Female exposure to phenols and phthalates and time to pregnancy: the Maternal-Infant Research on Environmental Chemicals (MIREC) Study.

Abstract:

OBJECTIVE:To assess the potential effect of bisphenol A (BPA), triclosan (TCS), and phthalates on women's fecundity, as measured by time to pregnancy (TTP). DESIGN:Pregnancy-based retrospective TTP study. SETTING:Not applicable. PATIENT(S):A total of 2,001 women during the first trimester of pregnancy recruited between 2008 and 2011 (the Maternal-Infant Research on Environmental Chemicals (MIREC) Study), with 1,742 women included in the BPA analysis, 1,699 in the TCS analysis, and 1,597 in the phthalates analysis. INTERVENTION(S):None. MAIN OUTCOME MEASURE(S):Fecundability odds ratios (FORs) estimated using the Cox model modified for discrete time data. RESULT(S):The BPA concentrations were not statistically significantly associated with diminished fecundity either in crude or adjusted models. Women in the highest quartile of TCS (>72 ng/mL) had evidence of decreased fecundity (FOR 0.84; 95% confidence interval, 0.72-0.97) compared with the three lower quartiles as the reference group. Exposure to phthalates was suggestive of a shorter TTP, as indicated by FORs greater than 1, although the 95% confidence interval always included 1. CONCLUSION(S):Elevated TCS exposure may be associated with diminished fecundity. BPA and phthalates showed no negative impact; on the contrary, some phthalates might be associated with a shorter time to pregnancy. A major limitation of the study was that only one measurement of exposure was available for each woman after conception. Further research is necessary to test these findings.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Vélez MP,Arbuckle TE,Fraser WD

doi

10.1016/j.fertnstert.2015.01.005

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

1011-1020.e2

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(15)00040-0

journal_volume

103

pub_type

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