from Section 1 - Scientific Foundations of Male Infertility
Published online by Cambridge University Press: 08 July 2023
The male reproductive endocrine system function is strictly dependent on the dynamic interplay between neural and hormonal signals originating from the hypothalamus where specific neurons secrete gonadotropin-releasing hormone (GnRH) in an episodic pattern of pulses under the control of excitatory and inhibitory signals from neuromodulators, the anterior pituitary where GnRH binds to its own receptors on a specific pituitary cell type to stimulate pituitary gonadotropin secretion, and the testes where the trophic actions of gonadotropins result in the promotion of spermatogenesis and secretion of testicular steroids and peptides, which, in turn, modulate hypothalamic and pituitary function in both positive and negative feedback loops.
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