1. A factor whose effects on fertility are overlooked: Climate change and its consequences.
- Author
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Tokat, Merlinda Aluş, Bilgiç, Dilek, Yağcan, Hande, and Demirdağ, Cansu
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MALE infertility , *CLIMATE change , *FERTILITY , *CLIMATE change & health , *HUMAN fertility , *MENSTRUAL cycle - Abstract
Climate change is one of the most common global environmental problems facing humanity today. The effects of climate changes in the natural balance of the world on human health have also begun to become visible. As one of the indicators of human health, fertility health is also directly or indirectly affected by climate change. In this review, it is aimed to draw attention to this area and to raise awareness by determining the effects of climate change and its consequences on female and male fertility. In this study, which was made as a compilation, Google Scholar, PubMed, Science Open and Elsevier databases were searched to identify studies on the subject. The survey was conducted in Turkish and English using a total of five keywords as 'climate change, fertility health, global warming, woman and man'. As a result of the literature review, 25 studies, which can be accessed as full text regardless of the date of publication, were discussed. In the studies reviewed, meteorological changes in women were found to be effective on the menstrual cycle, and it was determined that temperature increases changed follicle size, ovulation frequency and the duration of the menstrual cycle. It has been observed that the temperature disrupts spermatogenesis, reduces sperm quality and sperm motility. If fertilization is achieved through heat-affected sperm, it has been determined that the developmental competence of the formed embryo is impaired. Hormonal disorders caused by air pollution, induction of oxidative stress, cell DNA and epigenetic changes are thought to be effective on fertility. It has been observed that women exposed to air pollution have a reduced chance of pregnancy and an increase in pregnancy loss. It has also been found that the deterioration in air and water quality as a result of climate change affects fertility health indirectly by disrupting food and shelter insecurity, general environmental and sociodemographic factors. According to the results of the study, climate change and its consequences negatively affect the reproductive health of men and women directly or indirectly. For this reason, it is important for health professionals to be aware of climate change and the reproductive health problems it creates, to know these problems, and to organize training programs for the implementation of approaches that will help individuals cope with the effects of climate change. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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