“…The studies on the association between an aberrant stress response and poor fertility outcomes are mixed, with studies supporting an association (1,6,8,11,12,15,17,22,(24)(25)(26), studies refuting an association (13,18,(27)(28)(29), and even a study suggesting a positive impact of stress on reproduction (14). In addition, there are studies demonstrating a negative impact of stress on male reproduction (19,30,31).…”