuries associated with endoscopic surgery. Raoul Palmer European Club of Gynecologic Endoscopy, Sept 9-11, 1992 Clermont-Ferrand, France.

25. Nulsen JC, Manzi DM, Metzger DA, Dumez L, Scott L. Selected utilization of Leuprolide Acetate (LA) in women undergoing Pergonal (hMG) superovulation with intrauterine insemination (IUI) results in significant enhancement in cycle fecundity. The American Fertility Society, Oct 31-Nov 5, 1992, New Orleans.

26. Benadiva CA, Nulsen JC, Metzger DA. Superovulation with human menopausal gonadotropins (hMG) is associated with endometrial gland-stroma dyssynchrony. The American Fertility Society, Oct 31-Nov 5, 1992, New Orleans.

27. Schlaff WD, Hurst BS, Kettel M, Murphy AA, Franklin R, Lotze E, Rowe G, Haney AF, March C, Tjaden B, Hesla J, Rock JA, Boyers S, Luciano AA, Metzger DA. Prevention of pelvic sidewall adhesions using barrier methods: e-PTFE (Gore-Tex Surgical Membrane) and oxidized regenerated cellulose (Interceed, TC7). The American Fertility Society Annual Meeting, October 31- November 5, 1992, New Orleans, LA.

28. Manzi DL, Thornton K, Metzger DA, Luciano AA, Scott L, Nulsen JC. The effect on cycle fecundity of increasing hMG dosage in patients undergoing superovulation and intrauterine insemination with an initial poor response. Society for Gynecologic Investigation, April 1-3, 1993, Toronto Canada.

29. Metzger DA, Robbins B, Tortora A, Maier DB, Thornton K, Nulsen JC. Clomiphene citrate (CC) and intrauterine insemination (IUI) for the treatment of infertility. Society for Gynecologic Investigation, April 1-3, 1993, Toronto Canada, Abstract #309.

30. Metzger DA, Breault DT, Chaffkin L, Luciano AA. The role of estrogen suppression versus oophorectomy in adhesion formation. Society for Gynecologic Investigation, April 1-3, 1993, Toronto Canada, Abstract #347.

31. Benadiva CA, Metzger DA. Immunohistochemical assessment of estrogen and progesterone receptor content in endometrial biopsies from women with endometrial gland-stroma dyssynchrony associated with human menopausal gonadotropin (hMG) superovulation. The American Fertility Society, October 9-14, 1993, Palais des Congres, Montreal.

32. Albini M, Metzger DA, Benadiva C, Haverly K, Luciano A. Laparoscopic management of ovarian benign cystic teratomas. The American Association of Gynecologic Laparoscopists, November 10-14, 1993, San Francisco CA.

33. Metzger DA, Montanino-Oliva M, Davis G, Redwine D. Efficacy of presacral neurectomy for the relief of midline pelvic pain. The American Association of Gynecologic Laparoscopists Annual Meeting, New York NY. October 19-23, 1994.

34. Montanino-Oliva M, Metzger DA, Luciano AA. Use of medroxyprogesterone acetate (MPA) in the prevention of postoperative adhesions. The American Fertility Society Annual Meeting, November 5-10, 1994, San Antonio TX.

35. Hurst BS, Crain J, Curole D, Hill G, Metzger DA, Murphy AA, Perloe M, Reich H, Rowe G, Sanfillipo J, Schlaff WD, Taylor S, Wing R. Permanent implantation of expanded polytetrafluoroethylene (ePTFE) adhesion barrier is safe for pelvic surgery. FIGO World Congress of Gynecology and Obstetrics Meeting, August 3-8, 1997, Copenhagen.

36. Metzger DA, Daoud I. Occult hernias in women with chronic pelvic pain. International Congress of Gynecologic Enodscopy AAGL 26th Annual Meeting, September 23-28, 1997, Seattle, WA (plenary abstract).

37. Metzger DA, Epstein N. Conservative management of chronic pelvic pain associated with ovarian vein varicosities. International Congress of Gynecologic Enodscopy AAGL 26th Annual Meeting, September 23-28, 1997, Seattle, WA.

38. Metzger DA. Efficacy of conventional and alternative treatments for endometriosis. VI World Congress on Endometriosis, June 30-July 4, 1998, Quebec

39. Metzger DA, Sanity J. Fatigue associated with endometriosis. VI World Congress on Endometriosis, June 30-July 4, 1998, Quebec

40. Metzger DA, Daoud I, Bosco P, Peters-Gee J. A systematic approach to the diagnosis and management of chronic pelvic pain. International Congress of Gynecologic Endoscopy AAGL 27th Annual Meeting, Nov 10-15, 1998, Atlanta, GA (plenary abstract).

41. Metzger DA. Additional sources of pain in women with treatment resistant or recurrent endometriosis. International Congress of Gynecologic Endoscopy AAGL 27th Annual Meeting, Nov 10-15, 1998, Atlanta, GA.


Presentations

Community Programs

1. "Contraception and sexually-transmitted diseases". Thomaston High School, October 1989.

2. "Moans, groans and hormones". Beth El Sisterhood, Torrington CT, February 1990.

3. "Reproduction in women over 40". Resolve Symposium, June 1990.

4. "Contraception and sexually-transmitted diseases". Thomaston High School, November 1990.

5. "Reproduction in women over 40". Resolve, Hartford CT, February 1991.

6. "Contraception and sexually-transmitted diseases". North Haven High School, May 1991.

