 As a student he was influenced by Alfred Hegar (1830–1914) and Hugo Pernice (1829–1901).Following graduation, he worked as an assistant in Greifswald, shortly afterwards relocating to Berlin as an assistant at the obstetrics clinic of Karl Schroeder (1838–1887).In 1887 he became a full professor of OB/GYN at the University of Giessen, followed by a directorship the following year at Würzburg as successor to Friedrich Wilhelm von Scanzoni (1821–1891) at the university "Frauenklinik".