Time to pregnancy and infertility among women with a high intake of fish contaminated with persistent organochlorine compounds by Axmon A, Rylander L, Strömberg U, Hagmar LThe following article refers to this text: 2002;28(2):0 Key terms: contamination; fertility; fish; infertility; PCP; persistent organochlorine compound; polychlorinated biphenyl; polychlorinated dibenzo-p-dioxin; polychlorinated dibenzofuran; time to pregnancy; woman This article in PubMed: www.ncbi.nlm.nih.gov/pubmed/10901111 Scand J Work Environ Health 2000;26(3): 199-206 Time to pregnancy and infertility among women with a high intake of fish contaminated with persistent organochlorine compounds by Anna Axmon, MSc,' Lars Rylander, DrMedSc,' Ulf Stromberg, PhD,' Lars Hagmar, MD1 Axmon A, Rylander L, Stromberg U, Hagmar L. Time to pregnancy and infertility among women with a high intake of fish contaminated with persistent organochlorine compounds. Scand J Work Environ Health 2000;26(3):199-206. Objectives The purpose of this study was to assess the effect of persistent organochlorine compounds through the dietary intake of fatty fish from the Baltic Sea on human fertility. Methods Information on time to pregnancy, subfertility, and infertility was collected retrospectively by selfadministered questionnaires in 2 cohorts of fishermen's wives from the Swedish east (by the Baltic Sea) and west coasts. In addition to cohort affiliation, current fish consumption and growing up in a fishing village were used as proxies for exposure within the eastcoast cohort. Results A decreased success (ie, pregnancy) rate and a tendency towards increased subfertility was found for heavy smokers (210 cigaretteslday) in the eastcoast cohort as compared with the westcoast cohort [success rate ratio 0.66, 95% confidence interval (95% CI) 0.49-0.89; subfertility odds ratio 1.64, 95% CI 0.91-2.91). However, internal analyses within the eastcoast cohort did not show that growing up in a fishing village or high current fish consumption decreased the success rate. Eastcoast cohort affiliation showed an increased risk for infertility (odds ratio 2.49,95% CI 1.05-5.92). C O~C~U S~O~S The present data give some support for a negative association between exposure to persistent organochlorine compounds and fertility among heavy smokers. However, when the proxy exposure measures are also considered, the findings are not consistent. Better individual exposure assessments should be used before more firm conclusions are drawn.Key terms fertility, polychlorinated biphenyls, polychlorinated dibenzofurans, polychlorinated dibenzo-pdioxins.For the general Swedish population, the consumption of fatty fish from the Baltic Sea is an important source of exposure to persistent organochlorine compounds such as polychlorinated biphenyls (PCB) and dioxins (1, 2). Eastcoast fishermen and their wives have been a relatively highly exposed group; they have reported doubled fish consumption on an average when compared with the general population ( 2 4 ) . Among these fishermen, higher b...