7. "Endometriosis". Resolve, Hartford CT, January 1992.

8. "Endometriosis". Endometriosis Association, Glastonbury CT, February 1992.

9. "Menopause and sexuality". Impotence Anonymous Group, New Britain CT, March 1992.

10. "Endometriosis". Endometriosis Association, Phoenix AZ, March 1992.

11. "Endometriosis". ITT Hartford Women’s Group, Hartford CT, March 1992.

12. "Menopause and sexuality". Impotence Group, UConn, April 1992.

13. "Endometriosis". ITT Women’s Group, Simsbury CT, April 1992.

14. "Endometriosis". Women’s Networking, UConn, March 1993.

15. "Pain and Endometriosis". Long Island Endometriosis Association, April 1993.

16. "Menopause and hormone replacement therapy". Forty-Something night, UConn, May 1993.

17. "Endometriosis". Infertility-An Overview and Update, UConn, June, 1993.

18. "Sexuality after hysterectomy". Hysterectomy Symposium, UConn Health Center, September 1993.

19. "Menopause and hormone replacement therapy". St. George Armenian Church Women’s Group, Hartford CT, October 1993.

20. "Menopause and hormone replacement therapy". University of CT, Storrs CT, October 1993.

21. "New advances in hormonal therapy of endometriosis". Fall Endometriosis Symposium, UConn Health Center, October 1993.

22. "Menopause and hormone replacement therapy". Health and Women Over 40, University of CT School of Allied Health Professions, October 1993.

23. "Menopause and hormone replacement therapy". Putnam CT, November 1993.

24. "Pause and Effect: The Transition into Menopause". Kickoff speaker for Prime Plus/Red Hot Mommas, Community Health Promotion Program, Sharon Hospital, Sharon CT, January 1995.

25. "Estrogen replacement - Review of the latest recommendations". Health & Women over 40: Prevention and Survival, Second Annual Conference of the University of CT School of Allied Health Professionals. Farmington CT, October 1994.

26. "Moans, Groans and Hormones". Hartford County School Nurse Association. Simsbury CT, January 1994.

27. "Menopause". UConn Storrs Nursing Course. Storrs CT, February 1994.

28. "Hormone Replacement Therapy". Meeting of the Hartford County School of Nurses Association. Simsbury High School, Simsbury CT, February 1994.

29. "Menopause and Hormone Replacement Therapy - The Issues and the Options". Conference for state elderly health workers. Farmington CT, March 1994.

30. "Endometriosis". Lunchtime seminar series. ITT Hartford CT, April 1994.

31. "Controversies in Treatment of Endometriosis". New York Endometriosis Association. Long Island NY, June 1994.

32. "Menopause". Connecticare Noon Series. Farmington CT. September 1994.

33. "Moans, Groans and Hormones". Wesleyan University, Menopause Support Group, Middletown CT, September 1994.

34. "Menopause and Hormone Replacement Therapy". Kickoff speaker for the ‘Red Hot Momas’. Poughkeepsie NY, October 1994.

35. "Estrogen replacement-Review of the latest recommendations". Presented as part of ‘Health & Women Over Forty: Prevention & Survival’ conference sponsored by UConn School of Allied Heath Professionls, Farmington CT, October 1994

36. "Menopause and Hormone Replacement Therapy". Kickoff speaker for ‘Prime Plus’, Sharon Hospital, Sharon CT, January 1995.

37. "More on Menopause". Wesleyan University Menopause Support Group. Middletown CT, February 1995.

38. "Hormones and breast cancer", ECSU Women’s Conference, Willimantic CT, March 1995

39. "Hormones and breast cancer". Bradley Memorial Hospital ‘Red Hot Mamas’, Southington CT, March 1995

40. "Menopause". Manchester Memorial Hospital Red Hot Mamas, Manchester CT, April 1995

41. "New treatment approaches for endometriosis". Endometriosis Association Meeting, Long Island NY, September 1995

42. "Physiology of menopause". Kickoff speaker for the ‘Red Hot Momas’, St Francis Hospital and Medical Center, Enfield CT, October 1995

43. "Hormones and breast cancer". Wesleyan University, Middletown CT, November 1995

44. "What’s happening to me: The physiology of menopause". ‘Prime Plus/Red Hot Mamas’, Bradley Memorial Hospital, Southington CT, January 1996

45. "Menopause and hormone replacement therapy". Danbury Hospital ‘Prime Plus’, June 1996

46. "Having a modern menopause" Featured speaker, Women’s Health Update: Menopause, Research & Happiness, East Windsor, CT, October, 1996

47. "Alternatives to Hysterectomy". Wesleyan University, Middletown CT, December, 1996

48. "A Modern Menopause". Farmington, CT January 1997

49. "Alternative Medicine in the Management of Endometriosis", Endometriosis Association, Northshore, NY, January, 1997

50. "Hormonal Help Today for Your Mental and Physical Well-Being", Eighth Women’s Health Update: Woman-the Well Being, Hartford, CT, May 1998

51. "Cultural Considerations and Alternative Medicine Panel", Ninth Women’s Health Update: From Breasts to Zinc, East Windsor, CT, October, 1998

52. "Pelvic Pain, Cramps and Allergies: What’s the Connection?" St Francis Memorial Hospital, San Francisco, January, 1999


Regional Programs

1. "Interaction of the estrogen receptor with nuclear matrix". Division of Reproductive Endocrine and Infertility Seminar Series, UConn, September 1987.

