Journal
REPRODUCTIVE TOXICOLOGY
Volume 30, Issue 3, Pages 365-369Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.reprotox.2010.05.011
Keywords
Endometriosis; Environment; Fecundity; Organochlorines; Pesticides; Reproductive toxicant
Categories
Funding
- National Institute of Environmental Health Sciences [R01ES09044]
- Eunice Kennedy Shriver National Institute of Child Health & Human Development
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Limited study of persistent organochlorine pesticides (OCPs) and endometriosis has been conducted. One hundred women aged 18-40 years who were undergoing laparoscopy provided 20 cm(3) of blood for toxicologic analysis and surgeons completed operative reports regarding the presence of endometriosis. Gas chromatography with electron capture was used to quantify (ng/g serum) six OCPs. Logistic regression was utilized to estimate the adjusted odds ratios (aOR) and 95% confidence intervals (Cl) for individual pesticides and groups based on chemical structure adjusting for current cigarette smoking and lipids. The highest tertile of aromatic fungicide was associated with a fivefold risk of endometriosis (aOR = 5.3: 95% CI, 1.2-23.6) compared to the lowest tertile. Similar results were found for t-nonachlor and HCB. These are the first such findings in a laproscopic cohort that suggest an association between OCP exposure and endometriosis. More prospective studies are necessary to ensure temporal ordering and confirm these findings. Published by Elsevier Inc.
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