Wildlife studies suggest that consumption of contaminated fish from the Gre
at Lakes may expose humans to polychlorinated biphenyls and persistent chlo
rinated pesticides. To assess whether, time to pregnancy or fecundability i
s affected, we conducted a telephone survey in 1993 with female members of
the New York State Angler Cohort Study who were considering pregnancy betwe
en 1991 and 1994 (N = 2,445). Among the 1,234 (50%) women who became pregna
nt, 895 (73%) had a known time to pregnancy. Upon enrollment into the cohor
t in 1991, both partners reported duration and frequency of Lake Ontario sp
ore fish consumption. We estimated lifetime exposure to polychlorinated bip
henyls from recent consumption and used a discrete time analog of Cox propo
rtional hazards analysis to estimate conditional fecundability ratios and 9
5% confidence intervals (CIs) for fish consumption among couples with compl
ete exposure data who discontinued birth control to become pregnant (N = 57
5). Maternal consumption of fish for 3-6 years was associated with reduced
fecundability (fecundability ratio = 0.75; 95% CI = 0.59-0.91), as was more
than a monthly fish meal in 1991 (fecundability ratio = 0.73; 95% CI = 0.5
4-0.98). Our findings suggest that maternal but not paternal consumption of
contaminated fish may reduce fecundability among couples attempting pregna
ncy.