“…412 The axons of ARH neurons, which are suspected of playing a role in mediating estrogen and testosterone negative feedback 410,[413][414][415] and in the control of pulsatile GnRH secretion, 405,414 first reach the MEPO at P12 and only achieve their final distribution by the end of the infantile period in both males and females, 416,417 when circulating FSH levels dramatically rise 140,276,280,282 (Figures 30.2 and 30.3) and estrogen-negative feedback starts to operate in females. 416 Intriguingly, analogous to the critical period during neonatal life when sex steroids may specify sexually dimorphic patterns of development in the mammalian forebrain, 382,418,419 it has been shown over the past decade that the establishment of at least some of the projections of ARH neurons (e.g., the projections of the POMC and NPY/ AgRP neurons) is also determined by metabolic hormones (e.g., leptin, ghrelin, and insulin) during a second critical period of postnatal development. 417 Efferents from other nuclei of the tuberal region of the hypothalamus that are functionally connected with GnRH neurons, 98,100 such as the VMH and DMH, also develop postnatally but are seen to reach the preoptic region earlier than ARH fibers.…”