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Human Reproduction, Vol. 15, No. 11, 2258-2265, November 2000
© 2000 European Society of Human Reproduction and Embryology

The role of LH in ovarian stimulation

Exogenous LH: let's design the future

Delphine P. Lévy1, José M. Navarro1, Glenn L. Schattman1,2, Owen K. Davis1 and Zev Rosenwaks1

1 The Center For Reproductive Medicine and Infertility, Weill Medical College of Cornell University, New York, USA

Historically, follicular stimulation protocols have included both FSH and LH in an attempt to mimic the physiology of normal human folliculogenesis. However, many recent gonadotrophin administration regimens have completely eliminated LH bioactivity. The importance and the amount of LH necessary for optimal follicular stimulation has been a topic of debate. Several recent studies have added to our understanding of the actions of androgens, oestrogens, gonadotrophins, and insulin on the follicle–oocyte unit, allowing a less speculative approach. Moreover, the availability of human gonadotrophins synthesized by recombinant DNA technology and gonadotrophin-releasing hormone (GnRH) antagonists, should soon permit a precise in-vivo assessment and re-evaluation of the historical 2-cell, two-gonadotrophin hypothesis. These pharmacological tools may also provide essential insights into the physiological roles of FSH and LH in human follicular development and oocyte maturation. The recombinant gonadotrophins give clinicians the unique opportunity to tailor ovarian stimulation regimens according to the patient's medical history, in an effort both to maximize oocyte yield and to improve oocyte quality.

Key words: folliculogenesis/IVF/LH/ovarian stimulation

This debate was previously published on Webtrack, July 27, 2000

2 To whom correspondence should be addressed at: The Center For Reproductive Medicine and Infertility, Weill Medical College of Cornell University, New York, New York, USA. E-mail: glschatt{at}mail.med.cornell.edu


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