The gonadotrophin-releasing hormone (GnRH) represents the final common pathway of a neuronal network that integrates multiple external and internal factors to control fertility. Among the many inputs GnRH neurones receive, oestrogens play the most important role. In females, oestrogen, in addition to the negative feedback, also exhibits a positive feedback influence upon the activity and output of GnRH neurones to generate the preovulatory luteinising hormone surge and ovulation. Until recently, the belief has been that the GnRH neurones do not contain oestrogen receptors and that the action of oestrogen upon GnRH neurones is indirect, involving several, oestrogen-sensitive neurotransmitter and neuromodulator systems that trans-synaptically regulate the activity of the GnRH neurones. Although this concept still holds for humans, recent studies indicate that oestrogen receptor-beta is expressed in GnRH neurones of the rat. This review provides three dimensional stereoscopic images of GnRH-immunoreactive (IR) and some peptidergic (neuropeptide Y-, substance P-, b-endorphin-, leu-enkaphalin-, corticotrophin hormonereleasing-and galanin-IR) and catecholaminergic neurones and the communication of these potential oestrogen-sensitive neuronal systems with GnRH neurones in the human hypothalamus. Because the postmortem human tissue does not allow the electron microscopic identification of synapses on GnRH neurones, the data presented here are based on light microscopic immunocytochemical experiments using high magnification with oil immersion, semithin sections or confocal microscopy.Gonadotrophin hormone-releasing hormone (GnRH; also called luteinising hormone-releasing hormone; LHRH), represents the final common pathway of a neuronal network that integrates multiple external and internal factors to control fertility. The release of GnRH into the hypophyseal portal circulation in the median eminence is pulsatile. Cyclic fluctuations in the amplitude and frequency of GnRH release, combined with changes in the secretory capacity of the pituitary gonadotrophs, are responsible for the generation of the luteinising hormone (LH) secretion profile observed over the course of the ovarian cycle. The pulsatile pattern of GnRH release is critical for normal ovarian function and in females; the massive increase in GnRH release generates the LH surge necessary for ovulation.Among many factors that integrate the activity of the GnRH neuronal system, oestrogens play the most important role. In the male, and for the greater part of the ovarian cycle in females, oestrogens exhibit a negative feedback action on LH secretion. However, in the female, oestrogen, in addition to the negative feedback, also exhibits a positive feedback influence upon the activity and output of GnRH neurones to generate the preovulatory LH surge and subsequent ovulation (1). Despite the critical effect of oestrogen in ovulation, before 2000, the scientific community was exploring the mechanism of oestrogen action based on the assumption that the GnRH n...