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  Indian J Med Microbiol
 

Figure 1: Schematic diagram showing different mechanisms/pathways resulting in male and female infertility with the primary contributing factors being obesity and diabetes with insulin resistance. HPG, hypothalamus-pitutary-gonadal axis; SHBG, sex hormone-binding globulin; IGF-1, insulin growth factor-1; IGFBP-1, insulin growth factor binding protein-1.

Figure 1: Schematic diagram showing different mechanisms/pathways resulting in male and female infertility with the primary contributing factors being obesity and diabetes with insulin resistance. HPG, hypothalamus-pitutary-gonadal axis; SHBG, sex hormone-binding globulin; IGF-1, insulin growth factor-1; IGFBP-1, insulin growth factor binding protein-1.