The clinical process of restoring endogenous testosterone production and associated sex hormone balance in individuals diagnosed with primary or secondary hypogonadism to physiological youthfulness levels. This aims for sustained normalization of gonadal function rather than mere hormone replacement. True reversal implies functional recovery of the HPG axis.
Origin
The term is derived from clinical endocrinology, specifically concerning the testes or ovaries (gonadism) and their insufficient function (hypo-). ‘Reversal’ denotes an active therapeutic goal to restore inherent biological capability, distinguishing it from lifelong exogenous supplementation. This objective is central to restorative endocrinology.
Mechanism
The pathway involves identifying and addressing the root cause, whether it is pituitary suppression, hypothalamic signaling deficit, or primary gonadal failure. Interventions might include precise Pulsatile GnRH administration or selective modulation of upstream signaling to reactivate the HPG axis. Successful mechanism activation leads to endogenous steroidogenesis resuming its appropriate rhythm and magnitude.
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