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This entry refers to the comparative use of **follitropin alfa** (recombinant human follicle-stimulating hormone, rFSH) and **urofollitropin** (highly purified urinary follicle-stimulating hormone, HP-FSH) in controlled ovarian stimulation. Follitropin alfa is produced using recombinant DNA technology in Chinese Hamster Ovary (CHO) cells, while urofollitropin is extracted and purified from the urine of postmenopausal women. Both agents act as agonists at the follicle-stimulating hormone receptor (FSHR), mimicking endogenous FSH to stimulate the recruitment and development of multiple ovarian follicles. This specific comparison was evaluated by the **Genesis Center for Fertility & Human Pre-Implantation Genetics** in patients with **polycystic ovary syndrome (PCOS)** undergoing in vitro fertilization (IVF) to assess differences in ovarian response, pregnancy rates, and miscarriage rates between the recombinant and urinary-derived formulations.
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