A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes.
A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes.
A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving.
A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations.
A comprehensive collection of medical revision notes that cover a broad range of clinical topics.
A collection of surgery revision notes covering key surgical topics.
A collection of anatomy notes covering the key anatomy concepts that medical students need to learn.
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Table of Contents
1. The hypothalamus secretes GnRH.
2. GnRH travels down to the anterior pituitary gland and binds to receptors on the gland.
3. This promotes the release of LH (luteinizing hormone) and FSH (follicle-stimulating hormone).
4. LH and FSH travel in the bloodstream to the testicles.
5. LH stimulates Leydig cells in the testicles to produce testosterone (testosterone is required for spermatogenesis and many other important biological processes).
6. FSH stimulates Sertoli cells to produce androgen binding globulin (ABG) and inhibin:
7. Increased levels of testosterone and inhibin have a negative feedback effect on the pituitary and hypothalamus.
8. This results in decreased production of LH and FSH.
9. As a result, the production of testosterone and inhibin is also decreased.
4. LH and FSH travel in the bloodstream to the ovaries.
5. When LH and FSH bind to the ovaries they stimulate the production of oestrogen and inhibin:
6. Increasing levels of oestrogen and inhibin have a negative feedback effect on the pituitary and hypothalamus.
7. This leads to the decreased production of GnRH, LH and FSH.
8. This, in turn, results in decreased production of oestrogen and inhibin.