“…For example, it is well established that conditions associated with high levels of circulating glucocorticoids, as observed in stress, Cushing syndrome, and long-term therapy with synthetic glucocorticoids, disrupt male fertility (Gabrilove et al, 1974;Sapolsky, 1985;Cooke et al, 2004;Hardy et al, 2005). High plasma levels of glucocorticoids induce reproductive dysfunction by multiple mechanisms, such as suppression of testicular response to gonadotropins (Welsh et al, 1982;Sapolsky, 1985;Orr & Mann, 1992), down-regulation of genes encoding testosterone biosynthetic enzymes (Hales & Payne, 1989;Payne & Sha, 1991;Badrinarayanan et al, 2006), induction of Leydig cell and germ cell apoptosis (Yazawa et al, 2000;Gao et al, 2002Gao et al, , 2003, and induction of oxidative stress in the epididymis (Balasubramanian et al, 1987;Dhanabalan et al, 2010Dhanabalan et al, , 2011Dhanabalan et al, , 2013.…”