331 Reproductive Health History Reproductive toxicants can affect both women and men. All workers and their offspring must be protected from exposure to these toxicants. Exposure to chemicals and infectious and physi- cal agents can result in reproductive toxicity or developmental effects in offspring. It is essential that a comprehensive review of exposures and history of illness be obtained. A sample repro- ductive health history follows on pages 305–309. Obtain Medical History ● Drug allergies ● Anemia ● Sickle cell disease or trait ● Blood transfusions ● Blood clots, phlebitis, varicose veins ● Chronic headaches ● Heart disease, chest pain ● Hypercholesterolemia ● Hypertension ● Insomnia ● Cancer (type) ● Urinary tract infection Obtain Contraceptive History ● Present method of birth control and length of use – Pills – IUD – Diaphragm – Withdrawal – Foams/jellies – Condom – Rhythm – None ≈ ● Past method of birth control, length of use, and why discontinued ● Previous problems with any method of birth control Obtain Breast History ● Use of BSE ● Frequency of BSE ● Time of BSE during menstrual cycle ● Date of last mammogram and results ● Breast soreness, tenderness, milky discharge ● Breast lumps – Fibroadenomas – Fibrocystic breast ● Breast cancer Assessment and Clinical Interventions ● Goiter or thyroid problems ● Arthritis ● Diabetes ● Stroke ● Emotional problems ● Eating disorder (anorexia or bulemia) ● Acne ● Smoking (active or passive exposure) ● Drinking ● Recreational drug use ● Seizure disorder Guideline continues on next page
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