How does down syndrome affect a persons fertility?

Individuals with Down syndrome may experience fertility challenges due to various factors, including hormonal imbalances and physical anomalies. Women with Down syndrome generally have a lower fertility rate, and pregnancy can carry higher risks for both the mother and child. Men with Down syndrome may also have reduced sperm production and quality, leading to lower fertility levels. However, some individuals with Down syndrome can still conceive and have children, though it often requires careful medical oversight.