2. "Hormonal responsiveness of ectopic endometrium". Division of Reproductive

Endocrine and Infertility Seminar Series, UConn, September 1987.

3. "Medical management of endometriosis". Division of Reproductive Endocrinology and Infertility Seminar Series, UConn, November 1987.

4. "Mechanisms of steroid hormone action: a clinician’s perspective". Duke

University Medical Center, Dept of Ob/Gyn Grand Rounds, January 1988.

5. "Hormonal treatment of endometriosis". Division of Reproductive Endocrine and Infertility, UConn, March 1988.

6. "Interaction of the estrogen receptor with nuclear matrix". NIEHS/NIH Molecular Biology Seminar, May 1988.

7. "Receptor and nuclear acceptor site interactions". Division of Reproductive Endocrine and Infertility Seminar Series, UConn, September 1988.

8. "Clinical menstrual cycle". Department of Obstetrics and Gynecology Link Rounds, UConn, November 1988.

9. "Primary amenorrhea". Department of Obstetrics and Gynecology Link Rounds, UConn, December 1988.

10. "Secondary amenorrhea". Department of Obstetrics and Gynecology Link Rounds, UConn, January 1989.

11. "Hirsutism". Department of Obstetrics and Gynecology Link Rounds, UConn, March 1989.

12. "Superovulation and intrauterine insemination". Reproductive Endocrine and Infertility Seminar Series, UConn, June 1989.

13. "Pergonal superovulation and intrauterine insemination for the management of infertility". Department of Obstetrics and Gynecology Grand Rounds, Waterbury Hospital, Waterbury CT, June 1989.

14. "Basic infertility testing". Division of Reproductive Endocrine and Infertility Seminar Series, UConn, July 1989.

15. "Clinical menstrual cycle". Department of Obstetrics and Gynecology Link Rounds, UConn, August 1989.

16. "Surgical Management of Endometriosis". Laser Endoscopy Course, UConn, October 1989.

17. "Reproduction in older women". Department of Obstetrics and Gynecology Grand Rounds, Waterbury Hospital, Waterbury CT, November 1989.

18. "Contraception and sterilization". Department of Obstetrics and Gynecology Core Clerkship Lecture Series, UConn, December 1989.

20. "Primary amenorrhea". Department of Obstetrics and Gynecology Link Rounds, UConn, December 1989.

21. "Regulation of endometrial function by sex steroids". Medical Endocrinology Citywide Grand Rounds, UConn, December 1989.

22. "Secondary amenorrhea". Department of Obstetrics and Gynecology Link Rounds, UConn, December 1989.

23. "Update on the clinical application of superovulation and intrauterine insemination". Division of Reproductive Endocrine and Infertility Seminar Series, UConn, January 1990.

24. "Luteal phase deficiency". Division of Reproductive Endocrine and Infertility Seminar Series, UConn, January 1990.

25. "Secondary amenorrhea". Department of Obstetrics and Gynecology Link Rounds, UConn, January 1990.

26. "Hormonal therapy of endometriosis". Hartford CT, March 1990.

27. "Pelviscopy and endometriosis". Department of Obstetrics and Gynecology Grand Rounds, Long Island Jewish Medical Center, March 1990.

28. "Reproduction in older women". Department of Genetics Grand Rounds, UConn, April 1990.

29. "Contraception and sterilization". Department of Obstetrics and Gynecology Core Clerkship Series, UConn, April 1990.

30. "DES exposure and reproduction". Department of Obstetrics and Gynecology Grand Rounds, Hartford Hospital, Hartford CT, April 1990.

31. "Dysfunctional uterine bleeding". Department of Obstetrics and Gynecology Grand Rounds, Waterbury Hospital, Waterbury CT, June 1990.

32. "Non-Surgical treatment of endometriosis". Department of Obstetrics and Gynecology Link Rounds, UConn, June 1990.

33. "Assisted Reproductive Technologies". Department of Pediatrics Grand Rounds, UConn, June 1990.

34. "Pergonal superovulation and intrauterine insemination protocols". Division of Reproductive Endocrine and Infertility Seminar Series, UConn, July 1990.

35. "Introduction to endometriosis". Department of Obstetrics and Gynecology, Link Rounds, UConn, July 1990.

36. "Amenorrhea, infertility and contraception". Department of Obstetrics and Gynecology Core Clerkship Series, UConn, July 1990.

37. "Premature ovarian failure". Department of Obstetrics and Gynecology Grand Rounds, Waterbury Hospital, Waterbury CT, August 1990.

38. "Surgical management of endometriosis". Department of Obstetrics and Gynecology Grand Rounds, New Britain General Hospital, New Britain CT, September 1990.

39. "Surgical management of endometriosis". Laser Endoscopy Course sponsored by the Division of Reproductive Endocrine and Infertility, UConn, October 1990.

40. "Amenorrhea". Department of Obstetrics and Gynecology Link Rounds, October 1990.

41. "Steroid hormone receptors". Division of Reproductive Endocrine and Infertility Seminar Series, November 1990.

42. "Reproduction in women over 35". Rockville Hospital Grand Rounds, Rockville CT, January 1991.

43. "New concepts in the management of endometriosis". TAP Pharmaceutical Regional Meeting, Boston MA, January 1991.

44. "New concepts in the management of endometriosis". Plymouth MA, January 1991.

45. "Steroid hormone receptor interaction with nuclear matrix". Molecular Biology Group, UConn, February 1991.

