title: Workplace reproductive problems.
abstract: Occupational exposures can harm reproductive processes in men or women. Exposures may affect fertility, pregnancy outcomes or the child's health after delivery. The goal of patient management is to provide counseling at an appropriate level. Over-restricting the patient should be avoided while hazardous exposures should be identified and reduced. The occupational history can be used to estimate the magnitude of each exposure. If the exposure is a known reproductive hazard and the exposure level appears significant, there are several options for making the job safer. Modifications in work practices can be accomplished by advising the patient about changing work practices, writing formal work restrictions and talking with the employer. Temporary job transfers may be available. In some cases, a medical leave is needed. The primary care provider can play a key role in assisting patients to reduce reproductive risks.
authors.affiliation: Department of Preventive Medicine, University of Kansas School of Medicine, Wichita, Kansas, USA.
authors.forename: L M
authors.initials: LM
authors.lastname: Frazier
mesh_terms: D000014:Abnormalities, Drug-Induced / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D003376:Counseling; D004784:Environmental Monitoring; D005260:Female; D015386:Hazardous Substances / Q000009:adverse effects* / Q000032:analysis; D006801:Humans; D007246:Infertility / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008297:Male; D008403:Mass Screening / Q000379:methods; D008487:Medical History Taking; D009784:Occupational Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D016273:Occupational Exposure / Q000009:adverse effects* / Q000032:analysis; D009787:Occupational Medicine / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D011320:Primary Health Care / Q000379:methods; D012098:Reproduction / Q000187:drug effects*; D017132:Workplace
chemical_list: D015386:Hazardous Substances