Evidence map›Paper›PMID 40809751›Full record

SynthesisFrontiers in public health2025

Assessment of ovarian dysfunction induced by environmental toxins: a systematic review.

Lu An, Yali Huang, Yunkai Wang, Shuting Shen, Xuexing Luo, Xiaoyan Liang, Liming Lu, Chunzhi Tang, Jinglin Lin, Ting Su and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
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

15 authors.

Lu An *Faculty of Chinese Medicine, Macau University of Science and Technology, Macao, Macao SAR, China.
Yali Huang *Faculty of Chinese Medicine, Macau University of Science and Technology, Macao, Macao SAR, China.
Yunkai Wang *Faculty of Chinese Medicine, Macau University of Science and Technology, Macao, Macao SAR, China.
Shuting ShenFaculty of Chinese Medicine, Macau University of Science and Technology, Macao, Macao SAR, China.
Xuexing LuoFaculty of Humanities and Arts, Macau University of Science and Technology, Macao, Macao SAR, China.
Xiaoyan LiangDepartment of Reproductive Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Liming LuMedical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China.
Chunzhi TangMedical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China.
Jinglin LinBiomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Ting SuBiomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Meiqi ZhanBiomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Dongying WangBiomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Jue WangFaculty of Chinese Medicine, Macau University of Science and Technology, Macao, Macao SAR, China.
Xin LaiBiomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Yu LiFaculty of Chinese Medicine, Macau University of Science and Technology, Macao, Macao SAR, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study systematically assess the potential impact of various environmental pollutants as chemical, airborne, and heavy metal on ovarian function in women, focusing on ovarian reserve such as anti-Müllerian hormone (AMH) and antral follicle count (AFC) as well as hormone levels like follicle-stimulating hormone (FSH) and estradiol (E2). By reviewing epidemiological evidence, this research aims to elucidate the reproductive toxicity of these pollutants and provide scientific support for public health policy to protect reproductive health in women of childbearing age. Methods: Following the PRISMA-P guidelines, a comprehensive search was conducted in PubMed, EMBASE, Cochrane Library, and Web of Science databases to include all relevant studies up to July 30, 2024. The Newcastle-Ottawa Scale (NOS) and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach were used to assess study quality. Results: This study ultimately included 40 cohort study reports derived from 33 distinct studies that analyzed the effects of 20 pollutant types on ovarian function. Results indicate that pollutants, such as perfluoroalkyl and polyfluoroalkyl substances (PFAS), phthalates (PAEs), triclosan, Polychlorinated Biphenyls (PCBs), PM2.5, and SO Conclusion: This review underscores that specific pollutants (e.g., PCBs, PFAS, PM) pose substantial risks to reproductive health in women of childbearing age, particularly in highly polluted environments. The findings underscore the importance of regular ovarian health monitoring, especially for women at higher risk due to occupational or environmental factors. Systematic review registration: PROSPERO CRD42024567744 (accessible at https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024567744).

Indexed as

Environmental ExposureEnvironmental PollutantsOvarian DiseasesOvarian ReserveOvaryAdultFemaleHumansEnvironmental Pollutantsair pollutantsenvironmental pollutantsheavy metalovarian functionovarian reserveovarypersistent organic pollutants

Identifiers

PMID40809751
PMCPMC12343636

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.