Hypogonadotropic Hypogonadism — Pulsatile GnRH in Anovulatory Infertility
Citation(s)
Coetzee EJ, Jackson WP Oral hypoglycaemics in the first trimester and fetal outcome. S Afr Med J. 1984 Apr 21;65(16):635-7.
Coetzee EJ, Jackson WP Pregnancy in established non-insulin-dependent diabetics. A five-and-a-half year study at Groote Schuur Hospital. S Afr Med J. 1980 Nov 15;58(20):795-802.
Hall JE, Martin KA, Whitney HA, Landy H, Crowley WF Jr Potential for fertility with replacement of hypothalamic gonadotropin-releasing hormone in long term female survivors of cranial tumors. J Clin Endocrinol Metab. 1994 Oct;79(4):1166-72.
Lavoie HB, Martin KA, Taylor E, Crowley WF, Hall JE Exaggerated free alpha-subunit levels during pulsatile gonadotropin-releasing hormone replacement in women with idiopathic hypogonadotropic hypogonadism. J Clin Endocrinol Metab. 1998 Jan;83(1):241-7.
Martin KA, Hall JE, Adams JM, Crowley WF Jr Comparison of exogenous gonadotropins and pulsatile gonadotropin-releasing hormone for induction of ovulation in hypogonadotropic amenorrhea. J Clin Endocrinol Metab. 1993 Jul;77(1):125-9.
Nestler JE, Jakubowicz DJ, Evans WS, Pasquali R Effects of metformin on spontaneous and clomiphene-induced ovulation in the polycystic ovary syndrome. N Engl J Med. 1998 Jun 25;338(26):1876-80.
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