“…However, hypothyroidism is a complex hormonal dysfunction that has been associated with reduced secretion of gonadotropin-realizing hormones, FSH, LH, and testosterone (Antony et al, 1995;Chandrasekhar et al, 1986;Chiao et al, 1999;Jannini et al, 1995;Kirby et al, 1997;Maran et al, 2000;Ruiz et al, 1989). Moreover, systemic hormones are the first step regulators of spermatogenesis while paracrine and autocrine factors synthesized by testicular cells are also involved in local control of germ cell development (de Kretser et al, 1998;Sofikitis et al, 2008).…”