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=== Testicular Hormone Production === * Critical for masculinization of the reproductive tract and testicular descent * '''In the fetus, Leydig cell development is divided into 3 phases:''' *# '''Proliferation and differentiation phase at 7-14 weeks’ gestation''' *# '''Maturation phase until 18 weeks’ gestation''' *# '''Involution phase that continues until term''' * '''<span style="color:#ff0000">Synthesis of testosterone by fetal Leydig cells starts as early as 6 to 7 weeks’ gestation and appears to be initially independent of gonadotropin stimulation.''' ** '''Placental human chorionic gonadotropin (hCG) stimulates a peak in androgen production by fetal Leydig cells at 14-16 weeks, and the testis then becomes responsive to fetal luteinizing hormone (LH)''' * '''<span style="color:#ff0000">At 9-13 weeks of gestation, dihydrotestosterone (DHT) simulates androgen receptors in the''' *# '''<span style="color:#ff0000">Genital tubercle to differentiate into penis''' *# '''<span style="color:#ff0000">Urethral folds to differentiate into the ventral aspect of penis''' *# '''<span style="color:#ff0000">Labioscrotal swellings to differentiate into scrotum''' *#* '''Also known as genital swellings or labioscrotal folds'''§ *#* The labioscrotal swellings are first visible at 7 weeks and fuse by 10-12 weeks * '''<span style="color:#ff0000">By the end of the first trimester (12 weeks), the external genitalia are completely masculinized''' * '''Locally produced estrogen may play a role in testis development'''
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