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T F +39.06.420.413.677
Improving the patient’s life through medical educationwww.seronosymposia.org
2012
Mail to:
JLM Consultants
Att: Rosetta Lobo
Block B
, 2nd Floor, 225Al Attar C
entre, Karam
aTrade C
entre Road
P O Box 114955
Dubai, U
nited Arab Emirates
Mail to:
JLM Consultants
Att: Rosetta Lobo
Block B
, 2nd Floor, 225Al Attar C
entre, Karam
aTrade C
entre Road
P O Box 114955
Dubai, U
nited Arab Emirates
Serono Symposia International FoundationTreatment of infertilityin women with polycysticovary syndromeTeheran, Iran - November 22-23, 2012
Last Name First Name Academic Title
Institution Department
Address
City Province/Country Postal Code
Office Telephone Number(s) Mobile Telephone Number(s)
Fax Number E-mail
Registration Fee‰ The registration fee is € 120,00Once registrations are confirmed, full penalty applies for cancellations. I require special assistance (wheelchair, auxiliary aids) or special dietaryrequirements.
PaymentqPayment by Bank Transfer headed to: “JLM Consultants"Account Name: JLM ConsultantsAccount No: 1000407799Bank: Commercial Bank of Dubai-Bur Dubai BranchSwift Code: CBDUAEADDXB
qPayment by Credit CardCharge to the following Credit Card (Credit Card commission Fee 3,5%):m MasterCard/EuroCard m Visa
Card Number Exp. Date
Card Holder Name (PLEASE PRINT) Card Holder’s Signature Date
ONLY REGISTRATION FORMS ACCOMPANIED WITH PAYMENT CAN BE PROCESSEDMail to: JLM Consultants
Block B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
All completed registration forms will be acknowledged by e-mail or fax.
Serono Symposia International FoundationTreatment of infertilityin women with polycysticovary syndromeTeheran, Iran - November 22-23, 2012
Last Name First Name Academic Title
Institution Department
Address
City Province/Country Postal Code
Office Telephone Number(s) Mobile Telephone Number(s)
Fax Number E-mail
For hotel reservation, please return the completed form with full prepaymentof the requested nights. Hotel Reservation forms without prepayment cannotbe processed.Accommodation will be subject to availability and requests will be processed on"first-come first-served" basis.
qESPINAS HOTEL - TEHRANKESHAVARZ BLVD - NUMBER: 126 - TEHRAN, IRAN
Double room for single use: 215 USDper night
Check in date: Check out date: (N° of nights: )Rates include breakfast and city taxes.
PaymentqPayment by Bank Transfer headed to: “Meridiano viaggi e turismo S.p.A"BANCA INTERMOBILIARE S.p.AFILIALE DI ROMA - VIA DONIZETTI, 14 - 00198 ROME - ITALYAccount number: 004570003808IBAN: IT55 F030 4303 2000 0457 0003 808 - SWIFT: BIMTITTTXXX
qPayment by Credit CardCharge to the following Credit Card (Credit Card commission Fee 3,5%):m MasterCard/EuroCard m Visa
Card Number Exp. Date
Card Holder Name (PLEASE PRINT) Card Holder’s Signature Date
Mail to: JLM ConsultantsBlock B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
Once you confirm rooms to Meridiano, full penalty will be applied in caseof cancellation.
Registration form Hotel accommodation form
" "
Teheran
1
Aim of the conferencePolycystic ovary Syndrome (PCOS) is one of the most common femaleendocrine disorders. It is a complex, heterogeneous desease of multifactorialetiology that produces symptoms in approximately 5-10% of women duringtheir reproductive age (12-45 years) and is one of the leading causes of femaleinfertility. This course offers an interactive program, where lectures arefollowed by specif case studies on PCOS, in order to help participants in theirdaily practice.
Learning objectivesAfter attending the meeting, the participants will be able to:• Identify current evidence-based recommendation to achieve the bestoutcome in patients with PCOS syndrome
• Individualize the best treatment approach for PCOS patient undergoing ART
•Detect and prevent complications of PCOS syndrome
Target audienceThis program is designed for clinicians who are already working on treatmentinfertility and want to improve their knowledge in the specific field of PCOSsyndrome.
AccreditationSerono Symposia International Foundation (www.seronosymposia.org) isaccredited by the European Accreditation Council for ContinuingMedical Education (EACCME) to provide the following CME activity for medicalspecialists. The EACCME is an institution of the EuropeanUnion of Medical Specialists (UEMS), www.uems.net
The course “Treatment of infertility in women with polycystic ovarysyndrome” 22-23 November 2012, Teheran, Iran is designated for amaximum of 9 (nine) hours of European CME credits (ECMEC). Each medicalspecialist should claim only those credits that he/she actually spent in theeducational activity. EACCME credits are recognized by the American MedicalAssociation (AMA) towards the Physician’s Recognition Award (PRA). Toconvert EACCME credit to AMA PRA category 1 credit, please contact the AMA.
