Fertility regulation

The treatment of infertility in either sex is a highly specialised business, requiring a detailed understanding of reproductive physiology and analysis of the cause.

Depending on the cause, the following agents, already described, are used:

For women: to procure ovulation

• Hypothalamic hormone: gonadorelin (p. 711)

• Anterior pituitary hormones: follicle stimulating hormone (p. 711); chorionic gonadotrophin

• Bromocriptine for hyperprolactinaemia (p. 711).

For men: to enhance spermatogenesis: the same agents as for ovulation are used; androgens are not useful unless there is hypogonadism.

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