Unexplained Repeated Pregnancy Loss is Associated with Altered Perceptual and Brain Responses to Men’s Body-Odor

ABSTRACT In the Bruce effect , pregnant mice remember the odor of the fathering male, and miscarry in response to the odor of a male stranger. Humans experience a high rate of unexplained spontaneous miscarriage. Could it be that a portion of these miscarriages reflect a Bruce-like effect? Given ethical constraints on a direct test, we instead probed for circumstantial evidence in women with repeated pregnancy loss (RPL). Consistent with a Bruce-like effect, women with RPL remembered the body-odor of their spouse, but controls could not. Also consistent with a Bruce-like effect, body-odor from a stranger man caused increased activity in the hypothalamus of women experiencing RPL, yet decreased activity in the hypothalamus of women controls. Finally, RPL was associated with reduced olfactory-bulb volume. Although not causal, these observations link RPL with an altered behavioral and brain response to men’s body-odor, implicating the olfactory system in this poorly understood or managed condition.