Evidence map›Paper›PMID 40724496›Full record

ReviewLife (Basel, Switzerland)2025

Associations Between Endocrine-Disrupting Chemical Exposure and Fertility Outcomes: A Decade of Human Epidemiological Evidence.

Zoe Tzouma, Panagiota Dourou, Athina Diamanti, Vikentia Harizopoulou, Petros Papalexis, Grigorios Karampas, Alina Liepinaitienė, Audrius Dėdelė, Antigoni Sarantaki

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Zoe TzoumaMidwifery Department, Faculty of Health & Care Sciences, University of West Attica, Egaleo, 12243 Athens, Greece.
Panagiota DourouMidwifery Department, Faculty of Health & Care Sciences, University of West Attica, Egaleo, 12243 Athens, Greece.ORCID 0000-0002-7434-8136
Athina DiamantiMidwifery Department, Faculty of Health & Care Sciences, University of West Attica, Egaleo, 12243 Athens, Greece.
Vikentia HarizopoulouMidwifery Department, Faculty of Health & Care Sciences, University of West Attica, Egaleo, 12243 Athens, Greece.ORCID 0009-0001-6004-1205
Petros PapalexisUnit of Endocrinology, 1st Department of Internal Medicine, Laiko General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0003-3565-4066
Grigorios Karampas2nd Department of Obstetrics and Gynecology, Aretaieio University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0001-5897-8958
Alina LiepinaitienėDepartment of Environmental Sciences, Faculty of Natural Sciences, Vytautas Magnus University, LT-44404 Kaunas, Lithuania.ORCID 0000-0003-3268-8797
Audrius DėdelėDepartment of Environmental Sciences, Faculty of Natural Sciences, Vytautas Magnus University, LT-44404 Kaunas, Lithuania.ORCID 0000-0001-7041-9980
Antigoni SarantakiMidwifery Department, Faculty of Health & Care Sciences, University of West Attica, Egaleo, 12243 Athens, Greece.ORCID 0000-0003-3316-8566

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endocrine-disrupting chemicals (EDCs) are exogenous compounds that interfere with the endocrine system by mimicking or blocking the action of endogenous hormones such as estrogens, androgens, and thyroid hormones. This systematic review aims to evaluate the current epidemiological evidence linking EDC exposure with adverse reproductive outcomes in males and females of reproductive age. A total of 14 observational studies published between 2014 and 2024 were included following structured searches in PubMed, Scopus, and Google Scholar. The most commonly studied EDCs included bisphenol A (BPA), its analogs (such as bisphenol S, BPS), phthalates, parabens, per- and polyfluoroalkyl substances (PFAS), and persistent organic pollutants (POPs). The review found consistent associations between EDC exposure and multiple reproductive endpoints, such as impaired semen quality, decreased ovarian reserve, infertility, polycystic ovary syndrome (PCOS), altered hormone levels-specifically estradiol (E2), luteinizing hormone (LH), and follicle-stimulating hormone (FSH)-and adverse outcomes in assisted reproductive technologies (ART), including in vitro fertilization (IVF). Despite methodological heterogeneity, the findings support the biological plausibility of EDCs in disrupting reproductive function. The review highlights the urgent need for regulatory measures, increased public awareness, and longitudinal studies to assess the cumulative effects of chronic EDC exposure on human fertility.

Indexed as

bisphenol Aendocrine-disrupting chemicalshormonal imbalanceinfertilityreproductive health

Identifiers

PMID40724496
PMCPMC12299029

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.