Can a father's stress levels before conception impact the sex of the child?

Checked on November 26, 2025
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Executive summary

Available research shows evidence that maternal stress around conception or during pregnancy can shift the odds of having a male versus female fetus in some human studies, while a smaller set of human and animal studies suggest paternal stress before conception alters sperm and can affect offspring development but do not consistently link paternal preconception stress to changing the sex ratio at birth [1] [2] [3]. Animal experiments demonstrate biological mechanisms (sperm epigenetic changes, extracellular vesicles) by which a father's stress might influence offspring biology, but translation to human sex determination is not established in the sources provided [3] [4].

1. What the human studies say about stress and fetal sex — maternal side

Several human studies report associations between maternal stress measures and a higher probability of female births: for example, a University of Granada study found women experiencing stress before and during conception were nearly twice as likely to have a girl (news-medical summary of that work) and other teams at Columbia reported maternal stress markers during early pregnancy linked with fetal outcomes and in some reporting linked to sex differences in outcomes [1] [5] [6]. Neuroscience News summarizes the Granada team’s interpretation that activation of the maternal stress axis (cortisol) could alter sex-hormone environments at conception and thus affect the secondary sex ratio, but the mechanism remains unclear in that reporting [7].

2. What the human studies say about stress and fetal sex — paternal side

A population-based preconception cohort examined parents’ preconception stress and the secondary sex ratio and reported that men diagnosed with anxiety disorders had a higher adjusted risk of fathering a male infant (relative risk 1.76, 95% CI 1.17–2.65) in that sample, suggesting an association between paternal mental-health diagnoses and sex ratio in at least one human dataset [2]. That is one observational finding; the broader literature in the provided set does not present a consistent human consensus that paternal stress before conception alters offspring sex ratios [2].

3. Animal experiments show paternal effects on sperm and offspring biology, not a direct sex-determination proof

Multiple animal studies described in these sources show that chronic paternal stress can change sperm epigenetics or extracellular vesicles and thereby alter offspring brain development or sex-specific behaviors in mice, implying a germline route for paternal experience to influence offspring biology [3] [8] [4]. University of Maryland reporting and Medical News Today summarize a mouse model where paternal stress changed sperm and offspring brain/stress responses, but these reports do not claim a direct, reliable shift in physical sex determination in humans [3] [9].

4. Mechanisms proposed — plausible but unsettled for sex ratio effects

Explanations offered for maternal-stress effects include HPA-axis activation and cortisol altering sex-hormone milieu at conception; for paternal effects, mechanisms include extracellular vesicles and epigenetic marks on sperm that may change gene regulation in embryos [7] [3]. The sources note these mechanisms are plausible and measurable in animals and sometimes in biomarkers in humans, but they also emphasize that the precise pathways by which stress would change the sex of an offspring are not yet clear in the reporting [3] [7].

5. Limitations and alternative interpretations worth noting

Observational human studies can show association but not prove causation — confounding factors, sample size, differing stress measures, diagnostic definitions, and chance can explain findings like the paternal-anxiety association reported [2]. Animal results demonstrate biological plausibility but do not automatically generalize to human sex ratios; the University of Maryland and Mouse studies carefully frame their findings as changes to offspring development rather than definitive evidence that fathers can control offspring sex [3] [8]. ScienceDaily/Columbia framing about maternal stress affecting a baby’s sex links to specific cohorts and requires replication [5].

6. Bottom line for someone asking “Can a father’s preconception stress change the child’s sex?”

Available sources do not show a clear, replicated human causal link that a father’s stress before conception reliably changes the sex of the child; one human cohort found an association between diagnosed paternal anxiety and higher chance of male offspring, but most of the evidence for paternal effects in these sources concerns changes to sperm and offspring development in animal models rather than documented shifts in human sex ratios [2] [3] [4]. The maternal-stress literature contains stronger and more consistent human signals about shifts toward female births in some studies, but mechanisms remain debated and replication is needed [1] [7].

If you want, I can: (a) summarize the key papers (authors, sample sizes, main effect sizes) from the human studies cited here, or (b) lay out what kind of new human study would be needed to test paternal-stress effects on sex ratios robustly.

Want to dive deeper?
What evidence links paternal stress before conception to changes in sperm DNA or epigenetics?
Have human studies shown associations between preconception paternal stress and offspring sex ratios?
What biological mechanisms could allow paternal stress to influence the likelihood of conceiving a boy or girl?
How do animal model findings about paternal stress and offspring sex translate to humans?
Can lifestyle interventions before conception mitigate any paternal-stress effects on sex ratio or offspring health?