46. "New concepts in the management of endometriosis". Newton MA, February 1991.

47. "New concepts in the management of endometriosis". Hartford CT, March 1991.

48. "New concepts in the management of endometriosis". Norwood MA, March 1991.

49. "Timely topics in endometriosis". Burlington NH, March 1991.

50. "New concepts in the management of endometriosis". Burlington VT, March 1991.

51. "Hormonal responsiveness of endometriosis". Endometriosis Symposium, Suffolk County Medical Association, March 1991.

52. "Reproduction and DES exposure". Department of Obstetrics and Gynecology Grand Rounds, Waterbury Hospital, Waterbury CT, March 1991.

53. "Non-surgical therapy of endometriosis". Department of Obstetrics and Gynecology Link Rounds, UConn, March 1991.

54. "Contraception and sterilization". Department of Obstetrics and Gynecology Core Clerkship Lecture Series, UConn, March 1991.

55. "New concepts in the management of endometriosis". Quincy MA, April 1991.

56. "New concepts in the management of endometriosis". Trumbull CT, April 1991.

57. "New concepts in the management of endometriosis". Warwick RI, April 1991.

58. "New concepts in the management of endometriosis". Department of Obstetrics and Gynecology Grand Rounds Mt. Sinai Hospital, Hartford CT, May 1991.

59. "Contraception and sterilization". Department of Obstetrics and Gynecology Core Clerkship Lecture Series, UConn, May 1991.

60. "New concepts in the management of endometriosis". Newton MA, June 1991.

61. "New concepts in the management of endometriosis". Boston MA, June 1991.

62. "New concepts in the management of endometriosis". Springfield MA, June 1991.

63. "New concepts in the management of endometriosis". Enfield MA, June 1991.

64. "New concepts in the management of endometriosis". Department of Obstetrics and Gynecology Grand Rounds, Waterbury Hospital, Waterbury CT, July 1991.

65. "New concepts in the management of endometriosis". Freeport ME, July 1991.

66. "Medical and surgical management of endometriosis". Freeport ME, July 1991.

67. "Introduction to endometriosis". Department of Obstetrics and Gynecology Link Rounds, UConn, July 1991.

68. "New concepts in the management of endometriosis". Portsmouth NH, July 1991.

69. "New concepts in the management of endometriosis". Department of Obstetrics and Gynecology Grand Rounds St. Raphael’s Hospital, New Haven CT, July 1991.

70. "Contraception and sterilization". Department of Obstetrics and Gynecology Core Clerkship Curriculum, UConn, August 1991.

71. "New concepts in the management of endometriosis". Department of Obstetrics and Gynecology Grand Rounds, Walther Weston Hospital, Boston MA, September 1991.

72. "The use of GnRH agonists". Nursing Seminar, Hartford CT, September 1991.

73. "New concepts in the management of endometriosis". Department of Obstetrics and Gynecology Grand Rounds, Mount Auburn Hospital, Boston MA, September 1991.

74. "Contraception and sterilization". Department of Obstetrics and Gynecology Core Clerkship Curriculum, UConn, September 1991.

75. "Optimal use of human menopausal gonadotropin superovulation combined with intrauterine insemination as an adjunct to conservative laparoscopic surgery for the treatment of infertility associated with endometriosis". ACOG District I meeting,
Quebec Canada, October 1991 (Searle-Donald F. Richardson Memorial Prize Paper).

76. "Complications of endoscopic surgery". Department of Obstetrics and Gynecology Grand Rounds, New Britain General Hospital, New Britain CT, January 1992.

77. "Medical therapy of endometriosis". Department of Obstetrics and Gynecology Link Rounds, UConn, February 1992.

78. "Contraception and sterilization". Department of Obstetrics and Gynecology Core Clerkship Curriculum, UConn, February 1992.

79. "Contraception and sterilization". Department of Obstetrics and Gynecology Core Clerkship Curriculum, UConn, March 1992.

80. "Complications of Endoscopic Surgery". Mt. Auburn Annual Conference, Newton MA, May 1992.

81. "The role of sex steroids in adhesion formation". Mt Auburn Annual Conference, Newton MA, May 1992.

82. "Laparoscopically-assisted vaginal hysterectomy". CT NACOG Meeting, New Britain CT, May 1992.

83. "New concepts in the management of tubal disease". Department of Obstetrics and Gynecology Grand Rounds Waterbury Hospital, Waterbury CT, May 1992.

84. "Developmental biology of the endometrium". Developmental Biology Seminar Series, UConn, June 1992.

85. "Contraception and sterilization". Department of Obstetrics and Gynecology, Core Clerkship Curriculum, UConn, June 1992.

86. "Complications of laparoscopic surgery". Department of Obstetrics and Gynecology Grand Rounds, Lawrence-Memorial Hospital, New London CT, June 1992.

87. "Endometriosis and pelvic pain". Current Controversies in Reproductive Endocrinology and Infertility, UConn, October 1992.

88. "Laparoscopic instrumentation". Current Controversies in Reproductive Endocrinology and Infertility, UConn, October 1992.

89. "Endometriosis". Current Controversies in Reproductive Endocrinology and Infertility, UConn, October 1992.

90. "Assisted Reproductive Technologies". Grand Rounds, Windham Hospital, December 1992.

91. "Complications of laparoscopy". Grand Rounds, Hartford Hospital, Dept OB/GYN, January 1993.