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Scientific organizerRobert FischerFertility Centre HamburgHamburg, Germany
Local scientific committeeAbbas AflatoonianResearch and Clinical Center for InfertilityShahid Sadoughi University of Medical sciences and health ServicesYazd, Iran
Saghar SalehpourIVF centerShahid behshti medical university (sbmu)Teheran, Iran
Mahnaz AshrafiTehran University of Medical Science Royan lnstituteClinic of Akbarabadi HospitalAkbarabadi, Iran
Ashraf Moini Associate ProfessorTehran university of Medical Science Arash women hospitalTeheran, Iran
Scientific secretariatSerono Symposia International FoundationSalita di San Nicola da Tolentino, 1/b - 00187 Rome, ItalyProject Manager: Chloé XilinasPhone: +39-06-420413 505 - Fax: +39-06-420413 677E-mail: info@seronosymposia.orgMedical Advisor: Irene ZerbettoSerono Symposia International Foundationis a Swiss Foundation with headquarters in14, rue du Rhône, 1204 Geneva, Switzerland
3
Organizing secretariatJLM ConsultantsBlock B, 2nd Floor, 225Al Attar Centre, KaramaTrade Centre RoadDubai, United Arab EmiratesP O Box 114955Tel: +971 4 3979753, Fax: +971 4 3979758Contact: Rosetta Loboreservations@jlm-consultants.ae
Serono Symposia International Foundation designed this programme inpartnership with Royan Institute, Iranian Society for Reproductive med,Research Center of Infertility SHahid Beheshti University.
All Serono Symposia International Foundation programs are organized solely topromote the exchange and dissemination of scientific and medical information.No forms of promotional activities are permitted. This program is made possiblethanks to an educational grant received from Merck Serono Middle East.
List offacultymembers
6
Frank J. BroekmansUniversity Medical Center Utrecht Utrecht, the Netherlands
Robert FischerFertility Centre HamburgHamburg, Germany
Peter HumaidanThe Fertility ClinicOdense University Hospital (OUH)Odense, Denmark
Sesh Kamal SunkaraGuy’s and St Thomas’ Foundation TrustKing’s College LondonLondon, UK
Scientificprogram
08.20 Registration
08.50 SSIF WelcomeR. Fischer, Germany
Session I Diagnosis of PCOS patient
Chairmen: R. Fischer, Germany; A. Aflatoonian, Iran
09.00 L1 - Etiology of PCOS syndromeS.K. Sunkara, UK
09.30 L2 - Diagnostic tools of PCOS: biomarkers, US, metabolic disordersF. Broekmans, the Netherland
10.00 Video Session - Ultrasound criteria in the diagnosis of PCOSF. Broekmans, the Netherland
10.30 Coffee break
11.00 WG1 - Case studies on L1 and L2: “Diagnostic work upto assess/predict PCOS patient”S.K. Sunkara, F. Broekmans
12.00 Discussion
12.30 Lunch
Session II Treatment and perspectives
Chairmen: R. Fischer, Germany; M. Ashrafi, Iran
13.30 L3 - General management of PCOS patientF. Broekmans, the Netherland
14.00 L4 - PCOS and Ovulation Induction: best choice to increasethe pregnancy rates (CC, metformin, low dose rFSHstimulation, ovarian drilling)P. Humaidan, Denmark
14.30 WG2 - Case studies on L3 and L4: “Treatment and perspectives”F. Broekmans; P. Humaidan
15.30 Discussion
16.00 End of the first day
Scientific programThursday, November 22 - 2012
8
9
Scientific programFriday, November 23 - 2012
Session III Management of complications
Chairmen: R. Fischer, Germany; S. Salehpour, Iran
09.00 L5 - Management and treatments of PCOS patients undergoing ART (antagonist protocol, LH supplementation,OHSS)P. Humaidan, Denmark
09.30 L6 - PCOS syndrome: infertility and pregnancy complications,laboratory and clinical outcomesS.K. Sunkara, UK
10.00 Coffee break
10.30 WG3 - Case studies on L5 and L6: “Management of complications”P. Humaidan; S.K. Sunkara
11.30 Discussion
12.00 Concluding remarks
12.10 End of the meeting
VenueEspinas Hotel- TehranKeshavarz BlvdNumber: 126Tehran, Iran
LanguageThe official language of this course will be English
Registration feeThe registration fee is 500 AEDThis fee includes:• Scientific sessions• Conference coffee breaks, luncheon• Conference material• Certificate of attendance• Congress Dinner November 22, 2012
Generalinformation
Personal data treatment - Informative documentIn compliance with the article 13 of Italian Legislative Decree n. 196, 30 June 2003,we inform you that your personal data will be processed, with or without the use ofelectronic or automated means, via suitable tools that will guarantee security andconfidentiality. Personal data from you supplied will be communicated to ContinuingMedical Education Accreditation Authorities, to agencies that will take care of thewhole accreditation process and agencies that will take care of the logistics of theevent; should we not receive the below requested data, we will not be able to processyour registration to the event. At anytime you may exercise your rights as laid down inthe art. 7 of Italian Legislative Decree n. 196, 30 June 2003 of the Italian Law, bycontacting the Data Controller Serono Symposia International Foundation (Salita diSan Nicola da Tolentino, 1/b - 00187 Rome - Italy) in the person of Data Processor,Michèle Piraux.
