Lifestyle and Environment · Environmental Exposures

Exposure to endocrine disruptors during adulthood: consequences for female fertility

Rattan S, Zhou C, Chiang C, Mahalingam S, Brehm E, Flaws JA

Published June 2017 Journal of Endocrinology, 233(3), R109-R129
DOI 10.1530/joe-17-0023 PMC PMC5479690

RRM Academy Synopsis

Endocrine disruptors in adulthood may be linked to lower fertility

Adult endocrine disruptor exposure may be linked to lower fertility in women and animals. The 2017 review covers pesticides, metals, plastics chemicals and dioxin. The human findings are associations. Some are rated strong, others limited.

Key Findings

  • After the Seveso dioxin (TCDD) explosion, exposure went with longer time to pregnancy (adjusted fecundability odds ratio: 0.75, 95% CI: 0.60, 0.95) and infertility (adjusted odds ratio: 1.9, 95% CI: 1.1, 3.2).
  • Organochlorine pesticide exposure was linked to longer time to pregnancy in women (fecundability odds ratio: 0.46, 95% CI: 0.32, 0.66).
  • CB-153 was linked to fetal loss in women (odds ratio: 2.4, 95% CI: 1.1, 5.5). The DDE estimate was 2.5, 95% CI: 0.9, 6.6.
  • In one study, triclosan exposure was linked to longer time to pregnancy (fecundability odds ratio: 0.84, 95% CI: 0.72, 0.97).
  • The authors call evidence limited for pesticide effects on the hypothalamus and pituitary, with human data lacking.

Interpretation

The paper is a review that gathers many separate studies, human and animal. The human findings are associations. For PCBs the authors say it is difficult to tell whether the links are direct cause and effect. They note that some studies had small samples or limited exposure and outcome data, and that results conflict for some chemicals. Doses vary widely across studies, and full dose-response relationships are unclear for several chemicals. The review covers adult exposure in females only.

RRM Context

RRM looks for the cause of infertility. Unexplained infertility means undiagnosed. The review describes chemical exposure as a possible contributor. Evidence differs by chemical. Only women are covered.

Abstract

Endocrine disrupting chemicals are ubiquitous chemicals that exhibit endocrine disrupting properties in both humans and animals. Female reproduction is an important process, which is regulated by hormones and is susceptible to the effects of exposure to endocrine disrupting chemicals. Disruptions in female reproductive functions by endocrine disrupting chemicals may result in subfertility, infertility, improper hormone production, estrous and menstrual cycle abnormalities, anovulation, and early reproductive senescence. This review summarizes the effects of a variety of synthetic endocrine disrupting chemicals on fertility during adult life. The chemicals covered in this review are pesticides (organochlorines, organophosphates, carbamates, pyrethroids, and triazines), heavy metals (arsenic, lead, and mercury), diethylstilbesterol, plasticizer alternatives (di-(2-ethylhexyl) phthalate and bisphenol A alternatives), 2,3,7,8-tetrachlorodibenzo-p-dioxin, nonylphenol, polychlorinated biphenyls, triclosan, and parabens. This review focuses on the hypothalamus, pituitary, ovary, and uterus because together they regulate normal female fertility and the onset of reproductive senescence. The literature shows that several endocrine disrupting chemicals have endocrine disrupting abilities in females during adult life, causing fertility abnormalities in both humans and animals.

Topics

By this author

Related research

Lifestyle and Environment › Environmental Exposures › Endocrine Disrupting Chemicals · Reproductive Endocrinology › Ovarian Hormones › Estrogen
Changqing Zhou, Catheryne Chiang, Sharada Mahalingam, Jodi A Flaws
C Zhou, C Chiang, S Mahalingam, J Flaws
DOI 10.1530/joe-17-0023 10.1530/joe-17-0023 Rattan et al. 2017, Rattan 2017