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Diabetes may decrease male fertility, research indicates

14.07.2008 16:00 Health - Source: cbc.ca

Diabetic men have a higher incidence of infertility because the disease can result in sperm damage, suggests a new study.

A group of Belfast researchers studied semen samples from eight men with diabetes who were on insulin therapy, and found the semen samples were lower in volume than those of non-diabetics, and also had DNA damage.

The researchers presented their findings Wednesday at the 24th annual conference of the European Society of Human Reproduction and Embryology in Barcelona.

"Sperm RNA was significantly altered, and many of the changes we observed are in RNA transcripts involved in DNA repair," Dr. Con Mallidis of Queen's University said in a release. "Diabetics have a significant decrease in their ability to repair sperm DNA, and once this is damaged, it cannot be restored."

Poor sperm DNA results in poorer embryo quality, resulting in a lower chance of implantation, a greater chance a woman will miscarry, and possibly cancers among any children diabetic men may have, according to the report.

Diabetes is a chronic disease involving abnormalities in the body's ability to use sugar.

Excess sugar leads to the accumulation of compounds called advanced glycation end products (AGEs) in the male reproductive tract. These have been shown to play a part in damaging DNA.

The scientists believe the compounds subsequently affect diabetic men's ability to reproduce.

"We must now try to develop strategies to protect sperm, and to diminish the accumulation of AGEs," said Mallidis.

He says dietary changes and possibly the use of supplements could disrupt the formation of these compounds that impair male fertility, but that further study is needed.

In Canada, over two million people have diabetes, and that number is expected to reach three million by 2010, according to the Canadian Diabetes Association.

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