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Hum. Reprod. Advance Access originally published online on June 14, 2006
Human Reproduction 2006 21(9):2201-2208; doi:10.1093/humrep/del181
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Mini Review—Developments in Reproductive Medicine

Health issues and the environment—an emerging paradigm for providers of obstetrical and gynaecological health care

Stephen J. Genuis

Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada

E-mail: sgenuis{at}ualberta.ca

Although ongoing study is required to winnow environmental ideology from scientific fact, existing evidence from recent research demonstrates a definitive link between chemical toxicants and potential health sequelae, including congenital affliction and gynaecological disorders. Amid media clamour of health risk and biological peril associated with various environmental toxicants, a spectrum of responses has emerged: some have embraced the environmental cause, some have summarily dismissed it as piffle and perhaps the majority has remained disinterested. Although journals devoted to toxicological and environmental health concerns have become prominent in academia with voluminous numbers of scientific reports being published, there has been limited exploration of the relationship between contemporary chemical exposure and reproductive medical issues in mainstream obstetrics and gynaecology literature. Providers of obstetrical and gynaecological health care need to acquire knowledge of taking an exposure history, instruction in details of precautionary avoidance, skills to provide preconception care and necessary tools to investigate and manage patients with toxicant exposure.

Key words: congenital anomalies/endocrine disrupting chemicals/environmental health/human exposure assessment/toxicology


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