Monika Sarkar, MD, MAS

Assoc Prof In Residence
Medicine
+1 415 502-2656

My clinical focus is on women with liver disease, including pregnancy-related liver conditions and reproductive health. My research program is focused on the role of sex hormones in modulating liver disease in women. I have a specific research interest in young women with the hyperandrogenic condition known as Polycystic Ovarian Syndrome given their high risk for developing Non Alcoholic Fatty Liver Disease (NAFLD) and early onset liver scarring. Within the transplant setting my focus is reproductive health, including pregnancy and contraceptive management in transplant recipients.

Publications: 

Contraception in patients with liver disease and liver transplant.

Clinical liver disease

Garriga M, Zhang G, Sarkar M

Introduction: Pregnancy and liver disease.

Clinical liver disease

Monika Sarkar

Anti-Mullerian Hormone, a Marker of Ovarian Reserve, Is Protective Against Presence and Severity of NASH in Premenopausal Women.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Maldonado SS, Cedars MI, Yates KP, Wilson LA, Gill R, Terrault NA, Suzuki A, Sarkar MA

Parental leave, childcare policies, and workplace bias for hepatology professionals: A national survey.

Hepatology communications

Feld LD, Sarkar M, Au JS, Flemming JA, Gripshover J, Kardashian A, Muir AJ, Nephew L, Orloff SL, Terrault N, Rabinowitz L, Volerman A, Arora V, Farnan J, Villa E

Family planning and donor type: Unrecognized benefits of living donor liver transplantation?

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

Sarkar M, Irani RA

Sex differences in chronic liver disease and benign liver lesions.

JHEP reports : innovation in hepatology

Cooper KM, Delk M, Devuni D, Sarkar M

Mo1530 OUTCOMES IN WOMEN WITH CHRONIC LIVER DISEASE UNDERGOING INFERTILITY TREATMENT.

Gastroenterology

Meera Garriga, Marcelle I. Cedars, Monika Sarkar

Sa1609 POLYCYSTIC OVARY SYNDROME INCREASES FIBROSIS SEVERITY IN YOUNG WOMEN WITH NAFLD.

Gastroenterology

Grace Zhang, Marcelle I. Cedars, Heather Huddleston, Sy Han Chiou, Yanin T. Srisengfa, Monika Sarkar

Prevalence of nonalcoholic fatty liver disease increased with type 2 diabetes mellitus in overweight/obese youth with polycystic ovary syndrome.

Journal of pediatric endocrinology & metabolism : JPEM

Patel-Sanchez N, Perito E, Tsai P, Raymond-Flesch M, Lodish M, Sarkar M

Reproductive health and liver disease: a patient-friendly summary of the 2021 AASLD guidance.

Clinical liver disease

Levy C, Brady CW, Terrault N, Stotts MJ, Sarkar M

The key role of hepatology providers in optimizing reproductive care in patients with liver disease: a call to action.

Hepatology (Baltimore, Md.)

Kardashian A, Kushner T, Au JS, Flemming JA, Gripshover J, Muir AJ, Orloff SL, Villa E, Sarkar M, AASLD Women’s Initiative Committee

Influence of progestin-only hormonal use on hepatocellular adenomas: A retrospective cohort study.

Contraception

Qureshy Z, Lokken RP, Kakar S, Grab J, Mehta N, Sarkar M

Awarding additional MELD points to the shortest waitlist candidates improves sex disparity in access to liver transplant in the United States.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons

Bernards S, Lee E, Leung N, Akan M, Gan K, Zhao H, Sarkar M, Tayur S, Mehta N

Polycystic ovary syndrome is associated with nonalcoholic steatohepatitis in women of reproductive age.

Hepatology communications

Maldonado SS, Grab J, Wang CW, Huddleston H, Cedars M, Sarkar M

Reply to HEP-22-0894.

Hepatology (Baltimore, Md.)

Sarkar M, Irani RA

Su1406: POLCYSTIC OVARY SYNDROME (PCOS) INCREASES RISK OF NASH AMONG REPRODUCTIVE-AGED WOMEN WITH NAFLD: A US POPULATION-BASED STUDY.

Gastroenterology

Stephanie Maldonado, Joshua Grab, Connie W. Wang, Heather Huddleston, Marcelle I. Cedars, Monika Sarkar

Associations of NAFLD with circulating ceramides and impaired glycemia.

Diabetes research and clinical practice

Gadgil MD, Sarkar M, Sands C, Lewis MR, Herrington DM, Kanaya AM

Abstract P139: Changes In Sex Hormones In Premenopausal Black And White Women Associated With Childbearing: The Cardia Women’s Study.

