Objectives. A case–control study was conducted to investigate the exposure levels to some specific chemicals, in women with infertility issues, compared with fertile women. Methods. A total of 186 cases and 196 controls were recruited. Each participant provided a urine sample for the determination of six phthalate metabolites (mono-ethyl phthalate, MEP; mono-n-butyl phthalate, MnBP; mono-n-ottyl phthalate, MnOP; monobenzyl phthalate, MBzP; and two metabolites of the diethyl-hexyl phthalate (DEHP): mono(2-ethyl-5-hydroxyhexyl) phthalate, MEHHP and mono(2-ethylhexyl) phthalate, MEHP) in addition to bisphenol A, BPA. Each woman also completed a questionnaire. The urine samples were analyzed using HPLC/MS/MS methods. Results. The analysis revealed significantly higher metabolite concentrations in cases than in controls for all metabolites, except MnOP. Stratification based on infertility factors, showed a significant association of MnBP, MBzP, BPA and DEHP with ovulatory and endocrine dysfunctions. Furthermore, higher mean concentrations of MEP and DEHP were observed in women with recurrent pregnancy loss (RPL) and idiopathic infertility, respectively. Conclusion. These findings suggest that some of the analyzed chemicals may play a role in female infertility. Exposure to DEP (diethyl phthalate) and DEHP appears to be associated with RPL and idiopathic infertility. Further investigation is required to explore potential sources of these risks.
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