01.06.2013 Views

Image of the Day

Image of the Day

Image of the Day

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

persistent chemicals known to decrease fertility by affecting hormone<br />

signaling and increasing time to pregnancy.<br />

When <strong>the</strong> models accounted for prior pregnancies, <strong>the</strong> findings still<br />

remained.<br />

What does it mean?<br />

Higher exposure to a variety <strong>of</strong> persistent pollutants in both men and<br />

women is associated with a longer time to get pregnant – one measure <strong>of</strong><br />

fertility. The pollutants studied represent a variety <strong>of</strong> chemical classes,<br />

including PCBs, perfluorinated compounds and organochlorine pesticides.<br />

The strongest associations were found in men. This study is one <strong>of</strong><br />

<strong>the</strong> first to show that men's chemical exposures are just as important – if<br />

not stronger – than women's in determining fertility issues.<br />

The results are an important first step that shows <strong>the</strong> exposure to<br />

chemical pollutants in both men and women can strongly affect fecundity.<br />

The study design used in this study is important because it looks at<br />

couples trying to get pregnant ra<strong>the</strong>r than assessing exposure effects after<br />

pregnancy occurs. Prospectus studies like this one can get at <strong>the</strong> "chicken<br />

and egg" – or which came first – issue. Exposure levels are known for<br />

each couple before fertility issues are found, so it is more likely that <strong>the</strong><br />

increased chemical exposure is causally related to fecundity.<br />

This study corroborates previous findings that PCBs reduce<br />

fecundity. The results also confirm earlier findings for a lack <strong>of</strong><br />

association between fecundity in women and exposure to DDT and its<br />

metabolite DDE. In men, DDE was associated with decreased time to<br />

pregnancy.<br />

Importantly, <strong>the</strong> magnitude <strong>of</strong> decreased fecundity – about 20 percent<br />

longer – reported by this study is comparable to o<strong>the</strong>r factors known to<br />

cause fertility problems such as male and female age, body mass index<br />

and cigarette smoking. The authors adjusted for <strong>the</strong>se factors in this study,<br />

so <strong>the</strong>y do not contribute here. But <strong>the</strong> findings underscore <strong>the</strong> large<br />

impact that environmental pollutants can have on time to pregnancy.<br />

Daily News Digest December 20, 2012

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!