HMG
Also known as: Human Menopausal Gonadotropin
A fertility medication made from hormones extracted from postmenopausal women's urine. It contains both the hormones that stimulate egg development in women and sperm production in men. Used for fertility treatment in both sexes. Some bodybuilders also use it after steroid cycles to help their natural hormone production bounce back.
HMG (Human Menopausal Gonadotropin) is a fertility medication derived from the urine of postmenopausal women that contains both follicle-stimulating hormone (FSH) and luteinizing hormone (LH). These are the two key gonadotropins — hormones produced by the pituitary gland that regulate reproductive function in both men and women. Brand names include Menopur, Pergonal, and Repronex.
In women, HMG is used as part of assisted reproduction protocols (IVF and IUI) to stimulate the ovaries to produce multiple mature follicles. The FSH component drives follicle growth while the LH component supports final maturation and estrogen production. In men, HMG stimulates the testes to produce both testosterone (via LH acting on Leydig cells) and sperm (via FSH acting on Sertoli cells). This dual stimulation makes HMG particularly valuable for treating male infertility caused by hypogonadotropic hypogonadism.
HMG has a half-life of approximately 24-30 hours (the LH component clears slightly faster than the FSH component). Standard fertility dosing is 75-150 IU intramuscularly or subcutaneously once daily, carefully monitored with ultrasound and blood work. In bodybuilding contexts, HMG is sometimes used during post-cycle therapy (PCT) at 75-150 IU every other day for 1-2 weeks to restore natural testosterone and sperm production after anabolic steroid use, often alongside HCG. The key benefit of HMG over HCG alone is the FSH component, which HCG does not provide — FSH is essential for restoring sperm production.
Dosage
75-150 IU intramuscular as directed by physician
Dosages shown are for research reference only. Always consult a qualified healthcare provider.
Administration

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Effects
Fertility Treatment
FDA-approved for ovulation induction and spermatogenesis stimulation.
Ovulation Induction
Directly stimulates ovarian follicle development for fertility treatment.
Sperm Production
Stimulates both FSH and LH pathways to restore or enhance sperm production.
Mechanism of Action
Human Menopausal Gonadotropin is a purified urinary extract containing both follicle-stimulating hormone (FSH) and luteinizing hormone (LH) activity, sourced from the urine of postmenopausal women. After menopause, the loss of ovarian negative feedback (estradiol and inhibin) results in dramatically elevated pituitary gonadotropin secretion — FSH and LH levels rise 10-20 fold, providing a natural source of these hormones for pharmaceutical extraction.
The FSH component binds to FSH receptors (FSHR) on Sertoli cells in males and granulosa cells in females. FSHR is a Gs-coupled GPCR that activates cAMP/PKA signaling, driving the expression of genes essential for gametogenesis. In males, FSH-stimulated Sertoli cells produce androgen-binding protein (which concentrates testosterone locally), inhibin B (which provides negative feedback to the pituitary), and multiple growth factors that support spermatogonial proliferation and differentiation through the stages of spermatogenesis. In females, FSH drives follicular development — stimulating granulosa cell proliferation, estradiol synthesis via aromatase induction, and the growth of ovarian follicles from the pre-antral to the pre-ovulatory stage.
The LH component acts on Leydig cells in males (stimulating testosterone production via the LHCGR/cAMP/StAR steroidogenic pathway) and on theca cells in females (stimulating androgen precursor production that granulosa cells convert to estradiol). In females undergoing fertility treatment, the LH component is also critical for final oocyte maturation and ovulation triggering. The combination of both FSH and LH activity in HMG provides more complete gonadal stimulation than either gonadotropin alone — FSH drives the cellular proliferation and maturation processes while LH provides the steroidogenic and final maturation signals. This dual activity is why HMG is sometimes preferred over purified FSH preparations in certain fertility protocols, particularly in hypogonadotropic patients who lack endogenous LH.
Regulatory Status
FDA approved for fertility (Menopur, Repronex). Prescription required. Available through fertility clinics and pharmacies.
Risks & Safety
Common
pain and bruising at the injection site, headache, bloating, tender breasts.
Serious
in women, can cause dangerous overstimulation of the ovaries (potentially life-threatening), and increases the chance of twins or higher-order multiples; in men, can cause breast tissue growth.
Rare
blood clots, twisted ovary, severe allergic reaction. Requires close monitoring with blood tests and ultrasounds during fertility treatment.
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Frequently Asked Questions
What is HMG?
A fertility medication made from hormones extracted from postmenopausal women's urine. It contains both the hormones that stimulate egg development in women and sperm production in men. Used for fertility treatment in both sexes. Some bodybuilders also use it after steroid cycles to help their natural hormone production bounce back.
What is HMG used for?
A fertility medication made from hormones extracted from postmenopausal women's urine. It contains both the hormones that stimulate egg development in women and sperm production in men. Used for fertility treatment in both sexes. Some bodybuilders also use it after steroid cycles to help their natural hormone production bounce back.
What is the dosage for HMG?
Fertility (women): 75-150 IU intramuscular once daily, physician-directed with ultrasound monitoring. PCT/bodybuilding: 75-150 IU intramuscular every other day for 1-2 weeks, often alongside HCG.
What are the side effects of HMG?
Common: pain and bruising at the injection site, headache, bloating, tender breasts. Serious: in women, can cause dangerous overstimulation of the ovaries (potentially life-threatening), and increases the chance of twins or higher-order multiples; in men, can cause breast tissue growth. Rare: blood clots, twisted ovary, severe allergic reaction. Requires close monitoring with blood tests and ultrasounds during fertility treatment.
How does HMG work?
Human Menopausal Gonadotropin is a purified urinary extract containing both follicle-stimulating hormone (FSH) and luteinizing hormone (LH) activity, sourced from the urine of postmenopausal women. After menopause, the loss of ovarian negative feedback (estradiol and inhibin) results in dramatically elevated pituitary gonadotropin secretion — FSH and LH levels rise 10-20 fold, providing a natural source of these hormones for pharmaceutical extraction. The FSH component binds to FSH receptors (FSHR) on Sertoli cells in males and granulosa cells in females. FSHR is a Gs-coupled GPCR that activates cAMP/PKA signaling, driving the expression of genes essential for gametogenesis. In males, FSH-stimulated Sertoli cells produce androgen-binding protein (which concentrates testosterone locally), inhibin B (which provides negative feedback to the pituitary), and multiple growth factors that support spermatogonial proliferation and differentiation through the stages of spermatogenesis. In females, FSH drives follicular development — stimulating granulosa cell proliferation, estradiol synthesis via aromatase induction, and the growth of ovarian follicles from the pre-antral to the pre-ovulatory stage. The LH component acts on Leydig cells in males (stimulating testosterone production via the LHCGR/cAMP/StAR steroidogenic pathway) and on theca cells in females (stimulating androgen precursor production that granulosa cells convert to estradiol). In females undergoing fertility treatment, the LH component is also critical for final oocyte maturation and ovulation triggering. The combination of both FSH and LH activity in HMG provides more complete gonadal stimulation than either gonadotropin alone — FSH drives the cellular proliferation and maturation processes while LH provides the steroidogenic and final maturation signals. This dual activity is why HMG is sometimes preferred over purified FSH preparations in certain fertility protocols, particularly in hypogonadotropic patients who lack endogenous LH.
How is HMG administered?
HMG is administered via intramuscular or subcutaneous injection.
What is the half-life of HMG?
The half-life of HMG is FSH component: 30 hours | LH component: 24 hours.
Is HMG legal?
FDA approved for fertility (Menopur, Repronex). Prescription required. Available through fertility clinics and pharmacies.
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