
Diabetic patients
Diabetes can affect both men and women's fertility directly and indirectly, which can lead to the person having reproductive problems.
In men, some patients suffer from erectile dysfunction. Ejaculation disorders such as retrograde ejaculation and anejaculation may also occur. The quality of sperm is also affected as there is a decrease in their concentration and mobility, with greater alterations in their shape and greater damage to their DNA.
In women it also causes disorders on fertility since insulin has effects on the secretion of gonadotropins and folliculogenesis, leading to a shorter reproductive period, with a late menarche and menopause at earlier ages.
Considering that in diabetic patients the period of fertility with the best quality of eggs and sperm would be limited, the preservation of their fertility is recommended. This would allow a pre-conceptional control so that the pregnancy occurs at the most appropriate time with favorable results.