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| Mechanisms of sperm quality decline induced by psychological stress: a review |
| YANG Tianfeng1, SHEN Yunyun1, XU Fangzhong1,2
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1. Department of Psychology, Zhejiang Sci-Tech University, Hangzhou, Zhejiang 310018, China;
2. Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang 310012, China |
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Abstract Psychological stress is a significant contributing factor for the decline in male sperm quality. In terms of the psychological mechanism, the decline of sperm quality due to psychological stress is associated with increased perceived stress and different coping strategies. External sources of stress can elevate stress perception, then affect sperm quality, while coping strategies may modulate the impact of stress perception on sperm quality. In terms of the physiological mechanism, psychological stress disrupts the normal functioning of the sympathoadrenal system, hypothalamic-pituitary-adrenal axis and hypothalamic-pituitary-gonadal axis, leading to disturbances in the essential endocrine environment for sperm production. This review synthesizes the psychological and physiological mechanisms through which psychological stress influences male sperm quality, providing insights into the prevention and treatment of male infertility.
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Received: 26 February 2024
Revised: 27 June 2024
Published: 22 August 2024
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