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Correspondence
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Volume 343:1197-1198 October 19, 2000 Number 16
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Effect of Follicle-Stimulating Hormone on Ovarian Androgen Production in a Woman with Isolated Follicle-Stimulating Hormone Deficiency

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To the Editor: The pituitary gonadotropins luteinizing hormone and follicle-stimulating hormone regulate the ovarian production of sex steroids. According to the two-cell–two-gonadotropin theory, luteinizing hormone stimulates thecal cells to produce androgens, and follicle-stimulating hormone stimulates granulosa cells to produce estrogens from androgens. Follicle-stimulating hormone is thought to have little effect on thecal-cell androgen production.1 We investigated these concepts by studying the effect of gonadotropins on ovarian steroid secretion in a woman with isolated follicle-stimulating hormone deficiency due to compound heterozygous mutations of the gene for the ß-subunit of follicle-stimulating hormone.

The patient had initially presented at the age of 16 . . . [Full Text of this Article]

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