“…Agingassociated subfertility is linked to increased time to pregnancy and higher miscarriage rates (du Fossé et al, 2020;Hassan and Killick, 2003). Aging adversely affects sperm genome integrity (DNA fragmentation, telomere length, chromosomal aneuploidy), genome fidelity (DNA mutations), epigenetic status (e.g., DNA methylation), and sperm parameters (e.g., sperm motility, semen volume) (Broer et al, 2013;Cao et al, 2020;Griffin et al, 1996;Kong et al, 2012;Nguyen-Powanda and Robaire, 2020;Pohl et al, 2021;Sharma et al, 2015;Singh et al, 2003). Aging also impacts the entire endocrine system, including the hypothalamic-pituitary-gonadal (HPG) axis which is critical for the production of hormones such as testosterone (T) and leads to changes in testis physiology as well as fertility status (Decaroli and Rochira, 2016;Pincus et al, 1996;Sampson et al, 2007;Wu et al, 2008).…”