MALE INFERTILITY/HIGH TEMPERATURES
Men whose reproductive organs are exposed to high temperatures have demonstrated a reduction in sperm count. Wearing padded athletic supporters during waking hours for three weeks or more have produced large decreases in sperm counts. After six weeks of supporter use sperm counts were only 19 percent of the original levels. (Journal of the American Medical Association 252 (23)3250- 3251, December 21, 1984) Copyright Phylis Austin

HEAT/NOISE/FERTILITY
Men who work in jobs which expose them to high heat levels have been shown to have reduced fertility, as well as an increased incidence of sperm abnormalities. Women who work in high noise areas have a significantly increased risk of infertility. (Journal of the American Medical Association 253(18) 2643-2644, May 10, 1985) Copyright Phylis Austin

INFERTILITY/INTRAUTERINE DEVICE
Women who use intrauterine devices (IUDs) to prevent pregnancy may be rendered permanently sterile according to a Washington State study. The Dalkon Shield was associated with the greatest possibility of infertility, but all IUDs apparently have the potential to produce infertility. (New England Journal of Medicine 312:937-941, April 11, 1985) Copyright Phylis Austin

DECONGESTANTS/INFERTILITY
Decongestants, taken for allergies, colds, sinusitis, and nasal stuffiness due to various causes may reduce cervical mucus production to a degree that it causes women to be unable to become pregnant. (The Female Patient 10:79, June, 1985) Copyright Phylis Austin

VASECTOMY
More than 500,000 vasectomies are performed each year in the United States, and it has been estimated that since 1969 more than 15 million men have undergone this procedure. Some men suffer pain for many years following the procedure. It is such a common occurrence that it has been given the name "postvasectomy pain syndrome." This Canadian study points out that sperm production continues after vasectomy and the sperm may produce pressure which causes epididymis or ductus deferens rupture. The sperm may escape the normal tract and induce the formation of granulomas or sperm antibodies. Other complications of vasectomy include hematoma of the scrotum, epididymitis, and wound infection. Vasectomy may reduce prostate function. Monkeys have been shown to develop more extensive atherosclerotic changes after vasectomy. (Canadian Medical Association Journal 138:223-225, February 1, 1988) Copyright Phylis Austin

JOCKEY SHORTS/INFERTILITY
Wearing tight, jockey-style underwear may produce a significant decrease in male sperm according to a Boston, Mass report. It is known that increasing scrotal temperature inhibits sperm production, and it is felt that the snugly fitting underwear may produce a temperature increase. Volunteers in this study wore jockey shorts for three months and loose-fitting boxer shorts for three months, with regular sperm counts during each period. Sperm counts were about 12 million higher per ml. of sperm with the boxer shorts. (Medical Tribune 29(19)17, July 14, 1988) Copyright Phylis Austin

CAFFEINE/INFERTILITY
A study of over 100 women who were having difficulty becoming pregnant revealed that the use of more than one cup of coffee per day decreased the possibility of pregnancy by half. Caffeine has been known to interfere with insect reproduction, but its effects on human reproduction have not been studied until recently. (The Lancet 2:1453-1456, December 24/31, 1988) Copyright Phylis Austin

VASECTOMY/PROSTATE CANCER
Vasectomy may triple a man's risk of prostate cancer, according to a report presented at the latest Society for Epidemiologic Research meeting. (Medical Tribune 30(22)22, August 17, 1989) Although other studies have shown no relationship a study reported in the British Journal of Cancer last year also reported an increased risk of prostate cancer in vasectomized men. Copyright Phylis Austin

WELDING/FERTILITY
Welders have been shown to have reduced fertility rates. It is felt that exposure to the welding fumes decreases sperm quality. (British Journal of Industrial Medicine 47:508-14, 1990) Copyright Phylis Austin

VASECTOMY
The long-term health effects of vasectomy continue to be discussed and evaluated. A recent study suggests that vasectomy might cause the more rapid growth of testicular tumors. A study of 3,000 men in Scotland who had undergone vasectomy revealed that eight of them developed testicular cancer following vasectomy; 1.9 men in a group this size would normally be expected to develop testicular cancer. Studies in laboratory animals reveal that vasectomy causes a number of unwanted changes in the male reproductive system. (British Medical Journal 301:618, 619, September 29, 1990) Copyright Phylis Austin

EATING DISORDERS/INFERTILITY
Women with eating disorders such as anorexia nervosa or bulimia nervosa, may suffer infertility. (American Journal of Obstetrics and Gynecology 163:1196-9, 1990) Anyone undergoing evaluation for infertility should consider this possibility before expensive tests are undertaken. Copyright Phylis Austin

ANTIBIOTICS/MALE FERTILITY
Antibiotics have been shown to have an adverse effect on sperm function and sperm production. A male factor is responsible for about half of the cases in couples evaluated for primary infertility. Antibiotic use should be considered in the evaluation of infertility. (Fertility and Sterility 55(2)235-242, February, 1991) Copyright Phylis Austin

SMOKING/INFERTILITY
Couples who are trying to conceive a baby should not smoke, as nicotine damages the male sperm. Smoking couples are at increased risk of miscarriage. A study from a New York fertilization clinic indicated that if the male, or both partners smoked, they had a 64 percent chance of miscarriage. (Medical Tribune 32(23)1, November 14, 1991) Copyright Phylis Austin

