Changes in metabolism caused by diabetes directly impact on the reproductive health of men, decrease their libido, sperm production and sexual power, Mirna Echavarría Sánchez, Andrology Coordinator of the National Institute of Perinatology, warned.
He explained that men do not frequently go to the doctor, they only arrive by pain or a reproductive problem.
Upon arriving at the institute, at least 30 percent of patients detect that it is diabetic, since it is common to have a problem of overweight, obesity or alterations in glucose.
In the institute they analyze its medical history and the hereditary load, but in physical examination they detect signs that talk about metabolic problems such as acanthosis (darkening of the neck area, elbows, knuckles) which is an obvious fact of insulin resistance.
“What makes different diabetes different and had children of another who do not?Diabetes causes DNA to fragment, ”he explained.
Diabetes mellitus said, can directly or indirectly contribute to male infertility due to abnormal spermatogenesis, resulting in a decrease in sperm quality.
According to the specialist, diabetes and its impact on reproduction will be one of the issues that will address within the 31 annual meeting of the National Institute of Perinatology “Isidro Espinosa de los Reyes” (inper) that will be held from April 18 to 22.
When diabetes symptoms manifest, it is because it has been altered glucose for at least a decade.
“Diabetics reduce their sperm quality up to 30 percent.The man with diabetes is going to approach the consultation in 60 percent of the cases due to sexual dysfunction, for the decrease of libido and because the amount of semen fell and that frightens them, ”explained the specialist.
In addition to these problems, diabetics develop so -called neuropathies.The most common is that of the feet, but it is also frequent that they develop genital neuropathy;This manifests itself with alterations in the volume of the ejaculate, from decrease to disappearance and the force of the discharge is neurological, they feel that they no longer have the strength to take the semen.
"As they do not have the force of expulsion everything goes to the bladder, what we call retrograde or delayed ejaculation, it takes more than 30 minutes to ejaculate because they do not have a good connection," he explained.
Upon entering pharmacological treatment, with a diet and control, the patient begins to notice an improvement.
Another metabolic alteration that affects sexual life is dyslipidemia, which cause people to be tired and sleepy.
"Diseases spliced with overweight, cholesterol and triglycerides must be corrected and thus greatly increases their reproductive prognosis," said Echavarría Sánchez.
