“…While some of these studies found that ART is associated with abnormal DNA methylation in human gametes, embryos, [12][13][14] placentas, 15 and umbilical cord samples, 16 other studies concluded that this association is not significant. [17][18][19] These apparently conflicting data may be attributed, at least in part, to methodological limitations of some of these studies, such as the inclusion of mixed populations in the study group (e.g., ovulation induction, IVF, and ICSI) and lack of information regarding potential confounders (e.g., indication for ART, treatment protocol, use of cleavage stage embryos vs. blastocysts, and use of frozen vs. fresh embryos). In addition, in almost all of these studies, the analysis was limited to only a small number of methylation sites.…”