follow us onwww.twitter.com/SSIF_RM
11
Serono Symposia International FoundationTreatment of infertility in women with polycysticovary syndromeTeheran, Iran - November 22-23, 2012
Last Name First Name Academic Title
Institution Department
Address
City Province/Country Postal Code
Office Telephone Number(s) Mobile Telephone Number(s)
Fax Number E-mail
Registration Fee‰ The registration fee is € 120,00Once registrations are confirmed, full penalty applies for cancellations. I require special assistance (wheelchair, auxiliary aids) or special dietaryrequirements.
PaymentqPayment by Bank Transfer headed to: “JLM Consultants"Account Name: JLM ConsultantsAccount No: 1000407799Bank: Commercial Bank of Dubai-Bur Dubai BranchSwift Code: CBDUAEADDXB
qPayment by Credit CardCharge to the following Credit Card (Credit Card commission Fee 3,5%):m MasterCard/EuroCard m Visa
Card Number Exp. Date
Card Holder Name (PLEASE PRINT) Card Holder’s Signature Date
ONLY REGISTRATION FORMS ACCOMPANIED WITH PAYMENT CAN BE PROCESSEDMail to: JLM Consultants
Block B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
All completed registration forms will be acknowledged by e-mail or fax.
Serono Symposia International FoundationTreatment of infertility in women with polycysticovary syndromeTeheran, Iran - November 22-23, 2012
Last Name First Name Academic Title
Institution Department
Address
City Province/Country Postal Code
Office Telephone Number(s) Mobile Telephone Number(s)
Fax Number E-mail
For hotel reservation, please return the completed form with full prepaymentof the requested nights. Hotel Reservation forms without prepayment cannotbe processed.Accommodation will be subject to availability and requests will be processed on"first-come first-served" basis.
qESPINAS HOTEL - TEHRANKESHAVARZ BLVD - NUMBER: 126 - TEHRAN, IRAN
Double room for single use: 215 USDper night
Check in date: Check out date: (N° of nights: )Rates include breakfast and city taxes.
PaymentqPayment by Bank Transfer headed to:JLM ConsultantsBlock B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
Mail to: JLM ConsultantsBlock B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
Once you confirm rooms to JLM, full penalty will be applied in caseof cancellation.
Registration form Hotel accommodation form
" "
Serono Symposia International FoundationTreatment of infertility in women with polycysticovary syndromeTeheran, Iran - November 22-23, 2012
Last Name First Name Academic Title
Institution Department
Address
City Province/Country Postal Code
Office Telephone Number(s) Mobile Telephone Number(s)
Fax Number E-mail
Registration Fee‰ The registration fee is 500 AEDOnce registrations are confirmed, full penalty applies for cancellations. I require special assistance (wheelchair, auxiliary aids) or special dietaryrequirements.
PaymentqPayment by Bank Transfer headed to: “JLM Consultants"Account Name: JLM ConsultantsAccount No: 1000407799Bank: Commercial Bank of Dubai-Bur Dubai BranchSwift Code: CBDUAEADDXB
qPayment by Credit CardCharge to the following Credit Card (Credit Card commission Fee 3,5%):m MasterCard/EuroCard m Visa
Card Number Exp. Date
Card Holder Name (PLEASE PRINT) Card Holder’s Signature Date
ONLY REGISTRATION FORMS ACCOMPANIED WITH PAYMENT CAN BE PROCESSEDMail to: JLM Consultants
Block B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
All completed registration forms will be acknowledged by e-mail or fax.
