Abstract
In France, a new approach is being developed through the ARTEMIS Center, which is a prevention platform for environmental health dedicated to reproduction. The objective is to describe the clinical management of patients in the ARTEMIS center. Couples with a condition affecting reproduction are referred to the ARTEMIS center. Management includes a medical consultation and a standardized interview. Current exposure is assessed by a questionnaire that includes exposure circumstances to reproductive risk factor and on the basis of which it is possible to implement preventive action in clinical practice without prejudging the role of such exposure in the onset of disease. From 16 February 2016 to 2 May 2019, 779 patients were seen in the ARTEMIS center. On the day of the consultation, 88.3% men and 72.2% women were employed. Among employed men, 61.5% had at least one instance of occupational exposure to a reproductive risk factor, and among employed women, 57.8%. The main nonprofessional circumstances of exposure identified were proximity of the residence to an agricultural area (35.3%) and domestic pesticide exposure (79.7%). The preventive actions implemented by the ARTEMIS center are targeted to the individual practices of patients. However, patient care also allows their physicians to become familiarized with environmental health.
Highlights
Environmental exposure is known to interfere with reproduction [1,2]
The objectives of the ARTEMIS Center are (i) to evaluate the environmental exposure of couples with conditions affecting reproduction: fertility disorders, pregnancy complications, or parents of children born with congenital malformations, (ii) propose preventive measures to reduce exposure to these risk factors, and (iii) educate health professionals about environmental health
Couples with a condition affecting reproduction are referred to the ARTEMIS center by hospital practitioners, gynecologists, or pediatricians
Summary
Environmental exposure is known to interfere with reproduction (fertility disorders, pregnancy pathologies, and developmental abnormalities) [1,2]. Exposure to environmental reproductive risk factors has been reported in the scientific literature to lead to transgenerational effects [10,11]. In this context, The American College of Obstetricians and Gynecologists and the American. The objectives of the ARTEMIS Center are (i) to evaluate the environmental exposure (occupational and extraprofessional) of couples with conditions affecting reproduction: fertility disorders, pregnancy complications, or parents of children born with congenital malformations, (ii) propose preventive measures to reduce exposure to these risk factors, and (iii) educate health professionals about environmental health.
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