Associations between 1976 (A) and 1996 (B) serum 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) concentrations and 1996 serum total thyroxine (T4) concentrations by menarcheal status at the time of the explosion (n = 251), Seveso Women's Health Study, Italy, 1976–2009. Results were based on multiple linear regression models including exposure at both time points. Coefficients represent the mean change in total T4 concentration for each 10-fold increase in TCDD. Models adjusted for age at thyroid hormone measurement and age at thyroid hormone measurement squared.