N. Gleicher et V. Karande, Generic human menopausal gonadotropin (hMG) in place of more costly follicle-stimulating hormone (FSH) for routine ovulation induction, J AS REPROD, 17(9), 2000, pp. 489-495
A large part of infertility treatment involves the use of exogenous gonadot
ropins. The last decade has seen a progressive switch from human menopausal
gonadotropin (hMG), the original gonadotropin product, to progressively mo
re costly products, primarily or exclusively containing follicle-stimulatin
g hormone (FSH). Though obviously at least in part driven by marketing effo
rts of pharmaceutical companies, this switch has received relatively little
scrutiny despite its obvious cost implications We therefore investigated w
hether a switch back to a generic or less costly hMG-driven ovulation induc
tion protocol would affect patient outcome after ovulation induction and, b
y implications, with other assisted reproductive technologies.