There is no doubt we live in a society riddled with toxins. No Swimming signs haunt our beaches. Air quality updates are a part of our daily news coverage. The organic food business is booming as people try to find alternatives to foods that have been loaded with chemicals. How are these chemicals affecting our health? Are the toxins in our environment affecting our ability to conceive?

Dr. Dorothy Mitchell-Leef, an endocrinologist and partner at Reproductive Biology Associates in Atlanta, Ga., believes that while studies have not yet shown a direct link between the toxins in our environment and our fertility, common sense should tell us that one exists.

"Men's [sperm] counts on a worldwide basis have decreased over 30 years," says Dr. Mitchell-Leef. "The environment itself and its components should be carefully considered as a plausible risk. No one has truly established a direct link to infertility and the environment, but seeing infertility rates increase over the last 24 years I have been practicing makes me concerned for the future and what further effects we might see over time."

One of the most common toxins we put in our bodies is cigarette smoke. Whether by choice or by secondhand smoke, the toxins in cigarettes may affect our ability to conceive. Though the full effect of cigarette smoking on fertility isn't known, one thing we do know is that smoking compounds problems in people who already have a compromised situation. Because cigarette smoking is related to a decrease in responsiveness to medications that increase ovulation, women who are undergoing reproductive therapy should not smoke. Men who smoke also have fertility issues.

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