“…According to Rhind et al [24], it is clear that environmental factors can greatly alter the development of the fetal hypothalamic-pituitary axis and gonadal structure and physiology, including number of cells, enzyme systems and hormonal output, which is particularly marked during the period of rapid gonadal development and differentiation as demonstrated by Bielli et al [1] in reduced numbers of Sertoli cells in the newborn lamb due to low maternal nutrition. Therefore, in addition to possible genetic factors which are thought to be involved in gonadal growth and differentiation [2,3,11,16,18,25], the environmental and predominantly nutritional factors should be also considered as a cause of MPH.…”