92. "Endometriosis". Issues and Insights in OB/GYN, Providence RI, March 1993.

93. "Moans, groans and hormones". Symposium on Older Women and Health, Institute of Living, March 1993.

94. "Endometriosis: Medical Update". Endometriosis and Pelvic Pain Symposium. UConn, May, 1993. Program Chairperson.

95. "Endometriosis and pelvic pain". Endometriosis Association of New York, New York, May 1993.

96. "Menopause and hormone replacement therapy". Conference on Women’s Health Concerns, Old Legislative Offices, Hartford CT, May 1993.

97. "Complications of laparoscopic surgery". Grand Rounds, Waterbury Hospital, May 1993.

98. "Luteal phase defect". Grand Rounds Bridgeport Hospital, June 1993.

99. "Ethics and Reproductive technology". Grand Rounds, Manchester Hospital, June 1993.

100. "Menopause and hormone replacement therapy - risks and benefits". Rockville Hospital Grand Rounds, July 1993.

101. "Pelvic pain". Ob/Gyn Link Rounds, UConn Health Center, September 1993.

102. "Endometriosis and infertility". Reproductive and endocrine seminar series, UConn Health Center, September 1993.

103. "Menopause and hormone replacement therapy". Westchester NY, October 1993.

104. "Menopause and hormone replacement therapy". Connecticut Pharmacists Association, October 1993.

105. "Aspects of Implantation of the Gore-Tex Surgical Membrane". Current Topics in Infertility Surgery. Trumbull CT, November 1993.

106. "Contraception". Ob/Gyn Medical Students Lecture. UConn Health Center. December 1993.

107. "Pelvic pain". Ob/Gyn Grand Rounds. Waterbury Hospital, Waterbury CT. January 1994.

108. "Estrogens and Environment". UConn Reproductive Endocrine seminar series. Farmington CT, January 1994.

109. "The management of endometriosis and pelvic pain". Ob/Gyn Grand Rounds, New Britain General Hospital, New Britain CT, February 1994.

110. "Contraception and Sterilization". Ob/Gyn lecture series for medical students. UConn Health Center, Farmington CT, February 1994.

111. "Uses and misuses of clomiphene citrate". New Britain General Hospital Ob/Gyn Grand Rounds, New Britain CT, March 1994.

112. "Use of lasers in gynecology". Ob/Gyn Link Rounds, UConn Health Center, Farmington CT, March 1994.

113. "Endometriosis and Pelvic Pain". Ob/Gyn Grand Rounds, Charlotte Hungerford Hospital, Torrington CT, April 1994.

114. "Endometriosis and Pelvic Pain". Ob/Gyn Grand Rounds, Rockville Hospital, Rockville CT, April 1994.

115. "Endometriosis and Pelvic Pain". Medical Staff Grand Rounds. Manchester Hospital, Manchester CT, April 1994.

116. "Hysterectomy". UConn Reproductive Endocrine Seminar Series. Farmington CT, April 1994.

117. "Endometriosis and pelvic pain". Bristol Hospital Ob/Gyn Grand Rounds. Bristol Hospital, Bristol CT, April 1994.

118. "Contraception and Sterilization". Ob/Gyn Medical Student Lecture Series. UConn Health Center. April 1994.

119. "Endometriosis and Pelvic Pain". Ob/Gyn Grand Rounds. Bridgeport CT, May 1994.

120. "Endometriosis and Pelvic Pain". Backus Hospital, Ob/Gyn Grand Rounds. Norwich CT, June 1994.

121. "Management of Recurrent Pain Following Hysterectomy for Endometriosis". Special Lecture, Hoboken NJ, September 1994.

122. "Pelvic Pain". Ob/Gyn Residents Link Rounds. UConn Health Center, Farmington CT, September 1994.

123. "Androgens and the Menopause". Solvay Teleconference, October 1994.

124. "Treating the Mind as well as the Body". Hartford County Endometriosis Association. Hartford CT, November 1994.

125. "Optimizing the surgical management of endometriosis". Brooklyn-Wycoff Heights Ob/Gyn Grand Rounds, Brooklyn NY, November 1994.

126. "Optimizing the management of endometriosis". Ob/Gyn Grand Rounds, Fall River MA, January 1995.

127. "Laparoscopy: How far is too far?". ACOG District I Practice Committee Presentation, by invitation. Boston MA, January 1995.

128. "Optimal treatment of endometriosis". Middlesex Hospital Ob/Gyn Grand Rounds, Middletown CT, January 1995.

129. "Endometriosis". Grand Rounds, Fall River MA, Jan 1995

130. "An Integrated Approach to Pelvic Pain". Mt. Sinai Grand Rounds, Hartford CT, February 1995.

