Teratogenicity refers to the ability of an agent to cause fetal malformations during embryonic or fetal development. A teratogen is an agent that can permanently alter the structure or function of an organism exposed during development. Teratogens may be organ-specific, species-specific, or dose-specific. Common teratogens include thalidomide, accutane, diethylstilbestrol, and alcohol. Tests for teratogenicity are conducted under FDA and ICH guidelines and include multigenerational studies, single generational studies, and assessment of developmental toxicity. Alternative test methods include micro mass tests, whole embryo culture tests, and embryonic stem cell tests. Understanding teratogenic mechanisms aids in birth defect