https://www.eurekalert.org/pub_releases/2021-03/esoh-cep031521.php
News Release 16-Mar-2021
European Society of Human Reproduction and Embryology
Environmental pollution from industries such as coal mining and metal works may play a role in the increasing numbers of boys born with undescended testicles, according to a study published today (Wednesday) in Human Reproduction [1].
The researchers stress that their findings are hypothesis-generating, cannot show that these industries cause cryptorchidism and that further, targeted research is required. However, the study of nearly 90,000 boys is the first to describe at a national level a recent increase in incidence of the condition over time and to identify clusters of cases in parts of France that are former mining or metal-working areas, such as the Pas de Calais in northern France. The boys all had operations to correct undescended testicles between 2002 and 2014 when they were younger than seven years.
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Boys with untreated cryptorchidism may have fertility problems in later life and are at higher risk of testicular cancer.
Other research has shown that certain chemicals, such as phthalates and pesticides, are associated with cryptorchidism.
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Low socio-economic status is an established risk factor for cryptorchidism and several of the clusters identified in the study were in areas where economic activity was declining with the closure of industries. Other factors that are linked to a higher risk of cryptorchidism include maternal smoking and being born prematurely or small for gestational age, all of which are known to be more common in industrialised areas and in association with low socio-economic status.
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