Serono Symposia International FoundationTreatment of infertility in women with polycysticovary syndromeTeheran, Iran - November 22-23, 2012
Last Name First Name Academic Title
Institution Department
Address
City Province/Country Postal Code
Office Telephone Number(s) Mobile Telephone Number(s)
Fax Number E-mail
For hotel reservation, please return the completed form with full prepaymentof the requested nights. Hotel Reservation forms without prepayment cannotbe processed.Accommodation will be subject to availability and requests will be processed on"first-come first-served" basis.
qESPINAS HOTEL - TEHRANKESHAVARZ BLVD - NUMBER: 126 - TEHRAN, IRAN
Double room for single use: 215 USDper night
Check in date: Check out date: (N° of nights: )Rates include breakfast and city taxes.
PaymentqPayment by Bank Transfer headed to:JLM ConsultantsBlock B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
Mail to: JLM ConsultantsBlock B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
Once you confirm rooms to JLM, full penalty will be applied in caseof cancellation.
Registration form Hotel accommodation form
" "
T F +39.06.420.413.677
Improving the patient’s life through medical educationwww.seronosymposia.org
2012
Mail to:
JLM Consultants
Att: Rosetta Lobo
Block B
, 2nd Floor, 225Al Attar C
entre, Karam
aTrade C
entre Road
P O Box 114955
Dubai, U
nited Arab Emirates
Mail to:
JLM Consultants
Att: Rosetta Lobo
Block B
, 2nd Floor, 225Al Attar C
entre, Karam
aTrade C
entre Road
P O Box 114955
Dubai, U
nited Arab Emirates
Serono Symposia International FoundationTreatment of infertility in women with polycysticovary syndromeTeheran, Iran - November 22-23, 2012
Last Name First Name Academic Title
Institution Department
Address
City Province/Country Postal Code
Office Telephone Number(s) Mobile Telephone Number(s)
Fax Number E-mail
Registration Fee‰ The registration fee is € 120,00Once registrations are confirmed, full penalty applies for cancellations. I require special assistance (wheelchair, auxiliary aids) or special dietaryrequirements.
PaymentqPayment by Bank Transfer headed to: “JLM Consultants"Account Name: JLM ConsultantsAccount No: 1000407799Bank: Commercial Bank of Dubai-Bur Dubai BranchSwift Code: CBDUAEADDXB
qPayment by Credit CardCharge to the following Credit Card (Credit Card commission Fee 3,5%):m MasterCard/EuroCard m Visa
Card Number Exp. Date
Card Holder Name (PLEASE PRINT) Card Holder’s Signature Date
ONLY REGISTRATION FORMS ACCOMPANIED WITH PAYMENT CAN BE PROCESSEDMail to: JLM Consultants
Block B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
All completed registration forms will be acknowledged by e-mail or fax.
Serono Symposia International FoundationTreatment of infertility in women with polycysticovary syndromeTeheran, Iran - November 22-23, 2012
Last Name First Name Academic Title
Institution Department
Address
City Province/Country Postal Code
Office Telephone Number(s) Mobile Telephone Number(s)
Fax Number E-mail
For hotel reservation, please return the completed form with full prepaymentof the requested nights. Hotel Reservation forms without prepayment cannotbe processed.Accommodation will be subject to availability and requests will be processed on"first-come first-served" basis.
qESPINAS HOTEL - TEHRANKESHAVARZ BLVD - NUMBER: 126 - TEHRAN, IRAN
Double room for single use: 215 USDper night
Check in date: Check out date: (N° of nights: )Rates include breakfast and city taxes.
PaymentqPayment by Bank Transfer headed to:JLM ConsultantsBlock B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
Mail to: JLM ConsultantsBlock B, 2nd Floor, 225 - Al Attar Centre, KaramaTrade Centre Road - Dubai, United Arab EmiratesP O Box 114955 - Tel: +971 4 3979753 - Fax: +971 4 3979758Contact: Rosetta Lobo - reservations@jlm-consultants.ae
Once you confirm rooms to JLM, full penalty will be applied in caseof cancellation.
Registration form Hotel accommodation form
" "
T F +39.06.420.413.677
Improving the patient’s life through medical educationwww.seronosymposia.org
2012
Mail to:
JLM Consultants
Att: Rosetta Lobo
Block B
, 2nd Floor, 225Al Attar C
entre, Karam
aTrade C
entre Road
P O Box 114955
Dubai, U
nited Arab Emirates
Mail to:
JLM Consultants
Att: Rosetta Lobo
Block B
, 2nd Floor, 225Al Attar C
entre, Karam
aTrade C
entre Road
P O Box 114955
Dubai, U
nited Arab Emirates
T F +39.06.420.413.677
Improving the patient’s life through medical educationwww.seronosymposia.org
2012
Mail to:
Meridiano C
ongress InternationalAtt. Titty AlvinoVia Sapri, 600185 R
ome
Italy
Mail to:
Meridiano C
ongress InternationalAtt. Titty AlvinoVia Sapri, 600185 R
ome
Italy
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