Semen analyses in adolescent diabetic patients
Acta diabetologica latina(1984)
摘要
Summary We studied the semen quality and plasma testosterone levels (T) in 32 adolescent patients with insulin-dependent diabetes
mellitus and in an aged-matched control group. Semen volume, motility and morphology were significantly lower in diabetics
whereas seminal fructose and glucose were significantly higher. Even though the sperm count was lower in these adolescent
diabetics, the difference was not significant when compared to the control group. No difference was observed in plasma testosterone
levels. Patients were divided into two groups according to the presence of retinopathy and neuropathy, and degree of metabolic
control. Spermiogram parameters, seminal fructose and glucose were lower in diabetics with neuropathy. No difference was observed
in spermiogram parameters between diabetic patients with or without retinopathy, but seminal fructose, and glucose were lower
in the former. All spermiogram parameters, as well as seminal fructose were lower in diabetics with poor metabolic control
but seminal glucose was higher. No correlation was detected between clinical parameters (age at onset and duration of diabetes
mellitus and time since first ejaculation), semen parameters, plasma T, glycemia and glycosuria. In conclusion, a deterioration
of the quality of human semen occurs in adolescent diabetic patients. Neuropathy and poor metabolic control seem to be important
factors of this deterioration. The presence of retinopathy does not correlate with T and semen quality.
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关键词
diabetes mellitus,control group,metabolic control
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