Assessment of reproductive disorders and birth defects in communities near hazardous chemical sites. II. Female reproductive disorders

Anthony R. Scialli, Shanna H. Swan, Robert W. Amler, Donna D. Baird, Brenda Eskenazi, Ginger Gist, Maureen C. Hatch, James S. Kesner, Grace K. Lemasters, Michele Marcus, Maureen E. Paul, Paul Schulte, Zachary Taylor, Allen J. Wilcox, Chris Zahniser

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Members of the workgroup on female reproductive disorders discussed methods to evaluate five principal functions: menstrual dysfunction, infertility, pregnancy loss, lactation disorders, and pregnancy complications. To test each function, a nested strategy was considered, based on progressive levels of effort available to conduct field investigations. This strategy was analogous to the three-tier classification of biomarkers used by other workshops. The lowest level of effort, corresponding to Tier 1, consists only of questionnaires, diaries, and reviews of maternal and infant medical records. The medium level of effort (Tier 2) collects data from questionnaires and diaries, and some biologic specimens. Suggested laboratory analyses included measurement of progesterone in saliva and several glycoprotein hormones in urine that evaluate menstrual dysfunction, infertility, and pregnancy loss. The highest level of effort (Tier 3) involves prospective collection of diary information and simultaneous collection of biological specimens.

Original languageEnglish
Pages (from-to)231-242
Number of pages12
JournalReproductive Toxicology
Volume11
Issue number2-3
DOIs
StatePublished - 1997
Externally publishedYes

Fingerprint

Dive into the research topics of 'Assessment of reproductive disorders and birth defects in communities near hazardous chemical sites. II. Female reproductive disorders'. Together they form a unique fingerprint.

Cite this