PMID- 16280075 OWN - NLM STAT- MEDLINE DCOM- 20060313 LR - 20221020 IS - 1476-069X (Electronic) IS - 1476-069X (Linking) VI - 4 DP - 2005 Nov 9 TI - Fertility in four regions spanning large contrasts in serum levels of widespread persistent organochlorines: a cross-sectional study. PG - 26 AB - BACKGROUND: Persistent organochlorine pollutants (POPs) may interfere with reproductive function but direct evidence in humans is very limited. METHODS: Fertility was examined in four regions with contrasting blood levels of POPs. Pregnant women and their partners in Warsaw (Poland), Kharkiv (Ukraine) and Greenland were consecutively enrolled during antenatal visits. Swedish fishermen and their spouses were recruited separately and independently of current pregnancy. Lipid adjusted serum concentrations of 2,2',4,4',5,5'-hexachlorobiphenyl (CB-153) and 1,1-dichloro-2,2-bis (p-chlorophenyl)-ethylene (DDE) were available for both partners. Time to pregnancy interviews were obtained among 2269 women and 798 men provided a semen sample. RESULTS: Inuits had high levels of both POP markers, Swedish fishermen were high in CB-153 but low in DDE, men from Kharkiv were high in DDE and low in CB-153 while men from Warsaw were low in CB-153 and had intermediate DDE levels. Compared to Warsaw couples, fecundability was reduced among couples from Kharkiv [adjusted fecundability ratio (FR) 0.64 (95% CI 0.5-0.8)] and elevated in Swedish fishermen families [FR 1.26 (95% CI 1.0-1.6)]. Adjusted geometric means of sperm counts and morphology did not differ between regions while sperm motility was higher in men living in Warsaw. CONCLUSION: We observed regional differences in time to pregnancy and sperm motility that may be related to regional differences in POP blood levels, but other interpretations are also plausible. In particular, differences in access to safe contraception and in the prevalence of contraceptive failures are most likely to bias comparisons of time to pregnancy. FAU - Toft, Gunnar AU - Toft G AD - Department of Occupational Medicine, Aarhus University Hospital, Noerrebrogade 44, build, 2C, DK-8000 Aarhus C, Denmark. gutof@as.aaa.dk FAU - Axmon, Anna AU - Axmon A FAU - Giwercman, Aleksander AU - Giwercman A FAU - Thulstrup, Ane Marie AU - Thulstrup AM FAU - Rignell-Hydbom, Anna AU - Rignell-Hydbom A FAU - Pedersen, Henning Sloth AU - Pedersen HS FAU - Ludwicki, Jan K AU - Ludwicki JK FAU - Zvyezday, Valentina AU - Zvyezday V FAU - Zinchuk, Andery AU - Zinchuk A FAU - Spano, Marcello AU - Spano M FAU - Manicardi, Gian Carlo AU - Manicardi GC FAU - Bonefeld-Jorgensen, Eva C AU - Bonefeld-Jorgensen EC FAU - Hagmar, Lars AU - Hagmar L FAU - Bonde, Jens Peter AU - Bonde JP CN - INUENDO LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20051109 PL - England TA - Environ Health JT - Environmental health : a global access science source JID - 101147645 RN - 0 (Biomarkers) RN - 0 (Environmental Pollutants) RN - 0 (Hydrocarbons, Chlorinated) SB - IM MH - Biomarkers/blood MH - Cross-Sectional Studies MH - Environmental Exposure/adverse effects/*analysis MH - Environmental Pollutants/*adverse effects/blood MH - Female MH - Fertility/*drug effects MH - Gas Chromatography-Mass Spectrometry MH - Greenland MH - Humans MH - Hydrocarbons, Chlorinated/blood/*toxicity MH - Male MH - Poland MH - Pregnancy MH - Prenatal Care MH - Semen/*drug effects MH - Sperm Count MH - Spouses MH - Sweden MH - Ukraine PMC - PMC1308837 EDAT- 2005/11/11 09:00 MHDA- 2006/03/15 09:00 PMCR- 2005/11/09 CRDT- 2005/11/11 09:00 PHST- 2005/08/11 00:00 [received] PHST- 2005/11/09 00:00 [accepted] PHST- 2005/11/11 09:00 [pubmed] PHST- 2006/03/15 09:00 [medline] PHST- 2005/11/11 09:00 [entrez] PHST- 2005/11/09 00:00 [pmc-release] AID - 1476-069X-4-26 [pii] AID - 10.1186/1476-069X-4-26 [doi] PST - epublish SO - Environ Health. 2005 Nov 9;4:26. doi: 10.1186/1476-069X-4-26.