Diabetes will affect either directly or indirectly on various activities of the reproductive system. It can damage blood vessels and nerves and it can increase the risk of infection.

Diabetes associated with a range of sexual problems that include erectile dysfunction decreased sex drive and ejaculation problems. The men with diabetes had lower semen volume but the sperm count, shape and motion are similar to men without diabetes.

Diabetes affect on male infertility

Conditions and Treatments:

Issues that cause infertility in men are as follows:-

  • Erectile Dysfunction
  • Delayed Ejaculation (Retarded Ejaculation)
  • Reduced Sperm Quality
  • Hypogonadism (Low Testosterone levels)
  • Retrograde Ejaculation

Erectile Dysfunction

Erectile Dysfunction is a common problem related to diabetes that causes risk in maintaining an erection. It is caused by reduced blood circulation, high blood glucose levels, cholesterol, and blood pressure are associated with the risk of erectile difficulties. It also affects the health of small blood vessels.

Treatment: Control blood pressure, Quitting smoking, Lowering blood sugar levels, Cholesterol in diet, Reduce alcohol consumption and stopping tobacco products.

Delayed Ejaculation (Retarded Ejaculation)

Delayed or Retarded ejaculation is caused by nerve damage in the penis. It can also be caused by Psychological problems, age, and certain medications. Treatment is there if it is caused by Psychological problems through counseling or Psychosexual therapy. Lack of nerve sensitivity is one of the reasons which can affect ejaculation.

Treatment: IVF Treatment can help with treating infertility if conception via intercourse is impossible.

Reduced Sperm Quality

From the research, Diabetes leads to reduced sperm quality but it does not affect the ability of the sperm to move towards the egg. Obesity is an important risk factor for diabetes. It decreases the rate of pregnancy because it is associated with reduced sperm.

Treatment:Through diet and exercise or using medications including oral medication, insulin and other injectable medications for diabetes. Hard physical work, high blood pressure and taking multiple medications are the factors that may lower sperm quality.

Hypogonadism (Low Testosterone levels)

Hypogonadism also called Low Testosterone levels leads to problems that can reduce fertility such as low sperm count, decreased sex drive and erectile dysfunction. It affects the sexual performance of men.

Treatment: Testosterone replacement therapy such as injection, capsules, and implants.

Retrograde Ejaculation

Retrograde ejaculation is caused by neuropathy. This occurs if nerves are unable to control the muscles of the bladder. It does not cause any health problems but can impair conception.

Treatment: To treat Retrograde Ejaculation, Medications may be given to tightening muscles around the bladder that helps to propel semen in appropriate direction.


Medications that leads to infertility are

  • Chemotherapy for cancer treatment can reduce sperm production
  • Sulfasalazine for rheumatoid for arthritis treatment leads to reduce sperm count.
  • Blood pressure medication that is calcium channel blockers has been directly linked with decreased fertility

Natural ways to increase your sperm count

  • Nutrition
  • Avoid stress
  • Weight control
  • Medical treatments
  • Natural body products
  • Herbs


Fertility is increased when men with diabetes are successful at an activity and weight loss program.

Exercise can help in building sperm count and it lowers depression and anxiety which increases sexual drive.

Eat healthy diet food like whole grain products and limit carbohydrates and fats is important for fertility. Men who want to increase sperm count should drink plenty of water daily and avoid Smoking, Drinking and chemical contact with pesticides, liquid chemicals.

We at Tamara Hospital & IVF Centre provides high quality Fertility Treatments for both Men & Women, We have a team of Male Infertility Specialists who are expert in treating Male Infertility such as Low Sperm Count, Azoospermia, etc.

Contact us to know more about the fertility treatment options for Men, and get a FREE Consultation with our Fertility Specialist.

Written By

Dr Akhila Anand

Dr. Akhila Anand

MBBS, DGO, DRM Gynecologist, Obstetrician & Infertility Specialist

Experience: 11+ Years

Dr. Akhila Anand is the resident Obstetrician, Gynecologist & one of the Best Fertility / IVF Doctor in Rajajinagar, Bangalore.

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