Pituitary glycoproteins LH and FSH control gonadal physiology, Modern
techniques of molecular biology have allowed the synthesis of human re
combinant hormones (rec). In particular rec-FSH is now available for c
linical use. This pure preparation of FSH, is available in unlimited q
uantity. The pharmacokinetics of the rec-hormone is identical to its n
atural counterpart. The use of rec-FSH in hypophysectomized women has
allowed the reconfirmation of the << Two-cell - Two gonadotropins >> t
heory. Indeed rec-FSH induces follicular growth without rise in Estrad
iol secretion. Clinical applications of rec-FSH and LH include ovarian
stimulation, as well as, induction of spermatogenesis in men with hyp
ogonadotrophic hypogonadism. Overall, these pure gonadotropins have th
e critical advantage of purity, reproducibility and in addition they a
llow easy modulation of the FSH/LH ratio.