- April 6, 2016
- Comments: 0
- Posted by: admin
About 15% of all couples experience infertility, of which 50% of the time it is due to male infertility.
The link between low testosterone hormone levels and metabolic disturbances such as type 2 diabetes,cardiovascular disease and osteoporosis is well established in older men. Most of these older men with low testosterone levels are treated with testosterone injections to reduce the risk of metabolic disorders.
Recent studies have shown that young men with low sperm count (<20million/ml) are at higher risk of diabetes mellitus in future.This study was presented at the European Association of Urology 2016 Congress in Munich,Germany and recently published in Clinical Endocrinology.To examine this issue, Johannes Bobjer, MD, of Skåne University Hospital and Lund University in Malmö, Sweden and colleagues studied 192 men aged between 18 to 50 years with a low sperm count (<20million/ml) and compared them with an age-matched control group of 199 men.
They compared sex hormone levels (testosterone) and other markers such as bone mineral density (BMD) and HbA1clevels.
Low testosterone levels were seen 10 times more common in men with infertility.It was found that 1/3rd of men with infertility and low testosterone levels had higher HbA1c levels and lower lumbar spine BMD than men with normal testosterone levels.It was also found from the study that men with infertility and low testosterone levels had with higher triglycerides and signs of insulin resistance.These findings from the study shows that infertile men with low testosterone levels are at higher risk of metabolic disorders like type 2 diabetes, osteoporosis and hypertriglyceridemia.
It was concluded that all men with fertility problems and any abnormality in semen quality should have their reproductive hormones checked at their first visit. Testosterone should be avoided as treatment for infertility, since administration of testosterone may additionally suppress sperm production.
Bariatric surgery has come as a boon for men with obesity, low testosterone levels and infertility.