131. "Pelvic pain: It’s not just for gynecologists". Invited speaker of the Women Physicians Networking of Fairfield Co, Westport CT, March 1995

132. "Adhesions and pelvic pain". Symposium, East Windsor CT, June 1995

133. "Androgens in the treatment of menopausal symptoms". Ob/Gyn Grand Rounds, Vassar Brothers Hospital, Poukeepsie NY, June 1995

134. "An integrated approach to chronic pelvic pain". Ob/Gyn Grand Rounds, Bradley Memorial Hospital, Southington CT, November 1995

135. "GnRH agonists in the managment of endometriosis". Ob/Gyn Grand Rounds, Berkshire Medical Center, Pittsfield MA, November 1995

136. "Superovulation". Resolve Symposium, Hartford CT, June 1996

137. "Pathophysiology of endometriosis". Ob/Gyn Grand Rounds, Queens Hospital, New York NY, January 1996

138. "Advances in the management of endometriosis". Ob/Gyn Grand Rounds, University of Vermont, Burlington VT, February 1996

139. "Hormonal management of menopause". Dinner conference, Enfield MA, February 1996

140. "Advances in the management of endometriosis". Ob/Gyn Grand Rounds, SUNY Stony Brook, Long Island NY, May 1996

141. "Endometriosis-An integrated approach". New England Obstetrical and Gynecological Society 68th Annual Fall Meeting, Westborough, MA, October 1996

142. "Chronic Pelvic Pain and Nonpalpable Hernias". Grand Rounds St Francis Hosp and Medical Center Dept of Ob/Gyn, Hartford, CT, November 1996

143. "Androgens in the Treatment of Menopausal Symptoms". Grand Rounds New Bedford Hosp Dept OB/Gyn, November 1996

144. "Chronic Pelvic Pain". Link Rounds of Univ CT Health Center, Farmington CT, February, 1997

145. "Diagnostic Approaches to Chronic Pelvic Pain". UConn Family Medicine Program, Hartford CT, April, 1997

146. "Estrogens and treatment of depression". Women’s Psychiatry Meeting, Hartford CT, June, 1997

147. "New Perspectives in Pelvic Pain Assessment", Northeast Regional Nurse Practitioner Conference, Manchester, NH, May 7-8, 1998

National/International Programs

1. "Hormonal therapy of endometriosis". Round Table Discussion Leader, Second International Endometriosis Meeting, Houston TX, May 1989.

2. "Surgical management of endometriosis". Endoscopic Laser Course, Fertility and Endoscopy Center, Atlanta GA, February 1990.

3. "Endometriosis". New Frontiers in Videolaseroscopy, Fertility and Endoscopy Center, Atlanta GA, August 1990.

4. "Endometriosis". Course in Videolaseroscopy, Fertility and Endoscopy Center, Atlanta GA, January 1991.

5. "Superovulation and intrauterine insemination". Department of Obstetrics and Gynecology Grand Rounds, University of VT Medical Center, March 1991.

6. "Endometriosis". Course in Videolaseroscopy, Hyatt Regency, June 1991.

7. "Applications of Pergonal superovulation and intrauterine insemination for the management of infertility". Department of Obstetrics and Gynecology Grand Rounds, Hahemann University Medical Center, Philadelphia PA, October 1991.

8. "Medical therapy of endometriosis". Round Table Discussion, American Fertility Society Meeting, Orlando FL, October 1991.

9. "Endoscopy in Gynecology". Arab American Medical Association, Cabo San Lucas, Mexico, November 1991.

10. "Advanced surgical reproductive technologies". New Jersey Medical Association, Cherry Hill NJ, November 1991.

11. "Complication of endoscopic surgery". Basic Endoscopy Course AAGL Meeting, Las Vegas NV, November 1991.

12. "Lasers in endoscopy". Basic Endoscopy Course AAGL Meeting, Las Vegas NV, November 1991.

13. "Optimal management of endometriomas". Modern Surgical Management of Endometriosis. Scottsdale AZ, March 1992.

14. "Does hormonal therapy have a place in treating endometriosis?" Modern Surgical Management of Endometriosis. Scottsdale AZ, March 1992.

15. "Treatment of endometriosis". Videolaseroscopy. Endoscopy and Infertility Center, Atlanta GA, April 1992.

16. "Cyclic changes in endometriosis implants". Plenary talk, Third World Congress on Endometriosis, Brussels Belgium, May 1992.

17. "Endoscopic treatment of endometriosis". Course in laparoscopically-assisted vaginal hysterectomy. New York City NY, June 1992.

18. "The role of estrogen suppression vs oophorectomy in adhesion formation". Raoul Palmer Club Meeting, Clermont-Ferrand, France, September 1992.

19. "Ureteral injuries with endoscopic surgery". Raoul Palmer Club Meeting, Clermont-Ferrand France, September 1992.

20. "Complications of Laparoscopic Surgery". Advanced Endoscopic Surgery. AAGL Post-Graduate course, AAGL Annual Meeting, Chicago IL, September 1992.

21. "Laparoscopic treatment of mild to extensive endometriosis". Advanced Operative Laparoscopy, Laser and Electrosurgery for Gynecologic, Urologic and General Surgeons. San Juan, Puerto Rico, October 1992.

22. "Uterosacral transection and presacral neurectomy". Advanced Operative Laparoscopy, Laser and Electrosurgery for Gynecologic, Urologic and General Surgeons. San Juan, Puerto Rico, October 1992.

23. "How to manage and prevent complications". Advanced Operative Laparoscopy, Laser and Electrosurgery for Gynecologic, Urologic and General Surgeons. San Juan, Puerto Rico, October 1992.

24. "New concepts in the management of endometriosis". Round table discussion AFS Meeting, New Orleans LA, November 1992.

25. "Steroid regulation of the senescent endometrium". Grand Rounds Dept OB/GYN, Georgetown University School of Medicine, February 3, 1993.

26. "Effects of ovulation induction on endometrial development". Div Repro Endo Seminar Series, Georgetown University School of Medicine, February 3, 1993.

27. "Optimizing the use of clomiphene citrate". 34th Annual OB/GYN update, February 27-March 3, 1993, Park City, UT.

