Cambridge core epidemiology public health and medical statistics environmental impacts on reproductive health and fertility edited by tracey j woodruff. Environmental reproductive health focuses on expo sures to environmental contaminants particularly during critical periods in development such as prior to conception and during pregnancy and their potential effects on all aspects of the future reproduc tive life course including conception fertility preg nancy child and adolescent development and adult health. The overall contribution of environmental exposure to infertility is unknown but studies involving occupational exposure together with results from animal experiments suggest that environmental contaminants may adversely affect fertility we reviewed the adverse effects of environmental exposure on fertility and related reproductive outcomes. Chapter 13 deals with specific effects of environmental chemicals including the neuroendocrine function the thyroid system and the immune system as they relate to human reproductive efficiency chapter 14 deals with the impact of environmental contaminations on reproductive tract cancers in both men and women this chapter contains tables with proposed linkages between environmental toxins . Environmental impacts on reproductive health and fertility amazonde woodruff phd mph tracey j janssen md phd sarah j guillette jr jr phd louis j giudice