ISEE-0822 Background and Objectives: Associations between air pollution levels and semen characteristics have been reported. However, very few studies directly documented the possible effects of atmospheric pollutants on the couples’ fecundity. Our aim was to characterize the short term effects of atmospheric pollutants on fecundability, the month-specific probability of pregnancy among non-contracepting couples. Methods: Within a cohort of births that occurred between 01/1994 and 03/1999 in the Teplice area (Czech Republic), we focused on couples who had planned their pregnancy. We restricted the study period to pregnancy attempts started from August 1993 to August 1996 to limit bias due to truncation effects. PM2.5 levels were estimated from a central measurement site and averaged over 1-month and 3-month periods before the start of the pregnancy attempt. The occurrence of a pregnancy during the first month of the pregnancy attempt was analyzed by logistic regression, which allowed estimating fecundability odds-ratio (FOR). Results: Among the 2267 recruited couples, 567 (25%) conceived during the first month of the pregnancy attempt. Compared to pregnancy attempts started after a month with a PM2.5 level below 25 μg/m3, a PM2.5 level above 45 μg/m3 during the month before the start of the pregnancy attempt was associated with an adjusted FOR of 0.69 (95% confidence interval, 0.51–0.94). When PM2.5 levels were averaged over a 3-month period, levels above 45 μg/m3 were associated with an FOR of 0.74 (95% confidence interval, 0.53–1.04). Point estimates changed little after further adjustment for season and year of the pregnancy attempt, although confidence intervals widened. Conclusion: In this polluted area, short term temporal variations in PM2.5 levels tended to be associated with a decreased fecundability. Since important economic and social changes occurred in the area during the study period, simulations are necessary to determine if these changes could explain the observed associations.
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