PUBLIC HEALTH CONCERNS OF ENVIRONMENTAL EXPOSURE CONNECTED WITH FEMALE INFERTILITY

Boma F. Eddie-Amadi, C. Dike, A. Ezejiofor
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Abstract

This study reviewed recent articles on prevalence and risk exposure of pollutants connected with female sterility. Occupational and regular exposure to mixtures of metals and other chemicals induce oxidative stress which further induce hormonal imbalance and result to damage cell membrane, cell apoptosis, damage proteins, lipid and nucleic acid, reduced growth and development of oocytes, increase mRNA in anterior pituitary, reduced follicular development and growth, poor oocytes quality, poor reproductive outcome, damage DNA, embryo fragmentation, implantation failure, abortion, ovarian aging and steroidogenesis, folliculogenesis, impaired placentation, congenital abnormalities and formation of numerous developmental abnormalities. This study revealed an association between environmental contaminants and unexplained infertility, women with unexplained infertility have decreased ovarian sensitivity to gonadotropins, resulting in higher circulating gonadotropin levels, including higher mean serum follicle stimulating hormone (FSH) and luteinizing hormone (LH) levels. Asides from environmental contaminant effects on female infertility, exposure to environmental contaminants could also increase the risk of suffering spontaneous abortion, stillbirths, premature delivery, gestational diabetes mellitus, pregnancy hypertension, preeclampsia, premature rupture of membranes, intrauterine growth restriction, low birth weight, harm the growing baby leading to foetal abnormality and congenital disabilities To manage female infertility, risk exposures to heavy metals should be reduced to minimal or zero level.
环境暴露与女性不孕有关的公共卫生问题
本研究回顾了最近关于与女性不育有关的污染物的流行和风险暴露的文章。职业性和定期暴露于金属和其他化学物质的混合物中可诱发氧化应激,氧化应激进一步诱发激素失衡,导致细胞膜损伤、细胞凋亡、蛋白、脂质和核酸损伤、卵母细胞生长发育减慢、垂体前叶mRNA升高、卵泡发育和生长减慢、卵母细胞质量差、生殖结局差、DNA损伤、胚胎破碎、植入失败、流产。卵巢老化和甾体生成、卵泡生成、胎盘受损、先天性异常和许多发育异常的形成。该研究揭示了环境污染物与不明原因不孕之间的关联,不明原因不孕的女性卵巢对促性腺激素的敏感性降低,导致循环促性腺激素水平升高,包括血清促卵泡激素(FSH)和黄体生成素(LH)水平升高。环境污染物除了对女性不孕症有影响外,还会增加自然流产、死胎、早产、妊娠期糖尿病、妊娠高血压、先兆子痫、胎膜早破、宫内生长受限、出生体重过低、损害胎儿发育导致胎儿畸形和先天性残疾的风险。应将接触重金属的风险降至最低或零水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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