LH vs FSH: Understanding the Difference Between Luteinizing Hormone and Follicle-Stimulating Hormone

Nov 10, 2022

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LH FSH

Hormones play pivotal roles in human reproduction, development and endocrine health. Two of the most important gonadotropins are luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Though they are often mentioned together, LH and FSH have distinct roles, secretion patterns and clinical implications. This article provides a clear, detailed comparison of LH and FSH-covering what each hormone does, how they differ, when they are measured, and what abnormal levels might indicate.

 

What Are LH and FSH?

Both LH and FSH are glycoprotein hormones secreted by the anterior pituitary gland (gonadotroph cells) under the control of gonadotropin-releasing hormone (GnRH) from the hypothalamus.

FSH (Follicle-Stimulating Hormone): In females, FSH stimulates the growth and maturation of ovarian follicles; in males, FSH supports Sertoli cells and spermatogenesis. 

LH (Luteinizing Hormone): In females, LH triggers ovulation and supports corpus luteum formation; in males, LH stimulates Leydig cells to produce testosterone. 

 

Core Functional Differences

Here is a direct comparison of LH vs FSH:

Feature FSH LH
Primary target organ(s) Ovarian follicles (females) / Sertoli cells in testes (males)  Corpus luteum & ovarian theca cells (females) / Leydig cells in testes (males) 
Main physiological function Follicle growth, egg maturation, spermatogenesis support Ovulation trigger, androgen/testosterone production 
Feedback & regulation Modulated by inhibin, estrogen/progesterone, GnRH pulse frequency Regulated by sex steroids, GnRH pulses; displays surge before ovulation in females
Clinical measurement roles Evaluating ovarian reserve, fertility potential, testicular function

Evaluating ovulatory function, testosterone status, endocrine disorders

 

How and When They Are Measured

Blood tests for FSH and LH are commonly used in assessing fertility, menstrual irregularities, puberty timing, and testicular/ovarian function. 

For example, elevated FSH may suggest reduced ovarian reserve (in women) or testicular failure (in men).

In women, an LH surge indicates imminent ovulation; measuring FSH and LH together helps determine menstrual cycle status. 

 

Why the Difference Matters Clinically

Understanding the differences between LH and FSH is important because:

They aid in diagnosing reproductive disorders (e.g., Polycystic Ovary Syndrome (PCOS), hypogonadism, infertility). For instance, in PCOS women LH levels tend to be elevated relative to FSH. 

They guide treatment decisions in assisted reproduction, hormonal therapy, and endocrine evaluations. 

They provide insight into underlying endocrine axis function (the hypothalamic-pituitary-gonadal axis). 

 

Summary of Key Takeaways

FSH and LH are both crucial gonadotropins-but each has a distinct function: FSH → follicle/spermatogenesis; LH → ovulation/testosterone.

The ratio and absolute levels of these hormones can reflect health, fertility and endocrine status.

For your website's audience (medical device buyers, healthcare professionals, distributors), presenting this information enhances credibility and authority in the endocrine/medical products domain (e.g., if you supply hormonal assay equipment or related diagnostics).

Ensure you include that this information is for educational purposes only and not a substitute for professional medical advice.