“…For decades, the clinical implications of shiftwork on reproductive dysfunction have been examined. Most of this work has focused on the female reproductive system, although some reports also show an impact on male reproductive status [ 2 , 3 ]; however, this literature is less explored. While several studies have provided strong correlational relationships between female shift workers and reproductive deficits throughout the reproductive cycle, including menstrual/ovulatory cycling [ 4 , 5 , 6 , 7 , 8 , 9 ], fertility and pregnancy [ 10 , 11 , 12 , 13 ], as well as labor and birth [ 14 , 15 , 16 , 17 , 18 ], there are still significant gaps in our knowledge of the mechanisms by which shiftwork may cause reduced reproductive function.…”