“…Earlier observations similarly suggested that diabetes in humans leads to significant alteration in endocrine regulation and impairment, which indicates that diabetes has the potential to derange the hypothalamic pituitary gonadal axis [16,25,26,47]. It's well known that T, FSH and LH are important hormones regulating the reproductive functions of males, and also autoregulate their serum concentrations by acting on the hypothalamic-pituitary axis [23]. Gonadotropin Releasing Hormone (GnRH) of hypothalamic secretion acts directly on the pituitary gland through the hypophysioportal vein system, which in turn may activate the anterior pituitary gland to secrete FSH and LH [16,23].…”