Association of phthalate esters with endometriosis in Indian women

BJOG : an International Journal of Obstetrics and Gynaecology
B Satyanarayana ReddyN V V S S Raman

Abstract

To evaluate the possible association between phthalate esters (PEs) and the occurrence of endometriosis. Case-control study. Department of Reproductive Medicine, Bhagawan Mahavir Medical Research Centre, Maternal Health and Reproductive Institute and Department of Analytical R&D, Hetero Research Foundation, Hyderabad, Andhra Pradesh, India. Blood samples were collected from 49 infertile women with endometriosis (study group); 38 age-matched women without endometriosis (control group I) but with infertility related to tubal defects, fibroids, polycystic ovaries, idiopathic infertility and pelvic inflammatory diseases diagnosed by laparoscopy and a further group of 21 age-matched women (control group II) with proven fertility and no evidence of endometriosis and other gynaecological disorders during laparoscopic sterilisation. Concentrations of PEs were measured using gas chromatography. Evaluation of PEs concentrations in women with endometriosis compared with women free from the disease. Women with endometriosis showed significantly higher concentrations of di-n-butyl phthalate (DnBP), butyl benzyl phthalate (BBP), di-n-octyl phthalate (DnOP) and diethyl hexyl phthalate (DEHP) (mean 0.44 [SD 0.41]; 0.66 [SD 0.61]; 3.32 [SD 2.17...Continue Reading

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