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Published on: January 19, 2024
Diabetes mellitus and abnormalities in semen analysis
Sudhindra Mohan Bhattacharya1, Mainak Ghosh, Nupur Nandi
1S.C.Das Memorial Medical and Research Center, Jodhpur Park, Kolkata, India; Department of Obstetrics and Gynecology, KPC Medical College, Jadavpur, Kolkata, India.
Diabetes mellitus significantly impairs male fertility by negatively affecting sperm parameters such as motility, morphology, and DNA integrity. This study highlights diabetes as a key factor in male-factor infertility.
Area of Science:
- Reproductive Medicine
- Endocrinology
- Andrology
Background:
- Male infertility is a significant concern in reproductive medicine.
- Diabetes mellitus is a systemic disease with potential widespread effects on male reproductive health.
Purpose of the Study:
- To compare semen parameters between diabetic and non-diabetic men.
- To investigate the impact of diabetes mellitus on sperm quality and DNA integrity.
Main Methods:
- A case-control study comparing 52 diabetic men with 66 non-diabetic men.
- Semen analysis included WHO criteria, hypo-osmotic swelling test, and Acridine Orange test for DNA integrity.
- Body mass index and glycosylated hemoglobin levels were also assessed.
Main Results:
- Diabetic men showed significantly reduced ejaculate volume, total sperm count, and motility (P < 0.001).
- Sperm morphology, hypo-osmotic swelling test results, and DNA integrity were also significantly lower in the diabetic group (P < 0.05).
- No significant differences in age or BMI were observed between groups.
Conclusions:
- Diabetes mellitus adversely affects spermatogenesis at multiple levels.
- These impairments in sperm parameters contribute to male-factor infertility in diabetic individuals.
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