Women who take ibuprofen in the first six months of pregnancy may harm their daughters’ future fertility, a study suggests.
Scientists found the common painkiller can halve the number of egg cells in girls’ ovaries.
This suggests girls exposed to ibuprofen in the womb may struggle to have a family, as their body makes fewer eggs.
Women who take ibuprofen in the first six months of pregnancy may harm their daughters’ future fertility, a study suggests. Scientists found the common painkiller can halve the number of egg cells in girls’ ovaries
Women are born with all the eggs they will ever have, unlike men who increasingly produce sperm. It means females could go through menopause earlier, running out of time to have a child, or struggle with infertility in later life.
A study led by the French National Institute of Health and Medical Research exposed tissue from human ovaries to ibuprofen. The amount was the same as two to seven days of a woman taking the drug in pregnancy.
They found egg cells either died or failed to grow and multiply at the normal rate. Study co-author Dr Severine Mazaud-Guittot said: ‘The development of the follicles in the foetus has not been completed by the end of the first trimester, so if the ibuprofen treatment is short then we can expect the ovarian reserve to recover to some extent.
‘However, we found that two to seven days of exposure to ibuprofen dramatically reduced the germ cell stockpile in human foetal ovaries during the first trimester of pregnancy and the ovaries did not recover fully from this damage.
This suggests girls exposed to ibuprofen in the womb may struggle to have a family, as their body makes fewer eggs. Women are born with all the eggs they will ever have, unlike men who increasingly produce sperm
NHS should offer three cycles of IVF
The NHS should offer women three courses of single embryo IVF to reduce the rate of risky pregnancies with twins and triplets, experts have said.
Three in five NHS trusts offer only one course, leading many couples to seek treatment at private clinics or abroad.
But these clinics, unlike the NHS, usually implant two or more embryos into the womb to boost chances of pregnancy.
This practice greatly increases the chance of twins or triplets, leading to a higher risk of miscarriage, premature birth and a fatal condition for the mother. The NHS usually recommends single embryo transfers.
Multiple pregnancies put extra strain on maternity units and cost the NHS thousands of pounds more.
The Royal College of Obstetricians and Gynaecologists has now published a report urging the NHS to offer three IVF cycles.
Lead author Tarek El-Toukhy said: ‘Multiple pregnancy is the greatest avoidable risk of IVF.’ He added: ‘The health and financial burden it places on women, families and the NHS cannot be overstated.’
‘This suggests that prolonged exposure to ibuprofen during foetal life may lead to long-term effects on women’s fertility and raises concern about ibuprofen consumption by women during the first 24 weeks of pregnancy. These findings deserve to be considered in light of the present recommendations about ibuprofen consumption during pregnancy.’
The NHS recommends that women avoid taking ibuprofen in the first 30 weeks of pregnancy, ‘unless the benefits outweigh the potential risk of your unborn baby’. It is estimated around three in ten pregnant women take the painkiller in the first three months. The study involved researchers from the universities of Edinburgh and Copenhagen.
Professor Hans Evers, editor of the journal Human Reproduction, said: ‘These are important findings that require further investigation. However, at this stage it is not possible to say whether the reduced numbers of follicles in tissue samples from baby girls might translate into reduced fertility 30 years later. At present this is speculation and requires long-term follow-up studies of daughters of women who took ibuprofen while in their first three months of pregnancy.’
Last month scientists from the University of Edinburgh carried out similar tests on paracetamol and found that mothers taking the drug during pregnancy could wipe out 40 per cent of their unborn daughters’ egg cells.
John Smith, chief executive of the Proprietary Association of Great Britain, the trade association which represents manufacturers of over-the-counter medicines, said: ‘This study looks at the use of ibuprofen in pregnancy, however pregnant women are advised to avoid taking ibuprofen during pregnancy, unless it is on the advice of a doctor.
‘The researchers themselves acknowledge this.’