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性激素负反馈作用在男性不育诊疗中的应用

曾勇 宋明哲 赵明 叶丽君 蔡靖

生殖医学杂志2017,Vol.26Issue(8):743-748,6.
生殖医学杂志2017,Vol.26Issue(8):743-748,6.DOI:10.3969/j.issn.1004-3845.2017.08.002

性激素负反馈作用在男性不育诊疗中的应用

Application of hormonal feedback in diagosis and treatment of male infertility

曾勇 1宋明哲 2赵明 3叶丽君 1蔡靖2

作者信息

  • 1. 深圳中山泌尿外科医院,深圳 518045
  • 2. 深圳中山泌尿外科医院生殖医学中心,深圳 518045
  • 3. 深圳中山生殖与遗传研究所,深圳 518045
  • 折叠

摘要

Abstract

Hypothalamo-pituitary-testicular axis plays a crucial role in male reproduction.Hypothalamus and pituitary regulate the biosynthesis of steroid hormones as well as spermatogenesis in testis.Complex stimulation and feedback mechanism manage the biosynthesis and secretion of hormone through neural components.There are lots of androgen receptor and estrogen receptor in hypothalamus and pituitary,which are regulated by negative feedback of testosterone and its aromatization products including estrogen.Administration of anti-estrogen drugs or aromatase inhibitors can minimize the continuous negative feedback regulation of testosterone and its aromatic products and increase the secretion of endogenous gonadotropin,by though the negative feedback of male hypothalamic-pituitary-gonadal axis,which may also limit the side effect of estrogen on spermatogenesis,and restore spermatogenesis or improve semen quality.

关键词

负反馈/性激素/内分泌/男性不育

Key words

Negative feedback/Sex hormone/Endocrine/Male infertility

引用本文复制引用

曾勇,宋明哲,赵明,叶丽君,蔡靖..性激素负反馈作用在男性不育诊疗中的应用[J].生殖医学杂志,2017,26(8):743-748,6.

基金项目

深圳市科技研发资金项目(JCYJ20160427113223456) (JCYJ20160427113223456)

生殖医学杂志

OACSTPCD

1004-3845

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