Volunteer for ASRM Patient Review Group

Thank you for your interest! The Amercian Society for Reproductive Medicine (ASRM) is looking for patients and other lay stakeholders to review ASRM materials under development. Please fill out the short questionnaire below to tell us more about you. Note that a conflict of interest form will be required to participate since some of these materials will be used for continuing medical education and this is a requirement. Thank you!

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* 1. Demographic information

Your name (first and last)

Terminal degree (if applicable)

Your email address

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* 2. In a few sentences, tell us why you want to participate in this group.

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* 3. What areas of reproductive health can you address? Select all that apply and indicate any others not listed in the comment box.

Male-factor infertility

PCOS

LGBTQIA+

Endometriosis

Access to care

Third-party reproduction (sperm/egg donation, embryo donation, gestational carrier)

Genetic testing

Unexplained infertility

Recurrent loss

Fibroids

Menopause

Contraception

Structural anomalies

None of the above

Other (please specify)