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In-Utero Exposure to Polybrominated Biphenyl (PBB) and Menstrual Cycle Function in Adulthood

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  • Description:
    Background: There is evidence that in-utero exposure to PBBs, and similar chemicals, are associated with several adverse reproductive health outcomes including altered pubertal timing. However, less is known about the effects of in-utero exposure to PBBs on menstrual cycle function and reproductive hormone levels in adulthood. Methods: For this menstrual cycle study, we recruited reproductive-aged women in the Michigan PBB Registry who were not pregnant, lactating, or taking hormonal medications (2004-2014). A total of 41 women who were born after the PBB contamination incident (1973-1974) and were prenatally exposed to PBBs, were included in this analysis. We estimated in-utero PBB exposure using maternal serum PBB measurements taken after exposure and extrapolated to time of pregnancy using a PBB elimination model. Women were followed for up to 6 months during which they provided daily urine samples and completed daily diaries. The urine samples were assayed for estrone 3-glucuronide (E13G), pregnanediol 3-glucuronide (Pd3G), and follicle stimulating hormone (FSH). Results: Women in our study were, on average, 27.5 (SD:5.3) years old and contributed 4.9 (SD:1.9) menstrual cycles of follow-up. Compared to women with low in-utero PBB exposure (≤1 ppb), women with medium (>1.0-3.0 ppb) and high (>3.0 ppb) exposure had higher maximum 3-day mean Pd3G levels during the luteal phase. Specifically, the age- and creatinine-adjusted maximum 3-day mean luteal phase Pd3G levels (95% CI) in increasing categories of in-utero PBB exposure were 9.2 (4.6,13.9), 14.8 (11.6,18.0), and 16.1 (12.9,19.3) µg/mg creatinine. There were no meaningful differences in average cycle length, follicular or luteal phase cycle length, bleed length, or creatinine-adjusted E13G or FSH levels by category of in-utero PBB exposure. Conclusion: Higher exposure to PBB in-utero was associated with increased progesterone levels across the luteal phase, however, most other menstrual cycle characteristics were largely unassociated with in-utero PBB exposure. Given our modest sample size, our results require cautious interpretation. [Description provided by NIOSH]
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  • ISSN:
    1438-4639
  • Document Type:
  • Genre:
  • Place as Subject:
  • CIO:
  • Division:
  • Topic:
  • Location:
  • Volume:
    256
  • NIOSHTIC Number:
    nn:20068889
  • Citation:
    Int J Hyg Environ Health 2024 Mar; 256:114297
  • Contact Point Address:
    Audrey J. Gaskins, 1518 Clifton Road, CNR 3017, Atlanta, GA, 30322, USA
  • Email:
    audrey.jane.gaskins@emory.edu
  • Federal Fiscal Year:
    2024
  • Peer Reviewed:
    True
  • Source Full Name:
    International Journal of Hygiene and Environmental Health
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:ff5d44fb50012c72bd1e70a5e2b2759f77e27e8a52512636eaa6ae654a12415219c44450ebc2496dfcef3dfa01572e2b1965313b83a78188cc00dad7faa648b1
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  • File Type:
    Filetype[PDF - 1.40 MB ]
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