Male Infertility Cause of Hormonal Problems
A small percentage of male infertility is caused by hormonal problems. The hypothalamus-pituitary endocrine system regulates the chain of hormonal events that enables testes to produce and effectively disseminate sperm. Several things can go wrong with the hypothalamus-pituitary endocrine system:
• The brain can fail to release gonadotrophic-releasing hormone (GnRH) properly. GnRH stimulates
the hormonal pathway that causes testosterone synthesis and sperm production. A disruption in
GnRH release leads to a lack of testosterone and a cessation in sperm production.
• The pituitary can fail to produce enough lutenizing hormone (LH) and follicle stimulating hormone
(FSH) to stimulate the testes and testosterone/sperm production. LH and FSH are intermediates
in the hormonal pathway responsible for testosterone and sperm production.
• The testes’ Leydig cells may not produce testosterone in response to LH stimulation.
• A male may produce other hormones and chemical compounds which interfere with the
sex-hormone balance.
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