In Vivo Gamete Toxicology in the Context of In Vitro Fertilization: A Narrative Review
A peer-reviewed narrative review published in F&S Reviews, Volume 6, Issue 1, June 2025, examining the role of environmental toxicology in impairing in vivo fertility and gamete quality prior to IVF treatment. The review evaluates how pre-IVF exposure to environmental contaminants — including heavy metals, per- and polyfluoroalkyl substances (PFAS), persistent organic pollutants, and airborne contaminants including VOCs — may impair gamete potential and downstream IVF success rates. The authors provide a comprehensive reference of toxicological exposures for IVF clinicians, drawing on in vitro, animal, and human correlative data to identify potential causative mechanisms and strengthen the case for routine patient toxicological risk assessment before IVF treatment. Published in F&S Reviews, Volume 6, Issue 1, June 2025. DOI: 10.1016/j.xfnr.2025.100090. Authors: Orsolini, M.; Russack, J.; Huynh, H.; Raburn, D.; Fox, J.; Schust, D.
