Hypothalamus-pituitary-axis (HPA) is constantly under the modulatory e
ffect of many substances, such as neurotransmitters, neuromodulators a
nd steroid hormones. Recently, the involvement of endogenous opioid pe
ptides (EOP) in the control of the neuroendocrine mechanism modulating
gonadotrophin secretion has been supported by several authors. It has
been demonstrated that acute morphine administration decreases lutein
izing hormone (LH) plasma levels and this is due to an inhibitory modu
lation on gonadotrophin releasing hormone discharge from the hypothala
mic neurons. EOP are usually increased by stressant situations. In str
ess-induced amenorrhoea, the presence of low LH plasma levels and an a
bnormal LH pulsatile secretion has been related to an increased opioid
activity, thus supporting the integrative role of opioids between hor
monal and neuronal afferences of brain