28. "Optimal surgical treatment of endometriosis:. 34th Annual OB/GYN update, February 27-March 3, 1993, Park City, UT.

29. "Laparoscopic complications". 34th Annual OB/GYN update, February 27-March 3, Park City, 1993, UT.

30. "Hormonal therapy for endometriosis". Modern Surgical Management of Endometriosis. Scottsdale AZ, March 1993.

31. "Complications of Endoscopic Surgery for Endometriosis". Modern Surgical Management of Endometriosis. Scottsdale AZ, March 1993.

32. "Treatment of ovarian endometriomas". Modern Surgical Management of Endometriosis. Scottsdale AZ, March 1993.

33. "Management of endometriosis following hysterectomy". Modern Surgical Management of Endometriosis. Scottsdale AZ, March 1993.

34. "LAVH for endometriosis". Modern Surgical Management of Endometriosis. Scottsdale AZ, March 1993.

35. "Should GnRH agonists be used before or after surgery?". Controversies in Endometriosis Management, Washington DC, May 1993. Program Chairperson.

36. "Surgical Management of Endometriosis". Policlinico Nuovo S. Eugenio, Rome, Italy, June 1993.

37. "Sex steroids and adhesions". Universite La Sapienza, Rome, Italy, June 1993.

38. "Management of Endometriosis - Can they really have babies?" Cutting Edge ‘93, Long Branch, NJ, August 1993.

39. "Basic laparoscopy". Gynecological Endoscopic Surgery, Rome, Italy, September 1993.

40. "Infertility surgery". Gynecological Endoscopic Surgery, Rome, Italy, September 1993.

41. "Complications of endoscopic surgery". Gynecological Endoscopic Surgery, Rome, Italy, September 1993.

42. Moderator for the Society for Reproductive Endocrinology oral presentations. The American Fertility Society annual meeting. Montreal, Canada, October 9th through 14th, 1993.

43. "Endometriosis: Identification and Resection". Advanced Operative Endoscopy for the Fertility Surgeon, Annual Meeting of the American Association of Gynecologic Laparoscopists, San Francisco, November 1993.

44. "Chronic pelvic pain: LUNA, presacral neurectomy or hysterectomy". Advanced Operative Endoscopy for the Fertility Surgeon, Annual Meeting of the American Association of Gynecological Laparoscopists, San Francisco, November 1993.

45. Session Chair for "Nontraditional sites of estrogen action". Estrogens in the Environment, Washington DC, January 1994.

46. "Cyclic medical problems of reproductive-aged women". Reproductive Endocrinology and Infertility, ACOG postgraduate course. St. Thomas, Virgin Islands, February 1994.

47. "Endometriosis: Treatment Choices and Pain Management". Reproductive Endocrinology and Infertility. ACOG postgraduate course. St. Thomas, Virgin Islands, February 1994.

48. "Age as a fertility factor and the dilemma of donor eggs". Reproductive Endocrinology and Infertility. ACOG postgraduate course. St. Thomas, Virgin Islands, February 1994.

49. "Controlled ovarian hyperstimulation and intrauterine insemination: When to start, how to perform and when to stop". Reproductive Endocrinology and Infertility ACOG Postgraduate course. St. Thomas, Virgin Islands, February 1994.

50. "New Concepts in the Management of Pelvic Pain". Presented at "Controversies in Gynecology". Keystone CO, March 1994.

51. "What’s Happening to Hysterectomy". Presented at "Controversies in Gynecology". Keystone CO, March 1994.

52. "Endometriosis: A developmental and toxicologic enigma". Special Seminar, National Center for Toxicologic Research, Little Rock AK, March 1994.

53. Co-Chairman "Zoladex and Gynecology - Reinforcing the Partnership,satellite symposium FIGO. Montreal, Canada, September 1994.

54. Moderator, Society of Reproductive Endocrinologists oral presentation.The American Fertility Society annual meeting. San Antonio TX, November 1994.

55. "Does mild endometriosis cause infertility?" Great debate session. Society for Gynecologic Investigation Annual Meeting. Chicago IL, March 1994.

56. "New Options for Hysterectomy". Ob/Gyn Grand Rounds. Hahnemann Medical Center, Philadelphia PA, May 1994.

57. "Present indications for use of GnRH agonists". ACOG Annual Meeting ‘Current Management of Endometriosis’, Orlando FL, May 1994

58. "Endometriosis: The Physicians’ Perspective". Program chairperson, Empowering the Nurse-Patient Team, Zeneca Nurses’ Program, The American Fertility Society Annual Meeting, San Antonio TX, November 1994.

59. Moderator of Clinical Female Fertility Sessions. The American Fertility Society Annual Meeting, San Antonio TX, November 1994.

60. "Hormonal therapy of endometriosis". Orange County Ob/Gyn Society Symposium, Orlando FL, January 1995.

61. "The Uses and Misuses of GnRH Agonists". University of Texas at Galveston Ob/Gyn Grand Rounds, Galveston TX, March 1995.

