Reproductive Health and the Environment (Environmental Science and Technology Library)

The scope of environmental impact on reproduction is very large. It aims at covering all aspects of reproductive problems and their links to the environment. Therefore, it deals with female and male reproductive impairments, whatever their severity and their sites, gonad or extra-gonad. For women, effects include direct lesions of the oocyte, with possibilities of chromosomal abnormalities but also malformations of the reproductive tract. Reduced fertility and in some cases total infertility may also result from menstrual irregularities, which can at times include anovulatory cycles. Hormonal changes, even in the absence of menstrual irregularities may also lead to decreased fertility. In addition to congenital malformations, other impairments of the reproductive apparatus may occur, as in the polycystic ovarian syndrome or in endometriosis. Finally one can also include effects during pregnancy leading to spontaneous abortion, preterm delivery still birth or altered sex ratio. Impacts on age at menarche and age at menopause lead to a change in the duration of reproductive life.

The link between reproductive health and the environment has been strengthened by the findings of recent studies. It is becoming increasingly important to link results and data from such studies into a model that aids in the explanation of phenomena observed in the field and facilitates predictability.  To this end, the aim of this book is to review recent trends and developments in the study of the impact that the environment has on human reproduction. These issues are thoroughly examined, using the most modern techniques and methods available, to analyze the manner in which both male and female fertility can be affected and assessed. Such diverse factors as toxic environmental contaminants, air pollution, and exposure to medical drugs are examined. The book includes both a historical overview and a look towards the future, aiming to integrate health concerns into policy-making and legislation.

This book will be of interest to researchers, health professionals, environmental scientists, and policy-makers.