The fundamental physiological pattern where the hypothalamic gonadotropin-releasing hormone (GnRH) is released in discrete, rhythmic pulses rather than a continuous infusion. This pulsatility is the essential upstream regulator governing the cyclic release of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) from the pituitary. The frequency and amplitude of these pulses dictate reproductive health.
Origin
This principle is foundational to reproductive endocrinology, established through studies demonstrating that continuous GnRH stimulation paradoxically suppresses gonadotropin release, while pulsatile release stimulates it. The term underscores the critical role of temporal dynamics in hypothalamic-pituitary-gonadal (HPG) axis function.
Mechanism
The pulsatile release mechanism originates in the specialized neurons of the hypothalamus that synchronize their electrical activity to secrete GnRH into the portal circulation. This intermittent stimulation maintains appropriate sensitivity of the pituitary gonadotrophs to the hormone, preventing receptor downregulation. Alterations in pulse frequency, often induced by metabolic stress or high prolactin levels, directly translate into altered sex hormone production.
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