Endocrine regulation · USMLE Step 1

In the regulation of the (HPG axis), continuous (non-pulsatile) administration of (GnRH) leads to which of the following outcomes?

  1. Increased LH and FSH release from pituitary
  2. Decreased LH and FSH release from pituitary
  3. Increased sex steroid production from gonads
  4. No change in gonadal function
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Correct answer: Decreased LH and FSH release from pituitary

Continuous (non-pulsatile) GnRH leads to downregulation of GnRH receptors in the pituitary and paradoxically reduces LH and FSH release, suppressing gonadal function — a principle used clinically for GnRH agonist therapy.

Difficulty: Medium Question 8 of 23

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