question: What can cause issues with reproduction and fertility?
choices.text: microorganisms unblocked tubes gene mutations a criminal act steroids microsomia blocked tubes a healthy reproductive system
choices.label: A B C D E F G H
formatted_question: What can cause issues with reproduction and fertility? (A) microorganisms (B) unblocked tubes (C) gene mutations (D) a criminal act (E) steroids (F) microsomia (G) blocked tubes (H) a healthy reproductive system