HMG (Human Menopausal Gonadotropin)
Purified urinary gonadotropin preparation (menotropin) containing FSH and LH activity; an established agent in fertility treatment.
Overview
Human menopausal gonadotropin (HMG), also known as menotropin, is a gonadotropin preparation purified from the urine of postmenopausal women that contains both follicle-stimulating hormone (FSH) and luteinizing hormone (LH) activity. It has been used in reproductive medicine for decades to stimulate ovarian follicle development and, in men, to support spermatogenesis in hypogonadotropic hypogonadism. Pharmaceutical HMG is typically presented in vials standardized to 75 IU of FSH activity with 75 IU of LH activity.
Mechanism
HMG provides exogenous gonadotropins that act directly on the gonads, bypassing pituitary control. FSH drives ovarian follicle growth and, in men, supports Sertoli-cell function and early spermatogenesis, while LH (or the LH-like activity in HMG) stimulates steroidogenesis, which in men is completed by co-administered hCG.
Dosing
Clinical regimens are indication-specific and defined by fertility protocols and product labeling, with daily intramuscular or subcutaneous injections during controlled ovarian stimulation. Research or self-directed use should not rely on vendor listings; dosing belongs to licensed clinical practice.
Expected Effects
- multiple follicle development in controlled ovarian stimulation
- ovulation induction in anovulatory women as part of treatment protocols
- stimulation of spermatogenesis in hypogonadotropic men when combined with hCG
Side Effects & Tolerability
Documented risks include ovarian hyperstimulation syndrome, multiple pregnancy, injection-site reactions, and, rarely, allergic responses. As a urinary-derived biologic, pharmaceutical HMG is manufactured under regulated quality controls; unregulated sources carry additional risks.
Storage
Pharmaceutical HMG is supplied as lyophilized powder with diluent and stored per the label, typically refrigerated, with reconstituted solutions used within the stated period.