TY - JOUR
T1 - Association of prenatal phenobarbital and phenytoin exposure with genital anomalies and menstrual disorders
AU - Dessens, Arianne B.
AU - Cohen-Kettenis, Peggy T.
AU - Mellenbergh, Gideon J.
AU - Koppe, Janna G.
AU - Poll, Nanne E.V.D.
AU - Boer, Kees
PY - 2001/10/9
Y1 - 2001/10/9
N2 - Background: Animal studies demonstrated that early exposure to phenobarbital decreases reproductive function. This study investigates whether prenatal exposure to these anticonvulsants affects human genital tract development. Methods: Genital anomalies at birth were studied retrospectively in 90 phenobarbital-exposed, 108 phenobarbital plus phenytoin-exposed, and 198 matched control infants. Of this group, 72 drug-exposed males, 75 drug-exposed females, and 147 matched control subjects participated in a follow-up and were interviewed at age 19-35. Differences between groups were tested by chi-square and t-tests. Results: A total of 15% of the phenobarbital-exposed boys versus 2.8% control boys had undescended testes at birth. More anticonvulsant-exposed (24%) than control males (11%) had received medical treatment for genital anomalies. Anticonvulsant-exposed females more often had irregularities in menstrual cycles (31% vs 17%) and bleeding (15% vs 3%) and reported more problems during pregnancy. Conclusions: Prenatal exposure to anticonvulsants seems to induce minor genital anomalies and may affect reproductive function.
AB - Background: Animal studies demonstrated that early exposure to phenobarbital decreases reproductive function. This study investigates whether prenatal exposure to these anticonvulsants affects human genital tract development. Methods: Genital anomalies at birth were studied retrospectively in 90 phenobarbital-exposed, 108 phenobarbital plus phenytoin-exposed, and 198 matched control infants. Of this group, 72 drug-exposed males, 75 drug-exposed females, and 147 matched control subjects participated in a follow-up and were interviewed at age 19-35. Differences between groups were tested by chi-square and t-tests. Results: A total of 15% of the phenobarbital-exposed boys versus 2.8% control boys had undescended testes at birth. More anticonvulsant-exposed (24%) than control males (11%) had received medical treatment for genital anomalies. Anticonvulsant-exposed females more often had irregularities in menstrual cycles (31% vs 17%) and bleeding (15% vs 3%) and reported more problems during pregnancy. Conclusions: Prenatal exposure to anticonvulsants seems to induce minor genital anomalies and may affect reproductive function.
UR - http://www.scopus.com/inward/record.url?scp=0034807377&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/tera.1063
DO - https://doi.org/10.1002/tera.1063
M3 - Article
C2 - 11598924
SN - 0040-3709
VL - 64
SP - 181
EP - 188
JO - Teratology
JF - Teratology
IS - 4
ER -