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Published on: September 20, 2018
Risk factors for congenital cryptorchidism in a prospective birth cohort study
Ida N Damgaard1, Tina K Jensen,
1University Department of Growth and Reproduction, GR-5064 Rigshospitalet, Copenhagen, Denmark. ind@rh.dk
Insights
Two novel risk factors for congenital cryptorchidism were identified: intrauterine insemination and nicotine substitute use during pregnancy. These findings highlight the impact of maternal lifestyle on infant health.
Area of Science:
- Reproductive Medicine
- Pediatric Endocrinology
- Public Health
Background:
- Congenital cryptorchidism is a common condition in newborns.
- Understanding its risk factors is crucial for prevention and early intervention.
Purpose of the Study:
- To investigate novel risk factors for congenital cryptorchidism.
- To examine the association between maternal lifestyle and exposure during pregnancy and cryptorchidism.
Main Methods:
- Prospective birth cohort study in Denmark and Finland (1997-2001).
- Involved examination of 2,496 boys for cryptorchidism.
- Risk factor data collected via questionnaires, interviews, and birth records.
Main Results:
- Intrauterine insemination and nicotine substitute use during pregnancy were associated with increased cryptorchidism risk.
- No association found between IVF/ICSI and cryptorchidism.
- Confirmed known associations with low birth weight, prematurity, SGA, vaginal bleeding, and breech presentation.
Conclusions:
- Intrauterine insemination and maternal nicotine substitute use are identified as novel risk factors for congenital cryptorchidism.
- Suggests cryptorchidism is influenced by maternal lifestyle and exposure, not solely genetic factors.
Background:
Risk factors for congenital cryptorchidism were investigated in a prospective birth cohort study in Denmark and Finland from 1997 to 2001.
Methodology And Principal Findings:
In total, 2,496 boys were examined for cryptorchidism at birth (cryptorchid/healthy: 128/2,368) and three months old (33/2,215). Information on risk factors was obtained antenatally (questionnaire/interview) or at birth from birth records. Use of nicotine substitutes during pregnancy (n = 40) and infertility treatment by intrauterine insemination (n = 49) were associated with an increased risk for cryptorchidism, adjusted odds ratio (95% confidence interval) (OR (95%CI)) 3.04 (95%CI 1.00-9.27) and 3.01 (95%CI 1.27-7.15), respectively. No association was seen for mothers (n = 79) who had infertility treatment in form of intracytoplasmic sperm injection (ICSI) or in vitro fertilization (IVF) treatment (OR 0.71 95%CI 0.21-2.38). In total, 728 (29%) reported to have smoked during pregnancy, however, no increased risk among maternal smokers was found. Furthermore, we found statistically significant associations between cryptorchidism and low birth weight, prematurity, being small for gestational age, substantial vaginal bleeding, and breech presentation, which are in accordance with other studies.
Conclusions And Significance:
Our study revealed two novel risk factors for cryptorchidism: intrauterine insemination and the use of nicotine substitutes in pregnancy. This suggests that cryptorchidism may not only be associated to genetic factors, but also to maternal lifestyle and exposure.
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