Luteinizing Hormone Fluctuation refers to the dynamic, pulsatile secretory pattern of the gonadotropic hormone LH, released from the anterior pituitary gland, which is essential for reproductive function in both sexes. In females, this fluctuation includes the critical mid-cycle surge that triggers ovulation and the stimulation of corpus luteum formation, while in males, it drives the Leydig cells to produce testosterone. Disruptions in the frequency or amplitude of these fluctuations can signal underlying pathology of the hypothalamic-pituitary-gonadal (HPG) axis.
Origin
The term “Luteinizing Hormone” is derived from the Latin luteus (saffron-yellow), referencing its role in forming the corpus luteum, the yellow body that remains after ovulation. The clinical focus on “Fluctuation” acknowledges that LH is not secreted at a constant rate but in distinct pulses, a pattern crucial for maintaining gonadal responsiveness. Measuring this pulsatility is a cornerstone of reproductive endocrinology.
Mechanism
The secretion of LH is tightly controlled by the pulsatile release of Gonadotropin-Releasing Hormone (GnRH) from the hypothalamus, with the frequency and amplitude of these pulses varying significantly throughout the menstrual cycle. High-frequency pulses favor LH release, while slower pulses favor FSH release. Feedback from gonadal steroids—estrogen, progesterone, and testosterone—modulates the pituitary’s sensitivity to GnRH, ensuring the precise, coordinated hormonal shifts necessary for gamete maturation and steroidogenesis.
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