Gonadal Aging describes the progressive, age-related decline in the structure and function of the primary reproductive organs, the testes in males and the ovaries in females. This process is characterized by a decrease in gamete production and a significant reduction in the synthesis and secretion of sex steroid hormones, such as testosterone and estrogen. The resulting hormonal shifts contribute substantially to systemic changes, including loss of bone density, muscle mass, and alterations in mood and cognition. This decline is a central component of the overall hormonal aging phenotype.
Origin
The concept is rooted in classical endocrinology, specifically recognizing the clinical syndromes of andropause and menopause as distinct manifestations of age-related gonadal failure. The term emphasizes the biological, cellular, and molecular changes within the gonads themselves, moving beyond just the systemic symptoms. It acknowledges the reproductive system’s profound role as an endocrine regulator throughout the lifespan.
Mechanism
Gonadal Aging involves several key mechanisms, including a reduction in the number and quality of germ cells and a decline in the sensitivity of gonadal cells to pituitary trophic hormones (LH and FSH). In women, this is marked by follicular depletion; in men, it involves Leydig cell dysfunction and impaired steroidogenesis. The resulting reduction in sex steroids disrupts the hypothalamic-pituitary-gonadal axis, leading to systemic hormonal imbalance and accelerated functional decline in other tissues.
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