DOSE VARIES FROM PATIENTS TO PATIENTS CLOSE MONITORING IS ESSENTIAL BY URINARY ESTROGEN EXCRETION AND BY ULTRASONIC VISUALIZATION OF OF FOLLICLES. THE INJ MAY BE GIVEN DAILY BY I.M. ROUTE TO PROVIDE A DOSE OF 75-150 UNITS OF FSH AND GRADUALLY ADJUST IF NECESSARY UNTIL AN ADEQUATE RESPONSE IS ACHIEVED.TT IS THEN STOPED AND FOLLOWED AFTER 1-2 DAYS BY A SINGLE INJ OF CHORIONIC GONADOTROPHIN 5000-10,000 UNITS. IN MENSTRUATING PATIENTS THE TT SHOULD BE STARTED WITHIN THE FIRST 7 DAYS OF THE CYCLE.
IN MEN WITH HYPOGONADOTROPHIC HYPOGONADISM, SPERMATOGENESIS IS STIMULATED WITH CHORIONIC GONADOTROPHIN AND THEN HUMAN MENOPAUSAL GONADOTROPHINS ARE ADDED IN A DOSE OF 75-150 UNITS OF FSH 2-3 TIMES WEEKLY. TT SHOULD BE CONTINUED FOR ATLEAST 3-4 MONTHS.