Circulation

Sadaf Dabeer, Katherine H Ingram, Duke Appiah, Melissa Wellons, Catherine Kim, Dhananjay Vaidya, David S Siscovick, Cora E Lewis, Charles Quesenberry, Pamela Schreiner, Ronit Calderon-Margalit, Monika Sarkar, Erica P Gunderson

Pregnancies With Cirrhosis Are Rising and Associated With Adverse Maternal and Perinatal Outcomes.

The American journal of gastroenterology

Huang AC, Grab J, Flemming JA, Dodge JL, Irani RA, Sarkar M

Outcomes of pregnancy in autoimmune hepatitis: A population-based study.

Hepatology (Baltimore, Md.)

Wang CW, Grab J, Tana MM, Irani RA, Sarkar M

Untangling the Influence of Sex Hormones on Nonalcoholic Fatty Liver Disease in Women.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Sarkar M, Cedars MI

Pregnancy Outcomes After Living Liver Donation: A Multi-Institutional Study.

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

Sonnenberg EM, Lee-Riddle GS, Walls DO, Caicedo JC, Jackson WE, Hughes L, Ladner DP, Liapakis A, Pomfret EA, Sarkar M, Selzner N, Torres AM, Abt PL, Olthoff KM

Sa362 REPRODUCTIVE HEALTH CHARACTERISTICS IN PRE-MENOPAUSAL WOMEN WITH NAFLD.

Gastroenterology

Yanin T. Srisengfa, Srilakshmi Seetharaman, Monika Sarkar

Adherence to pregnancy hepatitis B care guidelines in women and infants in the United States and evaluation of two interventions to improve care: A multicentre hospital-based study.

Journal of viral hepatitis

Kushner T, Kaplowitz E, Mei R, Xu C, Acker A, Rosenbluth E, Oredein I, Sarkar M, Terrault N, Bansal M, Forde KA

NAFLD Cirrhosis Is Rising Among Childbearing Women and Is the Most Common Cause of Cirrhosis in Pregnancy.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Sarkar M, Djerboua M, Flemming JA

Reproductive Health and Liver Disease: Practice Guidance by the American Association for the Study of Liver Diseases.

Hepatology (Baltimore, Md.)

Sarkar M, Brady CW, Fleckenstein J, Forde KA, Khungar V, Molleston JP, Afshar Y, Terrault NA

Testosterone is Associated With Nonalcoholic Steatohepatitis and Fibrosis in Premenopausal Women With NAFLD.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Sarkar MA, Suzuki A, Abdelmalek MF, Yates KP, Wilson LA, Bass NM, Gill R, Cedars M, Terrault N, NASH Clinical Research Network

Family Planning in Liver Transplant: Patient and Provider Knowledge and Practices.

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

Ritchie J, Seidman D, Srisengfa Y, Perito ER, Sarkar M

Outcomes of Pregnant Women With Cirrhosis and Their Infants in a Population-Based Study.

Gastroenterology

Flemming JA, Mullin M, Lu J, Sarkar MA, Djerboua M, Velez MP, Brogly S, Terrault NA

SAT147 Increased risk of perinatal complications in women with cirrhosis: a population-based matched cohort study.

Journal of hepatology

Jacquie Lu, Monika Mullin, Maya Djerboua, Monika Sarkar, Susan Brogly, Maria Velez, Norah Terrault, Jennifer Flemming

Non-alcoholic fatty liver disease in pregnancy is associated with adverse maternal and perinatal outcomes.

Journal of hepatology

Sarkar M, Grab J, Dodge JL, Gunderson EP, Rubin J, Irani RA, Cedars M, Terrault N

Pregnancy in Liver Transplantation.

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

Sarkar M, Sawinski D, Coscia L, American Society of Transplantation, Women’s Health Community of Practice

1004 PREGNANCIES WITH CIRRHOSIS ARE RISING AND ASSOCIATED WITH ADVERSE MATERNAL AND FETAL OUTCOMES.

Gastroenterology

Annsa C. Huang, Joshua Grab, Jennifer A. Flemming, Jennifer L. Dodge, Monika Sarkar

Low Testosterone Is Associated With Nonalcoholic Steatohepatitis and Fibrosis Severity in Men.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Sarkar M, Yates K, Suzuki A, Lavine J, Gill R, Ziegler T, Terrault N, Dhindsa S

NAFLD in women: Unique pathways, biomarkers and therapeutic opportunities.

Current hepatology reports

Yuan L, Kardashian A, Sarkar M

Polycystic ovary syndrome (PCOS) is associated with NASH severity and advanced fibrosis.

