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Physiology · Human Sexual Functions

Male genital system

Systema genitale masculinum

The male reproductive system ensures reproductive function through two inseparable processes in the testes: spermatogenesis and the secretion of male sex hormones. This complex network of interactions is strictly regulated by the hypothalamic-pituitary axis, which controls germ cell maturation and the maintenance of male phenotypic traits.

Testosterone PeakThe maximum blood hormone level is observed in the morning (7–9 AM), and the minimum at night.
ReceptorsAndrogen receptors are nuclear: the hormone-receptor complex activates gene transcription.
PrecursorAndrogen synthesis in Leydig cells is carried out from a cholesterol molecule.
Leydig CellsThese are the primary target for luteinizing hormone (LH) in testicular tissue.
4 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Testicular Functions and Spermatogenesis

The testes (testicles) perform two global tasks in the body. Their exocrine function consists of spermatogenesis — the formation and development of male germ cells. Their endocrine function is the continuous synthesis of sex hormones.

The process of spermatogenesis takes place in the convoluted seminiferous tubules and is divided into three consecutive phases:

  1. Proliferation of spermatogonia.
  2. Maturation of spermatocytes.
  3. Formation of spermatozoa.

The main stimulant of this complex cascade is testosterone. However, follicle-stimulating hormone (FSH) is strictly required for full cell development. Estrogens are involved at the final stage of formation, and the direct detachment of mature spermatozoa from the epithelium occurs under the influence of luteinizing hormone (LH).

Sertoli and Leydig Cells: Hormone Factory and Support

Sertoli cells are located inside the convoluted seminiferous tubules. They play the role of "nurse" cells for the germ cells, performing a number of vital functions:

  • Provide trophic support (nutrition) for developing spermatozoa.
  • Perform phagocytosis of excess cytoplasm produced during maturation.
  • Secrete fluid filling the lumen of the tubules.
  • Synthesize androgen-binding protein, which is necessary for the local transport of androgens.
  • Produce the hormone inhibin and form estrogens via testosterone aromatization.

Leydig cells are located outside the tubules, in the interstitial tissue. Their main task is the synthesis and secretion of androgens (testosterone and dihydrotestosterone). This process is triggered and maintained by LH.

Test your knowledge on the topicTasks from the "Physiology" course bank — answers and explanations provided instantly.

Biological Effects of Testosterone

Testosterone is the primary male sex hormone. In systemic circulation, it is predominantly in a bound state (with beta-globulin and albumin). Its effect on the body is multifaceted and spans all stages of human life:

  • During embryogenesis, it directs fetal development along the male pathway.
  • During puberty, it is responsible for the development of secondary sexual characteristics, the formation of male sexual behavior, and causes epiphyseal cartilage ossification (cessation of longitudinal bone growth).
  • In adulthood, testosterone maintains secondary sexual characteristics, stimulates spermatogenesis, and regulates the activity of accessory glands (the prostate gland and seminal vesicles).
  • It exhibits a pronounced anabolic effect, increasing muscle mass and bone tissue density, and also stimulates erythropoietin production.
  • It displays an atherogenic effect: it increases low-density lipoprotein (LDL) levels while decreasing high-density lipoprotein (HDL) levels.

Hypothalamic-Pituitary Regulation

The hypothalamus exerts superior control over the male reproductive system. Its neurosecretory cells release gonadotropin-releasing hormone (GnRH), which enters the adenohypophysis portal vein in a pulsatile pattern (release peaks are observed approximately every 2 hours). GnRH causes the adenohypophysis to secrete gonadotropins — FSH and LH.

  • FSH acts on Sertoli cells, activating the production of androgen-binding protein, inhibins, and estrogens.
  • LH stimulates Leydig cells to synthesize testosterone (LH secretion peaks occur at intervals of 1.5–2 hours).

The entire system is strictly controlled by a negative feedback mechanism. The hormone inhibin inhibits the release of FSH (both at the pituitary level and by suppressing GnRH). In turn, high concentrations of androgens decrease LH secretion, acting primarily at the level of the hypothalamus to suppress GnRH production.

Briefly: answers to topical questions

What stages does the process of spermatogenesis consist of?

In the sexually mature testis, the process of spermatogenesis is divided into four main stages.

  • Proliferation — mitotic division of spermatogonia, lasting about two weeks.
  • Maturation — meiotic division of spermatocytes, lasting approximately one month (the prophase of meiosis I takes up the most time).
  • Formation — morphological maturation (spermiogenesis) without division, during which spermatids turn into spermatozoa.
  • Extraepithelial maturation — the final stage, taking place in the epididymis and lasting from one to three weeks.

During differentiation, cells are connected by cytoplasmic bridges.

Which transport proteins does testosterone bind to in the systemic circulation?

In the systemic circulation, almost all testosterone is bound to beta-globulin and albumin.

Which intracellular receptors do androgens activate?

Androgens activate nuclear receptors. The hormone-receptor complex activates gene transcription.

How to memorize

To avoid confusing the targets of gonadotropins, use the first letters: LH stimulates Leydig cells, while FSH acts on Sertoli cells, supporting Spermatogenesis.

Class and exam questions

Which hormones are required for complete spermatogenesis?

The primary stimulator is testosterone. However, the process cannot occur without the involvement of FSH, and the final stages of maturation require the presence of estrogens and LH.

How does testosterone affect the blood lipid profile?

Testosterone has an atherogenic effect. It increases the concentration of low-density lipoproteins (LDL) and decreases the level of high-density lipoproteins (HDL).

What is inhibin and what is its role?

Inhibin is a hormone synthesized by Sertoli cells. Via a negative feedback mechanism, it inhibits the production of FSH and GnRH.

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What else to study on this topic

  • Mechanisms of intracellular action of the androgen hormone-receptor complex
  • The process of testosterone aromatization into estrogens within Sertoli cells
  • Features of testosterone binding to blood transport proteins (beta-globulin and albumin)
  • The physiological significance of the pulsatile pattern of GnRH secretion

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