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Effects of Human Menopausal Gonadotropin: Clinical Introduction

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Effects of Human Menopausal Gonadotropin: Clinical Introduction

  Urinary gonadotropin is extracted from the urine of menopausal women, which contains two hormones, FSH and LH, in a ratio of about 1:1. It mainly has the function of follicle-stimulating hormone (FSH) and the biological activity of luteinizing hormone (LH). Most patients with ovulation disorders have FSH and LH lower than normal, and there is a close correlation between FSH and LH. When the ratio is too low or the ratio is abnormal, it will cause abnormal follicle development and ovulation disorders. FSH has the functions of regulating the dominant follicle, recruiting, developing and atresia of the non-dominant follicle; LH plays an important role in the follicle development, egg maturation and ovulation process. The use of LH-containing gonadotropin to induce ovulation can reduce the formation of small follicles. Atresia, stimulate the development and function of large follicles, improve the properties of cervical mucus and the shape of the endometrium, and improve the pregnancy rate. For women, it can promote the development and maturation of follicles, promote the secretion of estrogen from the follicles, and make the endometrium hyperplasia. When the pituitary gland is insufficiency or the response of the follicles to gonadotropins changes, it can be used in combination with chorionic gonadotropin to promote ovulation. ; For males, it can promote the development of the seminiferous tubules in the testis, and promote the division of spermatogenic cells and sperm maturation. Long-term application does not produce antibodies and no allergic reactions. It is mainly used in combination with chorionic gonadotropin (HCG) or clomiphene to treat anovulatory infertility. It is suitable for patients with hypothalamic and pituitary dysfunction or hypogonadotropic hypogonadism to stimulate follicle maturation. In medical assisted reproductive technology (ART), it is used to stimulate the maturation of multiple follicles. Men are used for azoospermic or oligospermic patients with primary or secondary hypogonadotropic hypogonadism to stimulate sperm production.

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