“…Among MIH aetiological hypotheses, some are contemporary; for example, environmental pollutants (such as dioxin derivatives, bisphenols, or certain drugs such as antibiotics or anti-asthmatics (Garot et al, 2022;Serna et al, 2016)). Non-contemporary or non-period-dependent aetiologies are also discussed, such as early childhood illnesses, with or without fever episodes (Silva et al, 2016), premature birth (Arrow, 2009), hypoxia occurring at birth (Garot et al, 2016), genetic predisposition or the influence of epigenetic factors (Elzein et al, 2022;Hočevar et al, 2020;Jeremias et al, 2021Jeremias et al, , 2013Kühnisch et al, 2014;Vieira and Kup, 2016). Most studies are retrospective in nature, and there is currently insufficient evidence to establish factors responsible for the anomaly (Lygidakis et al, 2022).…”