Interactive Session - Environment and Reproduction Special Interest Group - Environmental Toxins
Date:October 22,
2012
Time:1:15 pm - 2:15 pm
Location:Room 3 - San Diego Convention Center
Presenters
Victor Y. Fujimoto, M.D. (Chair), University of California San Francsico School of Medicine
Kevin G. Osteen, Ph.D., Vanderbilt University
Kaylon L. Bruner-Tran, Ph.D., Vanderbilt University School of Medicine
Environmental Toxins
Needs Assessment and Description
Ideally, treatment of infertility should not begin when a
couple enters the realm of reproductive endocrinology
and infertility care, but rather support and maintenance of
optimum fertility requires a proactive approach prior to the
active pursuit of pregnancy. This live session for clinicians
and healthcare professionals interested in environmental
effects on infertility will cover the interactive roles of
nutrition and environmental exposures that can influence
an individual’s or couple’s fertility status, including their risk
for infertility. We will additionally describe concrete steps
that patients and their physicians can take to protect and
improve fertility potential.
Learning Objectives
At the conclusion of this session, participants should be able
to:
- Give specific examples of environmental toxicants with
known human reproductive toxicity, including their routes
of exposure.
- Describe the Developmental Origins of Health and
Disease (DOHaD) hypothesis and its potential relevance
to human reproduction.
- Describe the influence, both positive and negative, of diet
on the reproductive consequences of toxicant exposures.
ACGME Competency
Patient Care
TEST QUESTION:
A 35-year-old gravida 2, para 0, spontaneous miscarriage
2, woman with infertility of 2-years’ duration presents for
consultation with normal hysterosalpingogram findings,
normal semen parameters, and normal ovarian reserve
(basal FSH= 5.5 IU/L and E2 = 35 pg/mL). She reports a
history of cigarette smoking, drinks 7 glasses of wine per
week and drinks 2 cups of coffee per day. She works in
the high tech industry in a plant that produces computer
parts. She has had 2 early first trimester miscarriages and
now is seeking assistance for her infertility condition with
her male partner who also works in the computer industry
at the same company. Her busy work schedule forces her
to eat on the run and she uses a lot of processed foods
at home for convenience. She has attempted 4 cycles of
intrauterine insemination therapy followed by 2 cycles of in
vitro fertilization but has not been able to conceive. After
participating in this session, in my practice I will identify the
risk factor(s) most likely contributing to her problems getting
pregnant as:
- Her coffee and alcohol consumption
- The couple’s reliance on convenience foods
- Her previous miscarriage history
- The couple’s work in the high tech industry
- The couple’s diet and exposure history
- Not applicable to my area of practice