I found this from diabeticcareservices:
"Insulin is a hormone. So when you have diabetes, or any form of insulin resistance, you have a hormone imbalance. When one hormone is out of balance, it can trigger a domino-like effect with the rest of your hormones, including estrogen, progesterone and testosterone levels. These hormone imbalances can cause a wide variety of side effects, ranging from ovarian cysts to erectile dysfunction and infertility."
So it is clear that it is more than just an effect of the medicine. It is a hormonal imbalance.
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