U-merge Ltd. (Urology for emerging countries), London, UK.
Department of Urology, Great Western Hospital NHS Trust, Swindon, UK.
Andrologia. 2022 Oct;54(9):e14521. doi: 10.1111/and.14521. Epub 2022 Aug 8.
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.
糖尿病是一个日益严重的全球健康问题,也是男性不育越来越常见的原因。虽然糖尿病与不育之间的明确病理生理学机制尚不清楚,但有几项动物研究表明,糖尿病通过细胞凋亡、氧化应激和类固醇生成受损对生殖健康造成损害。此外,正如动物模型所反映的那样,糖尿病男性的抗糖尿病策略和相关治疗方法对不育症的管理是有益的,因为恢复正常血糖状态对精子发生有积极影响。然而,现有数据仍在不断发展,目前还不可能得出人类群体的具体结论。在这篇综述中,我们讨论了目前关于糖尿病与男性不育之间关联的文献,重点讨论了动物模型中所示的治疗方法。