The precise homeostatic control of the pituitary glycoprotein hormone, Follicle-Stimulating Hormone (FSH), which is essential for gametogenesis and steroidogenesis in both males and females. Regulation involves the coordinated pulsatile release from the anterior pituitary, which is influenced by Gonadotropin-Releasing Hormone (GnRH) from the hypothalamus and feedback inhibition from gonadal hormones and inhibins. Optimal regulation is critical for reproductive health and the overall integrity of the Hypothalamic-Pituitary-Gonadal (HPG) axis.
Origin
This term is fundamental to classical reproductive endocrinology, describing one of the two key gonadotropins secreted by the pituitary gland. Clinical practice focuses on regulation as FSH levels serve as a primary diagnostic indicator of gonadal function and reserve.
Mechanism
FSH release is tightly controlled by negative feedback; rising levels of gonadal steroids, such as estrogen and testosterone, along with the peptide hormone inhibin, signal the pituitary to reduce FSH secretion. Dysregulation often manifests as elevated FSH, indicating reduced gonadal feedback and compromised ovarian or testicular function. Therapeutic regulation aims to restore this delicate pulsatile balance and maintain gonadal responsiveness.
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