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Also known as: HMG, Human Menopausal Gonadotropin
Human menopausal gonadotropin (menotropin) is a purified preparation of the pituitary gonadotropins FSH and LH, historically extracted from the urine of postmenopausal women. It is used clinically to stimulate gametogenesis and gonadal steroid production in fertility settings.
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HMG delivers roughly equal bioactivity of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). FSH binds Sertoli-cell and granulosa-cell FSH receptors to drive spermatogenesis and follicular maturation, while the LH component activates Leydig-cell and theca-cell LH receptors to stimulate testosterone and androstenedione synthesis. By providing both signals, HMG reproduces the downstream output of the hypothalamic-pituitary-gonadal axis, supporting follicle recruitment in women and intratesticular testosterone with sperm production in men.