Androgen Production Integrity describes the maintenance of the normal physiological capacity of the gonads and adrenal glands to synthesize and secrete androgens like testosterone and DHEA. Clinical assessment focuses on the qualitative and quantitative output relative to established reference ranges for age and sex. This integrity is foundational for metabolic health, libido, and musculoskeletal maintenance.
Origin
The concept stems from the fundamental endocrinology of steroidogenesis, where ‘androgen’ refers to the group of steroid hormones, and ‘integrity’ implies the completeness and soundness of the synthetic machinery. This terminology grounds itself in the pathways originating from cholesterol conversion.
Mechanism
Integrity relies on the functional capacity of the necessary enzymatic machinery, such as 17u03b1-hydroxylase and 17,20-lyase, within the Leydig cells or adrenal cortex. Proper stimulation via the HPG or HPA axes, mediated by LH or ACTH respectively, must also be present for synthesis to proceed normally. Any deficiency in precursor availability or enzymatic activity compromises this critical endocrine output.
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