62. "Symptoms and diagnosis of endometriosis". Audioteleconference, Zeneca Pharmaceuticals, March 1995

63. "Medical therapy of endometriosis". Presented at the 5th Annual ‘Modern Surgical Management of Endometriosis’, Scottsdale AZ, March 1995

64. "An integrated approach to managing endometriosis". Presented at the 5th Annual ‘Modern Surgical Management of Endometriosis’, Scottsdale AZ, March 1995

65. "Uses and misuses of GnRH agonists in the treatment of endometriosis". Ob/Gyn Grand Rounds, Baylor College of Medicine, Houston TX, March 1995

66. Chair, ‘An Integrated Approach to Chronic Pelvic Pain’, Symposium presented at the ACOG Annual Meeting, San Francisco CA, May 1995

67. "Laparoscopy in the diagnosis of chronic pelvic pain". ‘An Integrated Approach to Chronic Pelvic Pain’, Symposium presented at the ACOG Annual Meeting, San Francisco CA, May 1995

68. "Hormones and Breast Cancer". Presented at the Beth Israel Reproductive Endocrinology Seminar, Boston MA, May 1995

69. "GnRH agonists in the treatment of endometriosis". Zeneca Pharmaceutical sponsored teleconference, Houston TX, June 1995

70. "Endometriosis". Ob/Gyn Grand Rounds, University of Maryland, Baltimore MD, June 1995

71. "An integrated approach to the management of chronic pelvic pain". Ob/Gyn Grand Rounds, University of Texas School of Medicine, Amarillo TX, September 1995

72. "Adhesion prevention-Does anything work?" Seminar and Workshop, ASRM Annual Meeting, Seattle WA, October 1995

73. "Surgery for endometriosis". University of Kansas Ob/Gyn Grand Rounds, Kansas City MO, October 1995

74. "Laparoscopic tubal surgery". Presented at the 14th Annual Gynecological Surgery Seminar, The University of Tennessee, Memphis TN, October 1995

75. "Outpatient infertility surgery". Presented at the 14th Annual Gynecological Surgery Seminar, The University of Tennessee, Memphis TN, October 1995

76. "Laparoscopic supracervical hysterectomy". Presented at the 14th Annual Gynecological Surgery Seminar, The University of Tennessee, Memphis TN, October 1995

77. "Treatment of endometriosis". Ob/Gyn Grand Rounds, Memorial Hospital, Memorial City TX, November 1995

78. "Treating endometriosis pain: A multidisciplinary approach". Presented at the 15th Anniversary Conference, Milwaukee WI, November 1995

79. Chair, "Evaluation and Management of Chronic Pelvic Pain", Postgraduate Course of the 24th Annual Meeting of the AAGL, Orlando Fl, November 1995

80. "Diagnostic Laparoscopy". Presented as part of Postgraduate Course 9, Evaluation and Management of Chronic Pelvic Pain, 24th Annual Meeting of the AAGL, Orlando Fl, November 1995

81. "Adhesions". Presented as part of Postgraduate Course 9, Evaluation and Management of Chronic Pelvic Pain, 24th Annual Meeting of the AAGL, Orlando Fl, November 1995

82. "Surgical approaches to ovarian remnant, residual ovary". Presented as part of Postgraduate Course 9, Evaluation and Management of Chronic Pelvic Pain, 24th Annual Meeting of the AAGL, Orlando Fl, November 1995

83. Co-moderator, Free Communications, "Pelvic Pain", 24th Annual Meeting of the AAGL, Orlando Fl, November 1995

84. "GnRH agonists in the treatment of endometriosis". Ob/Gyn Grand Rounds, Kapiolani Hospital, Honolulu HI, April 1996

85. "New approaches to the management of endometriosis". Ob/Gyn Grand Rounds, Doctors Hospital, Modesto CA, July 1996

86. Moderator, Surgical Infertility (Concurrent Session III) American Society of Reproductive Medicine Annual Meeting, Boston, November 1996

87. "The basis, assessment and treatment of affective symptomatology". New Insights Regarding Hormone Replacement Therapy, Cognition and Mood, Satellite symposium ACOG April, 1997

88. "How to Maintain Your Interest In Private Practice". Practice Management Essentials for Residents. Satellite Symposium, ACOG, May, 1997

89. Moderator, "Practical Clinical Considerations in the Use of Estrogen/Androgen Therapy: A Case-Based Forum", Satellite symposium XV FIGO, August, 1997, Copenhagen

90. Afternoon Session Panel Discussant. International Pelvic Pain Society Meeting, New Orleans, October, 1997

91. "Pelvic Congestion", Masters in Gynecology, Emory University School of Medicine, Sea Island, GA, Apr 19-23, 1998

92. "Occult Hernias and Chronic Pelvic Pain", Masters in Gynecology, Emory University School of Medicine, Sea Island, GA, Apr 19-23, 1998

93. "Laparoscopy in the Diagnosis of Chronic Pelvic Pain: Pearls and Pitfalls", Masters in Gynecology, Emory University School of Medicine, Sea Island, GA, Apr 19-23, 1998

94. "Medical Approaches to Polycystic Ovary Syndrome", ASRM Postgraduate Course-Controversies in Gynecology, 54th Annual Meeting of the ASRM, San Francisco, October 3-9, 1998

95. "Pain Mapping by Office Laparoscopy is Not Useful", ASRM Postgraduate Course-Controversies in Gynecology, 54th Annual Meeting of the ASRM, San Francisco, October 3-9, 1998

96. "Microlaparoscopic Pelvic Pain Mapping", Satellite Symposium sponsored by Innerdyne, 54th Annual Meeting of the ASRM, San Francisco, October 6, 1998

97. Chairman, Postgraduate course: "Management of Chronic Pelvic Pain", 27th Annual Meeting of the AAGL, Atlanta GA, November, 1998.