“…Multiple studies have demonstrated an association between environmental factors and increased sperm aneuploidy frequencies. Associations that have been reported include smoking, air pollution, benzene, chemotherapy, parabens, polychlorinated biphenyl and scrotal heating, amongst others (Robbins et al 2005, Tempest et al 2005, Perry 2008, Xing et al 2010, Ji et al 2012, Mcauliffe et al 2012, Figueroa et al 2015, Governini et al 2015, Radwan et al 2016, Perry et al 2016, Beal et al 2017, Jurewicz et al 2017, Rives et al 2017. It is important to note that such studies in humans are notoriously difficult to design, compare and reproduce, and it is extremely difficult to prove causation given the multitude of confounding factors that exist in such studies.…”