Table 2. Association between stress categories and impaired semen quality parameters
Stress category Total number of studies Impaired semen quality parameters number of studies (%) No associationnumber of studies (%)
Volume Total sperm count Sperm concentration Sperm progressive motility Sperm abnormal morphology
Infertility-related stress 17 1 (5.9%) 3 (17.7%) 8 (47.1%) 10 (58.8%) 2 (11.8%) 6 (42.9%)
Academic stress 4 - - 4 (100%) 4 (100%) 2 (50.0%) -
Work-related stress 7 1 (14.3%) 2 (28.6%) 2 (28.6%) 3 (42.9%) - 3 (42.9%)
Life events stress 5 1 (20.0%) 3 (60.0%) 3 (60.0%) 3 (60.0%) 1 (20.0%) 1 (20.0%)
Daily life stress 7 2 (28.6%) 4 (57.1%) 4 (57.1%) 2 (28.6%) 2 (28.6%) 3 (42.9%)