Most biological systems depend on preservation of equilibrium. Within the male reproductive system, oxidative harmony is crucial to fertility. Reactive oxygen species (ROS) make functional contributions at appropriate concentrations, but quickly become destructive if left unchecked. It is important to understand the key oxidative players, their mechanisms and the implications in male infertility. In this review, we discuss the role of redox biology in male reproduction, consequences of oxidative stress and their involvement in pathogenesis of male infertility and assisted reproductive outcomes. 1.1 | Oxidative stress and sources of ROS Given the premise of aerobic life, reactive oxygen species play a paradoxical role, both critical for regulation of cellular function and capable of exerting significant damage on cells and molecules (Morrell, 2008). Oxidative stress is defined as an imbalance between ROS and the antioxidants attempting to keep them in check (Sies, 2015). ROS exist in both endogenous and exogenous forms. Endogenous players include superoxide (O − 2), generated via mitochondrial redox reactions, as well as hydrogen peroxide (H 2 O 2) and the hydroxyl radical (OH −). Mitochondrial dysfunction results in the excessive accumulation of these products (Hayyan, Hashim, & AlNashef, 2016). Furthermore, immune cells employ redox reactions as anti-pathogen tools, generating ROS in the process (Sies, 1993). Nitric oxide is one in a collection of reactive nitrogen species (RNS), which also include peroxynitrite, nitroxyl and nitrosyl compounds (Doshi, Khullar, Sharma, & Agarwal, 2012). The product of the reaction between nitric oxide and superoxide, peroxynitrite, exerts oxidative stress on spermatozoa via direct molecular damage and interference with key signalling pathways (Rosselli, Keller, & Dubey, 1998). In this way, ROS hold the power to instigate exponential destruction (Henkel, Samanta, & Agarwal, 2018). Exogenous sources of ROS include tobacco smoke, heavy metals and ionizing radiation (Birben, Sahiner, Sackesen, Erzurum, & Kalayci, 2012). Oxygen free radicals in cigarette tar and tobacco smoke,