Endocrinopathies

Sam Haywood*, Eric L. Laborde, Robert E Brannigan

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Spermatogenesis depends on an intricate interplay of hormonal factors both centrally and in the testis. Centrally, the hypothalamus releases gonadotropin-releasing hormone (GnRH), which acts on the anterior pituitary to cause secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). At the level of the testis, FSH acts on Sertoli cells to induce the maturation process in spermatogonia. LH exerts its effect on Leydig cells, stimulating production of testosterone. Effective spermatogenesis requires local testosterone concentrations to be much higher than serum concentrations. This intratesticular testosterone then acts indirectly to stimulate germ cell maturation through actions on Sertoli cells. Although endocrinopathies only account for a small minority of cases of male infertility, about 1–2%, the treatment of these conditions offers patients a strategy of directed therapy. Broad classification of endocrinopathies involves two main categories: hormonal deficiency and hormonal excess, with specific hormonal abnormalities falling under each of the above categorizations.

Original languageEnglish (US)
Title of host publicationMale Infertility
Subtitle of host publicationContemporary Clinical Approaches, Andrology, ART and Antioxidants
PublisherSpringer New York
Pages37-43
Number of pages7
ISBN (Electronic)9781461433354
ISBN (Print)9781461433347
DOIs
StatePublished - Jan 1 2012

Keywords

  • Androgen excess
  • Endocrinopathy
  • Estrogen excess
  • Hyperprolactinemia
  • Hyperthyroidism
  • Hypogonadotropic hypogonadism
  • Male infertility
  • Spermatogenesis

ASJC Scopus subject areas

  • Medicine(all)

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