A targeted clinical strategy involving the therapeutic use of Growth Hormone (GH) or Growth Hormone Secretagogues (GHS) in patients diagnosed with hypogonadism, aiming to amplify the often-attenuated somatotropic axis function. Hypogonadism, a deficiency in sex hormones like testosterone or estrogen, frequently coexists with reduced GH secretion, a condition termed somatopause. This augmentation is utilized to improve body composition, bone density, and overall metabolic profile.
Origin
This term is a specialized clinical application arising from the field of combined endocrinology, where clinicians recognize the functional and biochemical overlap between the gonadal and somatotropic axes. The therapeutic approach is based on the understanding that sex steroids are critical modulators of GH release and action. It reflects an integrated view of hormonal health, treating coexisting deficiencies synergistically.
Mechanism
Sex steroids, particularly testosterone and estradiol, are known to stimulate the pulsatile release of GH from the pituitary. In hypogonadism, the lack of these steroids reduces GH secretion, leading to lower circulating Insulin-like Growth Factor 1 (IGF-1) levels. Augmentation works by directly or indirectly supplementing the GH axis, overriding the inhibitory effect of the sex hormone deficiency. This leads to increased IGF-1 production, promoting anabolic effects like enhanced protein synthesis and lipolysis.
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