The integrated and coordinated activity of the hypothalamic-pituitary-gonadal (HPG) axis, which is the central endocrine system responsible for regulating sexual development, fertility, and the production of sex hormones (androgens and estrogens). Optimal function of this axis is critical not only for reproductive health but also for bone density, cardiovascular health, and cognitive vitality in both sexes. Its assessment is a key part of hormonal health diagnostics.
Origin
This is a classic term in endocrinology, referring to the interconnected feedback loop that controls the gonads. The term ‘axis’ denotes the linear, hierarchical relationship between the hypothalamus, the pituitary gland, and the gonads. Clinical understanding of its function dates back to early endocrinological discoveries of pituitary and gonadal hormones and their reciprocal regulatory roles.
Mechanism
The HPG axis operates via a negative feedback loop: the hypothalamus releases gonadotropin-releasing hormone (GnRH), which stimulates the pituitary to release luteinizing hormone (LH) and follicle-stimulating hormone (FSH). These gonadotropins then act on the gonads to produce sex steroids, which in turn signal back to the hypothalamus and pituitary to regulate their own release. Disruption at any point in this feedback loop can lead to hypogonadism and systemic health issues.
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