“…Even moderate alcohol consumption by women is associated with menstrual disruptions, such as irregular and anovulatory cycles, sexual diffi culties, and gynecological and obstetrical problems, including infertility and fetal loss (Abel, 1997;Hakim et al, 1998;Jensen et al, 1998;Kesmodel et al, 2002;Mendelson and Mello, 1998;Ryback, 1977;Wilsnack et al, 1984). In addition to menstrual disruptions (Windham et al, 1999), women who smoke show delayed conception or time to pregnancy and are at increased risk for infertility and fetal loss (Augood et al, 1998;Baird and Wilcox, 1985;Bolumar et al, 1996;Hughes and Brennan, 1996;Hull et al, 2000;Joffe and Zhimin, 1994). Similar risks from illicit drug use are also reported (Gold, 1997;Hall and Solowji, 1997;Jaffe et al, 1997).…”