Follicle-stimulating hormone (FSH) has been considered essential for n
ormal ovarian follicular development and spermatogenesis. Although thi
s concept remains valid, the recent reports of defects in genes encodi
ng FSH and its receptor (FSHR) have altered the concepts, particularly
with regard to the role of FSH in spermatogenesis, Complete FSH resis
tance caused by a mutation of the FSHR gene has demonstrated that norm
al FSH action is an absolute requirement for female fertility, but spe
rmatogenesis and male fertility are possible without FSH action, Thus,
while normal ovarian function is critically dependent on normal FSH a
ction, male fertility is relatively independent of this hormone. The f
inding contradicts the potential of inhibition of FSH secretion or act
ion as a means of male contraception.