Liver international : official journal of the International Association for the Study of the Liver

Sarkar M, Terrault N, Chan W, Cedars MI, Huddleston HG, Duwaerts CC, Balitzer D, Gill RM

Deficiencies in Reproductive Health Counseling in Liver Transplant Patients [2H].

Obstetrics and gynecology

Julia Ritchie, Dominika Seidman, Yanin Srisengfa, Vanessa L. Jacoby, Emily Perito, Monika Sarkar

Sa1623 – Low Testosterone is Associated with Nash and Fibrosis Severity in Men with Nafld.

Gastroenterology

Monika Sarkar, Katherine P. Yates, Ayako Suzuki, Joel E. Lavine, Ryan M. Gill, Norah Terrault, Sandeep Dhindsa

Sex Hormone-Binding Globulin Levels in Young Men Are Associated With Nonalcoholic Fatty Liver Disease in Midlife.

The American journal of gastroenterology

Sarkar M, VanWagner LB, Terry JG, Carr JJ, Rinella M, Schreiner PJ, Lewis CE, Terrault N, Coronary Artery Risk Development in Young Adults (CARDIA) Cohort

Sex hormone levels by presence and severity of cirrhosis in women with chronic hepatitis C virus infection.

Journal of viral hepatitis

Sarkar M, Lai JC, Sawinski D, Zeigler TE, Cedars M, Forde KA

Longer lactation duration is associated with decreased prevalence of non-alcoholic fatty liver disease in women.

Journal of hepatology

Ajmera VH, Terrault NA, VanWagner LB, Sarkar M, Lewis CE, Carr JJ, Gunderson EP

Chronic Hepatitis B in Pregnancy.

Clinical liver disease

Kushner T, Sarkar M

Racial and Ethnic Differences in Graft Loss Among Female Liver Transplant Recipients.

Transplantation proceedings

Dave S, Dodge JL, Terrault NA, Sarkar M

Reproductive health in women following abdominal organ transplant.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons

Sarkar M, Bramham K, Moritz MJ, Coscia L

The Association of Hispanic Ethnicity with Nonalcoholic Fatty Liver Disease in Polycystic Ovary Syndrome.

Current opinion in gynecology and obstetrics

Sarkar M, Terrault N, Duwaerts CC, Tien P, Cedars MI, Huddleston H

Use of a hepatitis C virus (HCV) RNA-positive donor in a treated HCV RNA-negative liver transplant recipient.

Transplant infectious disease : an official journal of the Transplantation Society

Campos-Varela I, Agudelo EZ, Sarkar M, Roberts JP, Terrault NA

Sex-based disparities in delisting for being "too sick" for liver transplantation.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons

Cullaro G, Sarkar M, Lai JC

Acetaminophen-induced Acute Liver Failure Is More Common and More Severe in Women.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Rubin JB, Hameed B, Gottfried M, Lee WM, Sarkar M, Acute Liver Failure Study Group

Moderate Alcohol Use Is Not Associated With Fibrosis Progression in Human Immunodeficiency Virus/Hepatitis C Virus-Coinfected Women: A Prospective Cohort Study.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Kelly EM, Dodge JL, Bacchetti P, Sarkar M, French AL, Tien PC, Glesby MJ, Golub ET, Augenbraun M, Plankey M, Peters MG

Reproductive Aging and Hepatic Fibrosis Progression in Human Immunodeficiency Virus/Hepatitis C Virus-Coinfected Women.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Sarkar M, Dodge JL, Greenblatt RM, Kuniholm MH, DeHovitz J, Plankey M, Kovacs A, French AL, Seaberg EC, Ofotokun I, Fischl M, Overton E, Kelly E, Bacchetti P, Peters MG, Women’s Interagency HIV Study

Testosterone Levels in Pre-Menopausal Women are Associated With Nonalcoholic Fatty Liver Disease in Midlife.

The American journal of gastroenterology

Sarkar M, Wellons M, Cedars MI, VanWagner L, Gunderson EP, Ajmera V, Torchen L, Siscovick D, Carr JJ, Terry JG, Rinella M, Lewis CE, Terrault N

Aggressive non-alcoholic steatohepatitis following rapid weight loss and/or malnutrition.

Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc

Tsai JH, Ferrell LD, Tan V, Yeh MM, Sarkar M, Gill RM

Sex differences in the association of HIV infection with hepatic steatosis.

AIDS (London, England)

Kardashian A, Ma Y, Scherzer R, Price JC, Sarkar M, Korn N, Tillinghast K, Peters MG, Noworolski SM, Tien PC

Increased hepatocellular carcinoma recurrence in women compared to men with high alpha fetoprotein at liver transplant.

