Diabetes affects nearly 10% of the world’s population. It is a serious metabolic disorder, which affects fertility in both women and men.
The most common forms of diabetes are type 1 and type 2. Type 1 diabetes is an autoimmune condition. It attacks the pancreatic beta cells responsible for the production of insulin. This form of the disease occurs mostly at young age.
In type 2 diabetes, the pancreas does not produce enough insulin and the body’s cells have a reduced sensitivity to it. The latter is better known as “insulin resistance”.
HOW DIABETES IMPAIRS FERTILITY IN MEN?
If not treated, diabetes can lead to a number of complications. They affect all organs and systems of the body as well as fertility.
One of the most serious complications of diabetes is damage to the blood vessels and nerves, which often leads to erectile dysfunction (inability to maintain an erection). Smoking, high cholesterol and hypertension can further exacerbate the condition.
Diabetic neuropathy (nerve damage) is also a cause of ejaculation problems. Decrease in penile sensitivity can lead to delayed ejaculation. It can also be caused by psychological stress and some medications, so differential diagnosis is important.
Retrograde ejaculation may occur in untreated diabetes again due to impairment of the nerves. In this case instead of moving outside of the body, semen enters the bladder. Retrograde ejaculation is not a health risk but it prevents natural conception. Fortunately, assisted reproductive technologies offer a number of solutions to this issue.
Some men with type 2 diabetes have decreased testosterone. In such cases libido and sperm count are reduced and may be accompanied by erectile dysfunction. However, testosterone levels can be corrected with proper medication.
All this sounds terrible but in reality it is completely preventable with early diagnosis and adequate treatment of diabetes type 1 and prevention of type 2. Type 2 is more prevalent among overweight people who are less physically active. Optimizing your weight and limiting harmful habits reduces your risk of developing Type 2 diabetes tremendously.