Numerous medical studies have recently focused on the adverse trends in human male reproductive health including possible decline in semen quality and increasing incidences of reproductive anomalies such as testicular cancer, cryptorchidism and hypospadias, which have been reported from many counties during past decades. We have no sufficient evidence on the basis of which we could determine whether human male reproductive health is really declining and whether endocrine disrupting chemicals are responsible for this observed decline. However, Skakkebaek's group has currently proposed a hypothesis that the male reproductive problems are symptoms of one underlying entity, the testicular dysgenesis syndrome (TDS), which may be increasingly common due to adverse environmental influences. According to this hypothesis, TDS is a result of the disruption of embryonal programming and gonadal development during the fetal stage and the recent rise in the prevalence of TDS may be causally linked to endocrine disrupting chemicals affecting genetically susceptible individuals. This review aims to give a brief overview of the suspected adverse trend in human male reproductive health and current data associated with TDS.
