Evidence library

Endocrine Disruptors and Fertility: What the Evidence Says

Endocrine disruptors are chemicals that interfere with hormones. Fertility runs on hormones, which is why this particular class of chemical keeps coming up in fertility conversations, and why so much of what gets said about it is either alarming or dismissive with very little in between.

Here is what the health authorities have actually established, and where the honest limits of that are.

What is an endocrine disruptor?

A hormone is a chemical messenger. An endocrine disruptor is a substance that imitates one, blocks one, or changes how much of one your body makes. Because the reproductive system is hormone-driven from start to finish, that interference has somewhere to land.

Certain chemicals and metals in everyday products harm the female reproductive system, and some toxins have built up in the air, water, and soil.

Multiple health authorities agree Clinical review pending

More than one independent health authority states this.

Endocrine-disrupting chemicals have been associated with reproductive developmental disorders, ovarian dysfunction, subfertility, and polycystic ovary syndrome (PCOS) in women... Endocrine-disrupting chemicals are ubiquitously found in the environment... Cadmium accumulates in the ovaries and testes, potentially impact…

Source: NIH National Library of Medicine and ASRM/ReproductiveFacts

Everyday products and chemicals (endocrine disruptors) harm fertility.

Supported by a systematic review Clinical review pending

A systematic review of the research supports this.

Growing evidence shows that endocrine disruptors chemicals (EDCs) have been considered as risk factors of infertility. Their presence in our everyday life has become ubiquitous... Exposure to these products has an impact on human reproductive health.

Source: PubMed

Where do they actually come from?

Mostly from ordinary things, which is the uncomfortable part. Not from a single dramatic exposure you could avoid, but from the accumulated background of packaging, furniture, cosmetics and food.

The good news attached to that is real: background exposure is the kind you can lower gradually, without turning your life upside down.

Endocrine-disrupting chemicals are commonly hidden in everyday consumer products and are worth removing from daily life (implying harm to fertility).

Stated in a health authority's guidance Clinical review pending

A health authority states this in its published guidance.

Endocrine disruptors are found in many everyday products, including some cosmetics, food and beverage packaging, toys, carpet, and pesticides. ... Contact with these chemicals may occur through air, diet, skin, and water. EDCs cannot be completely avoided or removed; however, you can make informed choices to reduce exp…

Source: NIH National Institute of Environmental Health Sciences

Even without fire, flame retardants expose people to endocrine disruptors associated with cancer risk and impaired neurological and reproductive development.

Stated in a health authority's guidance Clinical review pending

A health authority states this in its published guidance.

Adverse health effects may include endocrine and thyroid disruption, immunotoxicity, reproductive toxicity, cancer, and adverse effects on fetal and child development and neurobehavioral function. ... Chemicals can leach from products into the air and then attach to dust, food, and water, which can be ingested.

Source: NIH National Institute of Environmental Health Sciences

Endocrine disruptors, especially dioxins, accumulate up the food chain in animal fat, so reducing meat intake decreases exposure.

Multiple health authorities agree Clinical review pending

More than one independent health authority states this.

Because dioxins accumulate in fatty tissues, consumption of animal fats is thought to be the primary pathway for human exposure.

Source: NIH National Library of Medicine and WHO

What happens in pregnancy?

The placenta is a hormone organ as much as it is a filter, so hormone interference has a route to the pregnancy itself. This is one of the areas where the research is still developing, and the language below reflects that rather than smoothing it over.

Endocrine disruptors, by throwing off hormonal balance, impair the placenta's ability to nurture the fetus.

Supported by a systematic review Clinical review pending

A systematic review of the research supports this.

The placenta is particularly susceptible to endocrine disruption because of the large density of steroid hormone receptor expression in this organ... Due to the immature fetus' vulnerability to EDCs, preeclampsia (PE), fetal development retardation, miscarriage, and placental disruption might occur.

Source: PubMed Central

So how much does this matter next to everything else?

Less than the internet suggests, and more than nothing. What the authorities below establish is that chemical exposure belongs on the list at all, alongside age, medical conditions and the rest. How it ranks against them for any individual woman is not something we can tell you, and nobody who tells you otherwise is reading a study.

Fertility health is affected by factors beyond diet.

Multiple health authorities agree Clinical review pending

More than one independent health authority states this.

Smoking, heavy alcohol consumption (> 2 drinks per day), heavy caffeine consumption, and the use of recreational drugs such as marijuana have all been associated with reduced fertility. ... Fertility is decreased in people with female reproductive anatomy who are very thin or obese, but there is no evidence that normal…

Source: American Society for Reproductive Medicine and Cochrane