The Gonadal Axis Feedback Loops describe the intricate, self-regulating endocrine pathways connecting the hypothalamus, the pituitary gland, and the gonads (testes or ovaries). This hypothalamic-pituitary-gonadal (HPG) axis governs the synthesis and secretion of sex hormones, including testosterone, estrogen, and progesterone. Pulsatile release of Gonadotropin-releasing hormone (GnRH) from the hypothalamus stimulates Luteinizing hormone (LH) and Follicle-stimulating hormone (FSH) release from the pituitary, which in turn signal the gonads. The sex hormones produced then exert negative feedback on the hypothalamus and pituitary, maintaining homeostasis.
Origin
This term is central to classical endocrinology, detailing the control mechanism for reproductive and sexual development and function. The discovery of negative feedback control mechanisms provided the foundational understanding of how the body maintains hormonal balance. Understanding this axis is critical for diagnosing conditions like hypogonadism or polycystic ovary syndrome (PCOS).
Mechanism
When sex hormone levels are low, the negative feedback signal weakens, prompting the hypothalamus to increase GnRH pulse frequency and amplitude, thus stimulating more LH and FSH release. Conversely, high sex hormone levels strongly inhibit GnRH and LH/FSH secretion. Age-related changes, such as in menopause or andropause, involve a primary failure of the gonads, leading to a compensatory, but often ineffective, increase in pituitary hormones.
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