* Increased obesity.
* Changes in diet, to have more fats.
* More people with chronic diseases like diabetes and hypertension.
* Environmental toxins including bisphenol A (BPA), phthalates, triclosan, and air pollutants.
* Tobacco, including "parental tobacco exposure in utero has been reported to affect male fertility in the offspring."
* Increased marijuana use ("though the field is under-researched")
* "Sedentary lifestyle, stress, and lack of sleep"