Diabetes is a rising global health concern and an increasingly common cause of male infertility. Although the definitive pathophysiological mechanisms underpinning the association between diabetes and infertility is unclear, there are several animal studies showing diabetes to be a detrimental factor on reproductive health through apoptosis, oxidative stress and impairment of steroidogenesis. Furthermore, as reflected in animal models, antidiabetic strategies and relevant treatments are beneficial in the management of infertile men with diabetes as the recovery of euglycemic status affects positively the spermatogenesis. However, the available data are still evolving and specific conclusion in human populations are not possible yet. In this review, we are discussing the current literature concerning the association of diabetes and male infertility, focusing on the therapeutic approach as illustrated in animals' models.
Keyphrases
- type diabetes
- cardiovascular disease
- glycemic control
- oxidative stress
- polycystic ovary syndrome
- global health
- systematic review
- endothelial cells
- public health
- squamous cell carcinoma
- cell death
- endoplasmic reticulum stress
- radiation therapy
- metabolic syndrome
- adipose tissue
- machine learning
- electronic health record
- induced apoptosis