“…Advanced paternal age has been associated with a higher risk of spontaneous abortions [9,15,24], stillbirth [1,19], preterm birth [2,30], congenital malformations [25,28,31], childhood cancer [10,29], epilepsy [26], autism [17,21], and schizophrenia [18,23] in the offspring. The biological mechanisms behind these associations are unknown but may be related to de novo mutations and epigenetic changes in male germ cells with short and long term health consequences for the offspring.…”