双甲和二二甲基甲酸盐:对女性生育能力的隐藏威胁
Giosuè Giordano Incognito1, Carla Ettore1, Giuseppe Ettore1
1Obstetrics and Gynecology Unit, Maternal Child Department, Garibaldi Nesima Hospital, Catania, Italy.
概括
广泛存在的内分泌干扰化学物质 (EDC),如BPA和酸盐,可能会影响女性的生殖能力. 目前的人类研究显示了相互矛盾的结果,需要进一步研究临床指导.
科学领域:
- 生殖毒理学 生殖毒理学
- 环境健康 环境健康
背景情况:
- 双甲 (BPA) 和二-2-乙烯基甲酸盐是普遍存在的内分泌干扰化学物质 (EDC).
- 临床前数据表明EDCs干扰生殖过程,如卵泡生成和类固醇生成.
研究的目的:
- 审查EDC暴露对女性生殖健康的临床相关性.
- 解决人类研究中关于EDC对卵巢储备和试管婴儿结果的影响的异质性.
主要方法:
- 审查现有的关于EDC暴露和生殖参数的人类研究.
- 分析导致结果冲突的因素,包括研究设计和暴露评估.
主要成果:
- 人类研究对EDC水平与卵巢储备减少或试管婴儿成功之间的关联提出了不一致的发现.
- 方法和人口特征的差异有助于观察到的异质性.
结论:
- 广泛传播的EDC对女性生殖的临床影响仍然没有确定性.
- 进一步的研究是必不可少的,以澄清EDC的影响,并告知基于证据的生殖护理.
- 在临床实践中提高对环境暴露的认识和考虑与环境暴露有关的生活方式因素可能是谨慎的.
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