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Menstrual and reproductive characteristics of women whose mothers were exposed in utero to diethylstilbestrol (DES).

Menstrual and reproductive characteristics of women whose mothers were exposed in utero to diethylstilbestrol (DES). Research Abstract Details 

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  • Menstrual and reproductive characteristics of women whose mothers were exposed in utero to diethylstilbestrol (DES). Abstract Text:

    BACKGROUND: In women, prenatal exposure to diethylstilbestrol (DES) is associated with adult reproductive dysfunction. The mouse model, which replicates many DES outcomes, suggests DES causes epigenetic alterations, which are transmissable to daughters of prenatally exposed animals. We report menstrual and reproductive characteristics in a unique cohort comprising daughters of women exposed prenatally to DES. METHODS: Menstrual and reproductive outcomes and baseline characteristics were assessed by mailed questionnaire in 793 women whose mothers had documented information regarding in utero DES exposure. RESULTS: Mean age at menarche was 12.6 years in both groups, but daughters of the exposed women attained menstrual regularization later (mean age of 16.2 years vs. 15.8 years; P = 0.05), and were more likely to report irregular menstrual periods, odds ratio (OR) = 1.54 [95% confidence interval (95% CI 1.02-2.32)]. A possible association between mothers' DES exposure and daughters' infertility was compatible with chance, age, and cohort adjusted OR = 2.19 (95% CI 0.95-5.07). We found limited evidence that daughters of the exposed had more adverse reproductive outcomes, but daughters of exposed women had fewer live births (1.6) than the unexposed (1.9) (P = 0.005). CONCLUSIONS: The high risk of reproductive dysfunction seen in women exposed to DES in utero was not observed in their daughters, but most women in our cohort have not yet attempted to start their families, and further follow-up is needed to assess their reproductive health. Our findings of menstrual irregularity and possible infertility in third-generation women are preliminary but compatible with speculation regarding transgenerational transmission of DES-related epigenetic alterations in humans.

    Menstrual and reproductive characteristics of women whose mothers were exposed in utero to diethylstilbestrol (DES). Publishing Authors By Initials

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    Menstrual and reproductive characteristics of women whose mothers were exposed in utero to diethylstilbestrol (DES). Journal Published:

    PUBLICATION TYPE: Research Support, N.I.H., Extr

    Journal: International journal of epidemiology

    VOLUME: 35

    Page Numbers: 862-8

    Journal Abbreviation:

    ISSN: 0300-5771

    DAY: 24

    MONTH: 05

    YEAR: 2006

    Menstrual and reproductive characteristics of women whose mothers were exposed in utero to diethylstilbestrol (DES). Information

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    LANGUAGE: eng

    NlmUniqueID: 7802871

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    Grant and Affiliation Information for Menstrual and reproductive characteristics of women whose mothers were exposed in utero to diethylstilbestrol (DES).

    AFFILIATION: Department of Community and Family Medicine, Dartmouth Medical School, and the Norris Cotton Cancer Center, Lebanon, NH 03756, USA. Linda.Titus-Ernstoff@Dartmouth.edu

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Int J Epidemiol

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