Störungen der Entwicklung und Funktion des männlichen Reproduktionssystems

Various recently published studies indicate increases in disorders of development and function of the male reproductive system during the last decades. This refers to reports on a decline in sperm count and increased incidences of testicular cancer, cryptorchidism and hypospadias. While the results of studies on the increase in (geographically varying) incidences of testicular cancer are unequivocal, data on changes in rates of cryptorchidism and hypospadias are rather limited. Meanwhile, numerous retrospective studies on changes in sperm concentrations in the ejaculate of normal men have been published. However, at present it is not possible to draw generally valid conclusions since results from some countries or geographic regions indicate a significant decline while in others either no changes or even slight increases have been reported. According to the so-called “Estrogen hypothesis”, the common cause of these disorders shall be an increased prenatal exposure to estrogens. Concerning exogenous estrogens, synthetic estrogens, phyto and mycoestrogens, and chemicals with estrogenic activity could play a role. A search in the available literature has revealed that at present more than 100 chemical compounds from different classes are known to possess estrogenic activity. This, however, is not the only way in which chemicals may be endocrinically active. Ubiquitously distributed compounds from the classes of polychlorinated dibenzodioxins/furans and biphenyls exhibit an antiestrogenic potential, while chemicals like p,p′-DDE, Linuron and Vinclozolin being competitive androgen receptor antagonists may act as antiandrogens. Concerning the very limited current knowledge, the estrogen hypothesis at present only represents an interesting basis for discussion. Most questions that would have to be answered in order to accept, reject or modify tis hypothesis are either completely open or only partially understood. Thus, there is an urgent need to initiate research efforts to clarify the toxicological significance for ecosystems and humans of chemicals with endocrine activity.