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环境毒素及其他内分泌干扰化学物质对女性生殖健康的影响。

Environmental toxins and the impact of other endocrine disrupting chemicals in women's reproductive health.

作者信息

Piazza Mauri José, Urbanetz Almir Antônio

机构信息

Tocogynecology Department, Universidade Federal do Paraná - UFPR - Curitiba (PR), Brazil.

出版信息

JBRA Assist Reprod. 2019 Apr 30;23(2):154-164. doi: 10.5935/1518-0557.20190016.

Abstract

This review aimed to look into agents and mechanisms characterized as endocrine disrupting chemicals (EDCs). These agents are known to cause several harmful effects to the reproductive system of women and wildlife. There is a wide range of chemicals, developed for commercial use mainly in agriculture, which may cause endocrine disruption. Numerous studies show evidence of environmental contamination. However, no one is being held liable for the damages. The most important potentially harmful agents are identified and described, along with the different effects they have on the female genital area. Brazil is a large consumer of pesticides and others chemicals that may interfere with a normal women's life. We analyzed and described the mode of action and the impacts of different EDCs (bisphenols, phthalates, atrazine, polychlorinated and polybrominated biphenyls, DDT-dichlorodiphenyltrichloroethane; DDE-dichlorodiphenyldichloroethylene; DDD-dichlorodiphenyldichloroethane; and DES-diethylstilbestrol) on the genital area, ovarian steroidogenesis, polycystic ovary syndrome, endometriosis, the structure of the uterus and the vagina, and on the formation of leiomyomas.

摘要

本综述旨在研究被归类为内分泌干扰化学物质(EDCs)的物质及其作用机制。已知这些物质会对女性和野生动物的生殖系统造成多种有害影响。有大量主要用于农业商业用途的化学物质可能会导致内分泌干扰。众多研究表明存在环境污染的证据。然而,却无人对这些损害负责。文中识别并描述了最重要的潜在有害物质,以及它们对女性生殖器官区域的不同影响。巴西是农药和其他可能干扰女性正常生活的化学品的大量消费国。我们分析并描述了不同EDCs(双酚类、邻苯二甲酸盐、阿特拉津、多氯联苯和多溴联苯、滴滴涕 - 二氯二苯三氯乙烷;DDE - 二氯二苯二氯乙烯;DDD - 二氯二苯二氯乙烷;以及己烯雌酚)对生殖器官区域、卵巢类固醇生成、多囊卵巢综合征、子宫内膜异位症、子宫和阴道结构以及平滑肌瘤形成的作用方式和影响。

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