Testicular function markers are a set of specific biochemical and hormonal indicators used to evaluate the two primary functions of the testes: steroidogenesis (testosterone production) and spermatogenesis (sperm production). These markers, which include testosterone, inhibin B, and occasionally semen analysis parameters, provide a clinical snapshot of the organ’s health and its capacity to contribute to male hormonal balance and fertility. Assessment of these markers is crucial for diagnosing hypogonadism and reproductive issues.
Origin
This terminology originates from reproductive endocrinology and andrology, the branch of medicine focused on male health. The markers reflect the dual roles of the testicular cells: Leydig cells for testosterone and Sertoli cells for inhibin B and support of germ cells. Clinical practice relies on these quantifiable indicators to differentiate between primary testicular failure and secondary pituitary-hypothalamic dysfunction.
Mechanism
Testosterone levels directly reflect the secretory activity of the Leydig cells, which is stimulated by Luteinizing Hormone (LH) from the pituitary. Inhibin B, a protein hormone, is secreted by the Sertoli cells and serves as a direct, negative feedback signal to the pituitary, specifically suppressing Follicle-Stimulating Hormone (FSH) release. The coordinated measurement of these markers, along with pituitary gonadotropins, allows for a precise localization of any functional impairment within the HPG axis.
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