A pattern of endogenous testosterone secretion characterized by distinct, intermittent bursts of hormone release from the Leydig cells of the testes, rather than a continuous steady-state secretion. This pulsatile pattern is critical for maintaining optimal androgen receptor sensitivity in target tissues and is tightly driven by the upstream hypothalamic-pituitary axis. Clinical strategies often aim to mimic or restore this natural rhythm.
Origin
This term is a fundamental concept in male reproductive endocrinology, arising from detailed studies that utilized frequent blood sampling to map the ultradian rhythm of testosterone secretion. The pulsing reflects the underlying pulsatile release of Luteinizing Hormone (LH) from the anterior pituitary gland.
Mechanism
The mechanism is entirely dependent on the pulsatile secretion of Gonadotropin-Releasing Hormone (GnRH) from the hypothalamus, which stimulates the anterior pituitary to release LH in a corresponding pulsatile manner. LH then binds to specific receptors on the Leydig cells, triggering the acute synthesis and release of testosterone, ensuring that the target tissues are exposed to optimal, non-desensitizing concentrations of the hormone.
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