Leptin serves as a permissive signal for puberty onset, with a threshold level necessary for normal pubertal progression. Ghrelin's action on GnRH neurons involves a decrease in the frequency of GABAergic miniature postsynaptic currents and is dependent on retrograde endocannabinoid signaling. This effect appears to be sexually dimorphic, with a more pronounced response observed in female rodents compared to males. These kisspeptin neurons act as central processors for relaying signals from the periphery to GnRH neurons and are essential for the onset of puberty and maintenance of normal reproductive function. This role of exercise in modulating activin inhibition and influencing the HPO axis presents a compelling direction for future exercise physiology research. Follistatin, which is also produced in all body tissue, inhibits activin and gives the rest of the body more control over the axis. The presence of these ubiquitous steroids in a wide range of animals suggest that sex hormones have an ancient evolutionary history. Like other androsteroids, testosterone is manufactured industrially from microbial fermentation of plant cholesterol (e.g., from soybean oil). This also made it obvious that additional modifications on the synthesized testosterone could be made, i.e., esterification and alkylation. These independent partial syntheses of testosterone from a cholesterol base earned both Butenandt and Ruzicka the joint 1939 Nobel Prize in Chemistry. The chemical synthesis of testosterone from cholesterol was achieved in August that year by Butenandt and Hanisch. The Organon group in the Netherlands were the first to isolate the hormone, identified in a May 1935 paper "On Crystalline Male Hormone from Testicles (Testosterone)". Specifically, testosterone, along with anti-Müllerian hormone (AMH) promote growth of the Wolffian duct and degeneration of the Müllerian duct respectively. Testosterone can either directly exert effects on target tissues or be metabolized by 5α-reductase into dihydrotestosterone (DHT) or aromatized to estradiol (E2). Testosterone can be described as having anabolic and androgenic (virilising) effects, though these categorical descriptions are somewhat arbitrary, as there is a great deal of mutual overlap between them. In addition to its role as a natural hormone, testosterone is used as a medication to treat hypogonadism and breast cancer. As the metabolism of testosterone in males is more pronounced, the daily production is about 20 times greater in men. At the tissue level, testosterone dissociates from albumin and quickly diffuses into the tissues. This binding plays an important role in regulating the transport, tissue delivery, bioactivity, and metabolism of testosterone. Specific proteins include sex hormone-binding globulin (SHBG), which binds testosterone, dihydrotestosterone, estradiol, and other sex steroids. Lipophilic hormones (soluble in lipids but not in water), such as steroid hormones, including testosterone, are transported in water-based blood plasma through specific and non-specific proteins. Test subjects with an artificially enhanced testosterone level generally made better, fairer offers than those who received placebos, thus reducing the risk of a rejection of their offer to a minimum. When controlling for the effects of belief in having received testosterone, women who have received testosterone make fairer offers than women who have not received testosterone. Moreover, the conversion of testosterone to estradiol regulates male aggression in sparrows during breeding season. Despite an increase in the plasma level of visfatin, its concentration in the CSF decreases, and this is probably due to the impaired transport of visfatin through the BBB. The visfatin level is also increases in women with a polycystic ovary syndrome, for which obesity and insulin resistance are characteristic . In obesity and DM2, the plasma visfatin level is steadily increased, and the degree of this increase varies greatly, due to both the individual characteristics of patients and the various approaches to measure the visfatin concentration 2, 155. It is also not possible to exclude the possibility of reducing leptin transport through the BTB, although such data have not yet been obtained. Leptin also regulates steroidogenesis in the ovaries and adrenal glands, and the mechanisms of its regulatory effect are believed to be similar to those in Leydig cells 37, 94. Further, the level of intracellular cAMP is reduced due to its hydrolysis by cAMP-specific phosphodiesterases (cAMP-PDE), which leads to the attenuation of signal transduction generated by gonadotropins and inhibits their stimulating effect on steroidogenesis. Based on high rate of leptin transport through the BTB and high permeability of this barrier to other proteins, it was concluded that the mechanisms of leptin transport through the BBB and BTB differ significantly. In 1999, Banks and coauthors showed that leptin circulating in the blood was transported through the BTB, and the permeability was higher than in the case of the BBB . This assumption is supported by the data obtained in mice with tissue-specific knockout of the ob gene, either in the adipose tissue or in the pituitary. The stimulating effect of melanotan-II on LH production in mice lacking the kisspeptin receptor GPR54 was reduced significantly . Furthermore, leptin promotes GnRH function by acting on kisspeptin neurons, which regulate GnRH release as discussed previously. Leptin, an adipocyte-derived hormone, exerts a stimulatory effect on GnRH secretion through multiple mechanisms. Kisspeptin's influence extends beyond the hypothalamus, as it has been shown to have direct effects on the pituitary and ovaries, regulating processes such as follicle development, oocyte maturation, and ovulation. By stimulating GnRH release, kisspeptin indirectly promotes the secretion of LH and FSH from the pituitary gland. Inhibin acts to inhibit activin, which is a peripherally produced hormone that positively stimulates GnRH-producing cells. In a circadian study, daytime and nocturnal total testosterone levels and the 24-h mean testosterone secretion were significantly lower in men with severe major depressive episodes based on high Hamilton scores and high 24-h mean cortisol secretion . Androgen regulation of the hypothalamic-pituitary–gonadal (HPG) axis is critical for homeostatic regulation of synthesis and secretion of testosterone and the most potent androgen dihydrotestosterone (DHT) by the testis (Fig. 1). A previous study found that young men with congenital hypogonadotropic hypogonadism due to a GnRH deficiency who had very low testosterone levels (78 ng/dl; 2.70 nmol/L SI units) compared to normal controls (483 ng/dl; 16.74 mmol/L SI units) exhibited a high incidence of depression . The study of the interaction between the male HPG axis and the adipokine system will allow us to decipher the fundamental mechanisms that determine the relationships between the eating behavior, hunger and satiety, on the one hand, and the sexual behavior and aggression, on the other. This should be taken into account when developing the approaches to improve metabolic status in obese and diabetic patients and in elderly men with an androgen deficiency using the activators of the HPG axis and androgens. On the one hand, they regulate proliferation and survival of gonadotrophs and testicular cells, primarily Leydig cells, and on the other, affect their ability to produce gonadotropins and steroid hormones.