Chlordecone Exposure and Female Fertility

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-39
SponsorCentre Hospitalier Universitaire de la Guadeloupe

About this trial

Chlordecone is an organochlorine pesticide used in the French West Indies (FWI) from 1972 to 1993 to control the banana root borer. Due to its very long persistence the population continues to be exposed to this chemical through their food consumptions. Although, chlordecone have been associated in animal study impairment of ovarian reserve, to date, no study has been published concerning the link between chlordecone exposure and female fertility. The main objective of this project is to study the association between chlordecone exposure and anti-mullerian hormone (AMH) in women consulting for couple infertility in Guadeloupe.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Women aged from 18 to 39 years

Consulting for couple infertility at the Centre Caribéen de Médecine de la Reproduction (CCMR, Caribbean Center for Reproductive Medicine) of the University Hospital of Guadeloupe

Free, informed and written consent

Disqualifiers

Women aged from 18 to 39 years

Consulting for couple infertility at the Centre Caribéen de Médecine de la Reproduction (CCMR, Caribbean Center for Reproductive Medicine) of the University Hospital of Guadeloupe

Free, informed and written consent

Trial population

Women consulting for couple infertility in Guadeloupe.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Levels of AMH according to terciles of chlordecone levels.

The purpose is to study the association between chlordecone exposure and AMH levels in women consulting for couple infertility in Guadeloupe.

Time frame
AMH levels will be measured during the assessment conducted for assisted reproductive technology (ART) and will date from less than one year before inclusion

Secondary outcomes

1

Number of antral follicles according to terciles of chlordecone levels.

Transvaginal ultrasound for antral follicle count will be performed between days 2 and 4 of the spontaneous menstrual cycle, the number of antral follicles corresponds to the total number of antral follicles in both ovaries, with a diameter between 2 and 10 mm.

Time frame
between days 2 and 4 of the spontaneous menstrual cycle
2

AMH levels and antral follicle count according to the levels of other POPs

AMH levels and antral follicle count

Time frame
baseline
3

relationship between exposure to chlordecone and other POPs and the risk of the main causes of female infertility

main causes of female infertility : Endometriosis ; Polycystic ovary syndrome (PCOS) ; Decreased ovarian reserve

Time frame
baseline
4

Chlordecone levels according to the outcomes of IVF/ICSI management:

relationship between occupational exposure to solvents and others factors described : * Endometrial thickness, * Peak estraiol, * Number of oocytes collected, * Number of mature oocytes collected, * Number of zygotes, * Embryo quality, * Blastocyst number, * Number of frozen embryos, * Biological pregnancy, * Clinical pregnancy, * Live birth.

Time frame
changes from baseline to 2 years after

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Centre Hospitalier Universitaire de la Guadeloupe

Lead sponsor

Institut Pasteur de Guadeloupe

Collaborator

Rennes University Hospital

Collaborator