LH FSH Balance refers to the critical, reciprocal relationship between Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH), two gonadotropic hormones secreted by the anterior pituitary gland, essential for reproductive and hormonal health in both sexes. The specific ratio and pulsatility of these hormones are key clinical markers reflecting the functional status of the hypothalamic-pituitary-gonadal (HPG) axis. Maintaining this balance is vital for optimal gonadal function, fertility, and the production of sex steroids like testosterone and estrogen.
Origin
This concept is central to classical endocrinology, specifically the study of reproductive physiology, where the pulsatile release of Gonadotropin-Releasing Hormone (GnRH) dictates the secretion of LH and FSH. The discovery of these hormones and their regulatory feedback loops defined the modern understanding of the reproductive cycle and gonadal senescence. Clinical interpretation of the LH:FSH ratio is foundational in diagnosing conditions like polycystic ovary syndrome (PCOS) or primary ovarian insufficiency.
Mechanism
LH primarily stimulates the Leydig cells in males to produce testosterone and the theca cells in females to produce androgen precursors. FSH, conversely, stimulates Sertoli cells for spermatogenesis in males and granulosa cells for follicle development and estrogen synthesis in females. The balance is maintained by negative feedback loops, where circulating sex steroids and inhibin signal back to the pituitary and hypothalamus, ensuring precise, demand-driven hormonal output.
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