Endocrine Disruptors; Are Gynecologists Aware of it?

Abstract

Objective: To assess the level of knowledge among gynecologists as regards to EDCs.

Methodology: A cross sectional survey was designed to explore the knowledge of doctors practicing obstetrics and gynecology in different public hospitals of Lahore. A detailed proforma was designed about different types of EDCs and their effects on females. This was a unique study, as this aspect of preventive medicine has not been evaluated before. Results were then compiled and tabulated.

Results: A total of 140 doctors (OBGY) participated in this survey. When asked about their awareness regarding EDCs, almost 42% did not have any idea however interestingly up to 96% knew that use of plastic is bad for human health. Information about other EDCs was mixed, blaming pesticides, heavy metals, phytoestrogens, and cane food. Almost 96% knew that microwave heating could enhance the leaking of chemicals from plastics. However, 60% of participants linked gynecological and breast cancer with EDCs exposure and, to a lesser extent, birth defects and immunological and cognitive disorders. Most participants denied their routine practice of educating the patients about EDC exposure and how to prevent it.

Conclusion: Health care professionals themselves are not aware of it so the problem remains unrealized. Moreover, there is neither an effective effort to resolve this threat nor an attempt to educate the public by doctors who are only partly aware of the issue.  So this trend needs to be changed on a revolutionary basis.