Annals of hepatology

Sarkar M, Dodge JL, Roberts JP, Terrault N, Yao F, Mehta N

Association of Hepatitis C Virus Infection With CD4/CD8 Ratio in HIV-Positive Women.

Journal of acquired immune deficiency syndromes (1999)

Kuniholm MH, O'Brien TR, Prokunina-Olsson L, Augenbraun M, Plankey M, Karim R, Sarkar M, French AL, Pierce C, Strickler HD, Anastos K

Marijuana Use Is Not Associated With Progression to Advanced Liver Fibrosis in HIV/Hepatitis C Virus-coinfected Women.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Kelly EM, Dodge JL, Sarkar M, French AL, Tien PC, Glesby MJ, Golub ET, Augenbraun M, Plankey M, Peters MG

352 Sex Differences in Acetaminophen-Induced Acute Liver Injury and Acute Liver Failure.

Gastroenterology

Jessica Rubin, Bilal Hameed, Michelle Gottfried, William M. Lee, Monika Sarkar

Association between markers of non-alcoholic fatty liver disease and glucose tolerance in polycystic ovarian syndrome population.

Fertility and sterility

Asima K. Ahmad, Chia-Ning Kao, Monika Sarkar, Marcelle I. Cedars, Heather Huddleston

Intention to treat outcome of T1 hepatocellular carcinoma with the "wait and not ablate" approach until meeting T2 criteria for liver transplant listing.

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

Mehta N, Sarkar M, Dodge JL, Fidelman N, Roberts JP, Yao FY

PS073 Light to Moderate Alcohol Use is not Associated with Long-Term Progression of Liver Fibrosis in Hiv Hcv Coinfected Women.

Journal of hepatology

E.M. Kelly, J. Dodge, P. Bacchetti, M. Sarkar, A. French, P. Tien, M. Glesby, E. Golub, M. Augenbraun, M. Plankey, M. Peters

PS077 Sex Differences in Acetaminophen-Induced Acute Liver Injury and Acute Liver Failure.

Journal of hepatology

J. Rubin, B. Hameed, M. Gottfried, W. Lee, M. Sarkar, the Acute Liver Failure Study Group

Association of IFNL3 and IFNL4 polymorphisms with liver-related mortality in a multiracial cohort of HIV/HCV-coinfected women.

Journal of viral hepatitis

Sarkar M, Aouzierat B, Bacchetti P, Prokunina-Olsson L, French A, Seaberg E, O'Brien TR, Kuniholm MH, Minkoff H, Plankey M, Strickler HD, Peters MG, Women's Interagency HIV

Outcomes in liver transplantation: does sex matter?

Journal of hepatology

Sarkar M, Watt KD, Terrault N, Berenguer M

Characteristics and management of patients with chronic hepatitis B in an integrated care setting.

Digestive diseases and sciences

Sarkar M, Shvachko VA, Ready JB, Pauly MP, Terrault NA, Peters MG, Manos MM

Factors associated with outcomes and response to therapy in patients with infiltrative hepatocellular carcinoma.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Mehta N, Fidelman N, Sarkar M, Yao FY

Racial/ethnic differences in spontaneous HCV clearance in HIV infected and uninfected women.

Digestive diseases and sciences

Sarkar M, Bacchetti P, Tien P, Mileti E, French AL, Edlin BR, Keller M, Seaberg E, Nowicki MJ, Young M, Peters MG

Lower liver-related death in African-American women with human immunodeficiency virus/hepatitis C virus coinfection, compared to Caucasian and Hispanic women.

Hepatology (Baltimore, Md.)

Sarkar M, Bacchetti P, French AL, Tien P, Glesby MJ, Nowicki M, Plankey M, Gange S, Sharp G, Minkoff H, Peters MG, Women's Interagency HIV Study (WIHS)

Hepatocellular carcinoma screening practices and impact on survival among hepatitis B-infected Asian Americans.

Journal of viral hepatitis

Sarkar M, Stewart S, Yu A, Chen MS, Nguyen TT, Khalili M

Chapter 32 Hepatitis virus infections.

Sande\u0027s HIV/AIDS Medicine

Marion G. Peters, Monika Sarkar

Proton-pump inhibitor use and the risk for community-acquired pneumonia.

Annals of internal medicine

Sarkar M, Hennessy S, Yang YX

Chronic statin therapy and the risk of colorectal cancer.

Pharmacoepidemiology and drug safety

Yang YX, Hennessy S, Propert K, Hwang WT, Sarkar M, Lewis JD

Presentation and management of acute fistulization of a foregut duplication cyst.

Gastrointestinal endoscopy

Sarkar M, Wood R, Oh Y, Hecht TE, Kaiser L, Wasserstein A, Kochman ML

Research Area: 
Clinical Research