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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic Since A Child, Trying For Baby, Have Clear Sperm, Less Ejaculation. Does This Mean Infertility?

Hi my name is Brittney Fashing and my husband is a type 1 diabetic and he s has had them since he was 5 and he is now 20. We are wantin to have a child as my son (his step son) is 14 months. His sperm is always clear n he don t ejaculate much and it doesn t shoot out so to speak. Does this mean he s infertile? Please help us.
Thu, 27 Sep 2012
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Diabetologist,  's  Response
Dear Brittney,



Patients with type 1 diabetes are having diabetes mostly of autoimmune in origin. This means these patients can have one or more autoimmune disorders like thyroidal illness, addison's disease, vitiligo, celiac disease, primary infertility due to ovarian (in females) or testicular (in males) failure. So these kinds of conditions are supposed to be ruled out with prescribed frequency in the life of a person with type 1 diabetes. Hope you and your husband are aware of this. If not then please do see an Endocrinologist to get him examined and see which investigation is priority in him as these disorders which I mentioned may or may not come. But when they come, they need attention for sure.

As of now what you described about his semen seems that he should get his LH, FSH, Testosterone and semen analysis tests done on primary basis to address your concern.

I hope you get help out of this. All the best. Do let me know if you need any other clarifications.
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Diabetic Since A Child, Trying For Baby, Have Clear Sperm, Less Ejaculation. Does This Mean Infertility?

Dear Brittney, Patients with type 1 diabetes are having diabetes mostly of autoimmune in origin. This means these patients can have one or more autoimmune disorders like thyroidal illness, addison s disease, vitiligo, celiac disease, primary infertility due to ovarian (in females) or testicular (in males) failure. So these kinds of conditions are supposed to be ruled out with prescribed frequency in the life of a person with type 1 diabetes. Hope you and your husband are aware of this. If not then please do see an Endocrinologist to get him examined and see which investigation is priority in him as these disorders which I mentioned may or may not come. But when they come, they need attention for sure. As of now what you described about his semen seems that he should get his LH, FSH, Testosterone and semen analysis tests done on primary basis to address your concern. I hope you get help out of this. All the best. Do let me know if you need any other clarifications.