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Hum. Reprod. Advance Access originally published online on November 7, 2007
Human Reproduction 2008 23(1):193-200; doi:10.1093/humrep/dem349
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© The Author 2007. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Menstrual cycle characteristics in European and Inuit women exposed to persistent organochlorine pollutants

G. Toft1,4, A. Axmon2, C.H. Lindh2, A. Giwercman3 and J.P. Bonde1

1 Department of Occupational Medicine, Aarhus University Hospital, Noerrebrogade 44, Build 2C, DK-8000 Aarhus C, Denmark 2 Division of Occupational and Environmental Medicine and Psychiatric Epidemiology, Lund University Hospital, SE-221 85 Lund, Sweden 3 Fertility Centre, Malmö University Hospital, SE-205 02 Malmö, Sweden

4 Correspondence address. Tel: +45-89494251; Fax: +45-89494260; E-mail: gutof{at}as.aaa.dk

BACKGROUND: Previous inconsistent results suggest that menstrual cycles may be disturbed by exposure to polychlorinated biphenyls (PCBs) and 1,1-dichloro-2,2-bis (p-chlorophenyl)-ethylene (DDE).

METHODS: Information on menstrual cycle characteristics were obtained by questionnaires, and PCB and DDE were measured in serum samples from a total of 1494 women from Greenland, Swedish fishermen’s wives, and inhabitants of Warsaw in Poland and Kharkiv in Ukraine.

RESULTS: No consistent effects of PCB and DDE exposure on menstrual cycle characteristics were observed across populations. Within populations, we observed increased risks of short cycles (≤24 days) among Swedish fishermen’s wives exposed to high levels of PCB [odds ratio (OR) 2.5, confidence interval (CI) 1.2–5.1], and increased risk of long cycles (≥32 days) among Polish women exposed to high levels of DDE (OR 3.1, CI 1.1–8.6). However, in Greenland it seemed that high levels of PCB or DDE were protective against long menstrual cycles (OR 0.7 CI 0.5–0.96 and OR 0.7 CI 0.5–0.99, respectively).

CONCLUSIONS: It is unlikely that exposure to PCB and DDE is a main cause of menstrual disturbances. Genetic differences or dietary factors may be involved in the non-homogenous associations of organochlorine exposure and menstrual cycle between countries.

Key words: contaminants/endocrine disruptors/irregularity/menses

Submitted on May 3, 2007; resubmitted on September 13, 2007; accepted on September 18, 2007.


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