cover of episode Dr. Shanna Swan: How to Safeguard Your Hormone Health & Fertility

Dr. Shanna Swan: How to Safeguard Your Hormone Health & Fertility

2024/11/4
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Huberman Lab

Key Insights

Why are fertility rates declining globally?

Fertility rates are declining globally due to exposure to harmful chemicals in the environment, such as phthalates and other endocrine disruptors, which adversely impact fetal development, puberty, and adult reproductive health. These chemicals are found in food, water, cosmetics, and various household and consumer products.

What are some practical strategies to minimize exposure to harmful chemicals?

Practical strategies to minimize exposure to harmful chemicals include reducing disposable plastic use, making healthier food preparation, consumption, and storage choices, and selecting personal and household products that don’t contain harmful toxins. This includes avoiding products with fragrance, using glass or metal containers instead of plastic, and choosing organic foods when possible.

How do phthalates affect male offspring development?

Phthalates, when exposed to pregnant mothers, can lead to what is known as the phthalate syndrome in male offspring. This syndrome includes changes in genital development, such as a shorter anogenital distance, smaller penis, less descent of the testes, and other internal changes. These effects are due to the anti-androgenic properties of phthalates, which disrupt the normal programming window for male development.

What is the significance of anogenital distance in male development?

Anogenital distance (AGD) is a critical measure in male development as it is sexually dimorphic, being significantly longer in males than females. AGD is sensitive to hormonal disruptions, particularly androgens, and shorter AGD in males has been linked to lower sperm counts and fertility issues. It serves as a biomarker for early-life androgen exposure and its impact on reproductive health.

How do environmental chemicals impact human fertility?

Environmental chemicals, particularly endocrine disruptors like phthalates and pesticides, can significantly impact human fertility by altering hormonal balances necessary for reproductive health. These chemicals can disrupt fetal development, leading to changes in genital morphology and, in adulthood, reduced sperm counts and fertility. Pesticides, for example, have been shown to reduce sperm motility and count in men living in agricultural areas.

What are some top sources of endocrine disruptors that individuals can control?

Top sources of endocrine disruptors that individuals can control include food and beverage packaging, personal care products with fragrance, non-stick cookware, and certain plastics. Reducing exposure by using glass or metal containers, avoiding products with synthetic fragrances, and choosing organic foods can help minimize intake of these harmful chemicals.

How do endocrine disruptors affect the brain and behavior?

Endocrine disruptors can affect the brain and behavior by altering the normal programming of neural circuits that are sensitive to hormonal influences. For instance, exposure to certain pesticides like atrazine can lead to changes in sexual behavior in amphibians, showing a preference for same-sex partners. In humans, higher phthalate exposure has been linked to less masculine play behavior in boys, indicating potential neural and behavioral impacts.

What role does obesity play in fertility issues?

Obesity can play a significant role in fertility issues by affecting hormonal balances and metabolic health. Obese individuals, both men and women, often have disrupted endocrine systems, leading to issues like polycystic ovary syndrome (PCOS) in women and reduced sperm quality in men. Additionally, obesity can complicate assisted reproductive technologies and increase the risk of complications during pregnancy.

How do European regulations on chemicals differ from those in the U.S.?

European regulations on chemicals, particularly under the REACH program, require manufacturers to demonstrate the safety of chemicals before they are put on the market. In contrast, the U.S. system allows chemicals to enter the market and only addresses safety concerns if they are identified later. This proactive approach in Europe helps in minimizing exposure to harmful chemicals more effectively than the reactive approach in the U.S.

What are the potential long-term effects of early-life exposure to endocrine disruptors?

Early-life exposure to endocrine disruptors can have long-term effects on reproductive health, including reduced fertility and changes in genital development that persist into adulthood. These effects can also be intergenerational, impacting not just the exposed individual but also their offspring and subsequent generations. The disruption of hormonal programming during critical developmental windows can lead to enduring physiological and behavioral changes.

Chapters

Dr. Swan discusses the impact of environmental chemicals on reproductive health, focusing on hormone-disrupting chemicals and their effects on fertility.
  • Hormone-disrupting chemicals can affect fertility by altering hormone levels.
  • Dr. Swan's research focuses on how these chemicals impact the developing fetus, children, and adults.

Shownotes Transcript

In this episode, my guest is Dr. Shanna Swan, Ph.D.), professor of environmental medicine and reproductive health at the Mount Sinai School of Medicine. Dr. Swan is the world’s leading expert on the harmful impact of chemicals in our food, water, cosmetics, and various household and consumer products on our hormones, and the consequences for fertility and overall reproductive health. She explains how exposure to phthalates and other endocrine disruptors adversely impacts fetal development, puberty, and the adult brain and body. We discuss the global decline in human fertility due to disruptive environmental toxins, such as pesticides, and certain foods and beverages we consume.

We discuss practical strategies to minimize exposure to harmful chemicals, such as phthalates, bisphenol A (BPA), BPS, and PFAS. This includes reducing disposable plastic use, making healthier food preparation, consumption, and storage choices, and selecting personal and household products that don’t contain harmful toxins. This episode allows you to assess your risk of exposure to endocrine disruptors accurately and empowers you to take control of your hormone health and fertility.

Access the full show notes for this episode at hubermanlab.com).

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Timestamps

00:00:00 Dr. Shanna Swan

00:02:58 Sponsors: LMNT, ROKA & BetterHelp

00:06:49 Environmental Chemicals, Fertility, Hormones, Phthalates

00:13:30 Phthalate Syndrome, Animal Data, Male Offspring

00:19:11 Phthalate Syndrome in Humans, Pregnancy & Babies

00:27:30 Hyenas; Phthalate Syndrome in Males

00:32:49 Sponsor: AG1

00:34:22 Polycystic Ovary Syndrome (PCOS), Mothers & Female Offspring

00:39:03 Anogenital Distance & Sperm Count

00:45:03 Sperm Count & Fertility

00:49:24 Sponsor: Function

00:51:11 Sperm Count Decline

00:58:19 Sperm Quality & Pesticides

01:04:12 Atrazine, Amphibians, Sexual Dimorphism, Behavior

01:09:00 Preschoolers, Phthalate Exposure, Sexually Dimorphic Behaviors

01:14:08 Tools: Lowering Exposure to Endocrine Disruptors, Fertility

01:24:52 Tools: BPA, BPS, BPF & Can Linings; Drinkware; Plastics & Microwave

01:30:07 Tools: Buying Organic; Skin Products, Fragrance; Sunscreens, Consumer Guides

01:32:58 Funding

01:34:31 Tools: Distilling Water, Shoes, Clothing, Food Sourcing; Building Materials

01:40:12 Europe vs. US Chemical Safety, REACH Program

01:46:20 Tool: Pregnancy & Fetal Health

01:49:23 Plastics & Environmental Concern; Fertility

01:55:26 Sperm Quality, Fertility, Cell Phone, Temperature

01:58:04 Other Animals & Fertility Decline, Ecosystems

02:01:58 Advancing Technologies, Fertility, Offspring & Adverse Effects

02:06:02 Tool: Consumer Guides, Personal & Household Products

02:09:39 Tool: Receipts; Thyroid System; Non-Stick Pans

02:15:18 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, Sponsors, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter

Disclaimer & Disclosures)