Testicular function assays are a suite of specialized clinical laboratory tests designed to evaluate the two primary roles of the testes: steroidogenesis, the production of testosterone and other androgens, and spermatogenesis, the production of sperm. These assays include measuring circulating levels of total and free testosterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and often inhibin B, which collectively provide a detailed picture of the hypothalamic-pituitary-gonadal (HPG) axis integrity. These tests are indispensable for diagnosing hypogonadism, infertility, and monitoring therapeutic interventions.
Origin
This term is a clinical grouping of diagnostic procedures rooted in male reproductive endocrinology. The “assays” refer to the biochemical techniques used to quantify the hormones and other markers produced by the testes and their regulatory glands. The need for this comprehensive panel arose from the realization that testosterone levels alone are insufficient to fully characterize the complex, integrated function of the male reproductive system.
Mechanism
The assays measure the output and regulatory signals of the HPG axis, which operates on a negative feedback loop. LH stimulates the Leydig cells to produce testosterone (steroidogenesis), while FSH and testosterone are necessary for the Sertoli cells
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