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HIRSUITISM The overabundance of body hair, such as a mustache or pubic hair growing upward toward the navel, found in women with excess androgens.

HOSTILE MUCUS Cervical mucus that impedes the natural progress of sperm through the cervical canal. HUMAN

CHORIONIC GONADOTROPIN (HCG) The hormone produced in early pregnancy which keeps the corpus luteum producing progesterone. Also used via injection (Profasi) to trigger ovulation after some fertility treatments, and used in men to stimulate testosterone production.

HUMAN MENOPAUSAL GONADOTRIPIN (HMG MENOGON) A combination of hormones FSH and LH, which is extracted from the urine of postmenopausal women. Used to induce ovulation in several fertility treatments.

HUMEGON (HMG) Similar to Menogon: the lutenizing and follicle stimulating hormones recovered from the urine of postmenopausal women. Used to stimulate multiple ovulation in some fertility treatments.

HYPERPROLACTINAEMIA A condition in which the pituitary gland secretes too much prolactin. Prolactin can suppress LH and FSH production, reduce male sex drive, and directly suppress ovarian function.

HYPERSTIMULATION (OVARIAN HYPERSTIMULATION SYNDROME OHSS) A potentially life threatening side effect of Menogon, Humegon or Puregon ovulation induction. A woman's ovaries become enlarged and produce an over abundance of eggs. Blood hormone levels rise, fluid may collect in the lungs or abdominal cavity, and ovarian cyst may rupture, causing internal bleeding. Blood clots sometimes develop. Symptoms include sudden weight gain and abdominal pain. Cycles stimulated with these drugs must be carefully monitored with ultrasound scans. OHSS may be prevented by withholding the hCG injection when ultrasound monitoring indicates that too many follicles have matured.

HYPERTHYROIDISM Over production of thyroid hormone by the thyroid gland. The resulting increased metabolism "burns up" estrogen too rapidly and interferes with ovulation.

HYPOESTROGENIC Having lower than normal levels of estrogen.

HYPOGONADOTROPIC HYPOPITUITARISM A spectrum of diseases resulting in low pituitary gland output of LH and FSH. Men with this disorder have low sperm counts and may lose their virility; women do not ovulate and may lose their secondary sex characteristics.

HYPOSPERMATOGENESIS Low sperm production.

HYPOTHALAMUS A part of the brain, the hormonal regulation center, located adjacent to and above the pituitary gland. In both the man and the woman this tissue secretes GnRH every ninety minutes or so. The pulsatile GnRH enables the pituitary gland to secrete LH and FSH, which stimulate the gonads. See also FSH; LH; Ovary; Pituitary Gland; Testicle.

HYPOTHYROIDISM A condition in which the thyroid gland produces an insufficient amount of thyroid hormone. The resulting lowered metabolism interferes with the normal breakdown of 'old' hormones and causes lethargy. Men will suffer from a lower sex drive and elevated prolactin (see Hyperprolactinemia), and women will suffer from elevated prolactin and estrogen, both of which will interfere with fertility.

HYSTEROSALPINGOGRAM (HSG) An x-ray of the pelvic organs in which a radio-opaque dye is injected through the cervix into the uterus and fallopian tubes. This test checks for malformations of the uterus and blockage of the fallopian tubes.

HYSTEROSCOPY A procedure in which the doctor checks for uterine abnormalities by inserting a fibreoptic device. Minor surgical repairs can be executed during the procedure.