MEDICATIONS/INFERTILITY
Women who have used thyroid preparations or antidepressants are at increased risk of being unable to conceive. Tranquilizers also decreased fertility. The use of asthma medications before 21 years of age increased the risk of infertility in this study. (Epidemiology 4(2)151-156, March 1993) Copyright Phylis Austin

STRESS/INFERTILITY
Approximately fifteen percent of couples are infertile, and about half of all conceptions abort for reasons that are not yet clear. A recent study showed that psychosocial stress in some women contributes significantly to infertility. (Fertility and Sterility 59(3)685-689, March 1993) Copyright Phylis Austin

ASPIRIN/INFERTILITY
Aspirin reduces sperm activity in men, making it less likely that they will become fathers. A study from Columbia Hospital for Women and the Children's National Medical Center in Washington reveals that even the standard dose of aspirin significantly reduces sperm motility. (American Health, January-February 1993) Copyright Phylis Austin

OVARIAN CANCER/FERTILITY DRUGS
The use of fertility drugs may increase the risk of ovarian cancer according to a recent study from the National Institutes of Health. White women in the study who had taken fertility drugs had three times the risk of invasive epithelial ovarian cancer and four times the risk of borderline ovarian tumors. (Fertility and Sterility 59(2)291-293, February 1993) Copyright Phylis Austin

CAFFEINATED BEVERAGES/INFERTILITY/TUBAL DISEASE/ENDOMETRIOSIS
Earlier studies have shown an association between caffeine use and delayed conception. A study of over 1,000 women who suffered from infertility and nearly 4,000 women who had recently given birth, suggested that women with high caffeine intake were at greater risk of infertility from endometriosis or tubal disease. (American Journal of Epidemiology 137(12)1353-1360, 1993) Copyright Phylis Austin

CAFFEINE/INFERTILITY
Caffeine use may make it more difficult for a woman to become pregnant. (American Journal of Epidemiology 138(12)1082-1092, December 1993) Copyright Phylis Austin

MILK/FERTILITY
Milk drinking women who are unable to properly digest lactose are likely to be less fertile as they age. Previous studies have suggested that milk may adversely affect the ovaries, apparently due to galactose, a sugar produced when milk sugar (lactose) is broken down in the body. (American Journal of Epidemiology 139(3)282-289, March 1994) Copyright Phylis Austin

TESTICULAR INJURY/MALE INFERTILITY
Adolescent boys who participate in contact sports without the use of protective devices may suffer injury resulting in permanent damage to their testes. This may be sufficient to cause infertility later in life. (Fertility and Sterility 62:143-9, 1994) Copyright Phylis Austin

CONDOMS/FEMALE INFERTILITY/OVARIAN CANCER
Some now fear that the male condom may make women infertile. Talc, used on condom surfaces as a lubricant, may cause fibrosis on the woman's fallopian tubes, rendering her infertile. Talc is known to cause ovarian cancer. (What Doctors Don't Tell You 6(2)4, June 1995; Journal of the American Medical Association 273(11)846-847, March 15, 1995) Copyright Phylis Austin

NON-STEROIDAL ANTI-INFLAMMATORY DRUGS/INFERTILITY
Non-steroidal anti-inflammatory drugs may cause infertility in women. (British Journal of Rheumatology 35:76-78, 1996) Copyright Phylis Austin

VASECTOMY/OSTEOPOROSIS
Researchers from the Rheumatology Research United of the Pontypridd & District Hospital in Wales, U.K., report that there may be an increased risk of osteoporosis in men who have underdone vasectomy. (British Journal of Rheumatology 34(Suppl 2)42, 1995) Copyright Phylis Austin

LEAD EXPOSURE/MALE FERTILITY
Men who are occupationally exposed to iron have reduced fertility reports the Division of Occupational Health and Environmental Epidemiology of the New York State Department of Health. Animal studies have demonstrated infertility, reduced sperm mobility, higher levels of abnormal sperm, and damage to the germinal epithelium in lead-exposed animals. A study of over 4,000 men indicates that these findings carry over into humans.
The male is felt to be the responsible partner in about 40 percent of infertile couples. (Annals of Epidemiology 6:201-208, 1996) Copyright Phylis Austin

MALE INFERTILITY/HEAT EXPOSURE
Elevated scrotal temperatures reduce sperm production, decreasing a man's ability to father a child. A study from France reported that men whose job required them to remain seated for more than three hours a day, men whose jobs required them to spend long hours in motor vehicles, or men who were otherwise exposed to high temperatures during their work day were less likely to father children. (The Lancet 347:204-205, January 20, 1996) Copyright Phylis Austin

AGRICULTURAL WORK/INFERTILITY
Men who are employed in agriculture have been known for some time to be at increased risk of infertility, but a recent study from Iowa reveals that women who live on a farm are at a significantly increased risk of having ovulatory or tubal infertility. While the cause of this infertility is unclear, the researchers suspect that pesticides may play a role. (American Journal of Industrial Medicine 31:445-451, 1997) Copyright Phylis Austin