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Stress affects us all. Stress not only cause a cascade of physiological changes which can negatively affect your fertility. When stress increases, cortisol produced by the adrenal glands increases, which increases our heart rate and blood pressure and inhibits the action of insulin causing insulin resistance. Insulin resistance is also associated with PCOS. A dysregulation of adrenal function could be a key factor in not conceiving and can worsen insulin resistance in those women with PCOS. Lowering stress is essential for natural conception as well as positive outcomes with IVF. So incorporate stress management strategies in your daily routine to counteract against the stress in your life.