Well in my case if made me more susceptible to work related stress, lots of long periods of sickness or burning myself out because I had told myself I wasn't really sick, it made me more susceptible to being abused because I was told that their reactions were perfectly valid responses to my autistic behaviour by them and their supporters who I had wrongly assumed had my back. It made me more susceptible to financial abuse and being forced to take out loans and lines of credit to stay afloat because I lack the social awareness to risk assess or assess what is "normal" in society.
Being autistic did not stop my reproductive organs from working. Some of my autistic friends thrive off the routine that you implement when you have children so having kids for them hasn't had much of an impact as they have built routines and coping strategies into their lives.
It was highlighted that I had significant social impairment, was at risk of abuse going forward, have accrued over 40k debt in my name to cover for the amount of money the people in my life have cost me.
Working, having a relationship and having kids doesn't mean that I haven't faced any trouble with these areas of my life but more importantly there are many other aspects of my life that being autistic has quite significantly impacted.
So you might look from the outside and think I have these things, and so I don't have any significant impairments but you've not got a clue what happens behind closed doors. Not with me an Internet stranger and not with your friends and family.
Also having been through the diagnostic process I can tell you they're quite thorough at digging into all of the areas in life where you have been at a detriment for the way your brain works. Actual qualified professionals, several of them, and then it's taken to a multidisciplinary hearing where you're cross examined for your deficits.
It's really quite offensive that you keep trotting out this notion that someone who has had relationships, employment or children aren't significantly impaired because you're not in the least bit qualified to make that decision.