Human granulosa cells from follicles of natural cycles (13 women) in mid-or late follicular phase were cultured in modified . Human luteinizing hormone (100 \g=m\g/l ),follicle-stimulating hormone (100 \g=m\g/l) and gonadotropin-releasing hormone agonist (GnRHa) (10\m=-\12 to 10\m=-\6 mol/l) alone or in combination were added to the culture medium. Medium content of progesterone was analysed. In granulosa cells obtained in the mid-follicular phase, the basal progesterone formation averaged 0.5 pg \ m=. \ cell\m=-\ 1 \ m=. \ (48 h)\m=-\ 1\ m=. \ FSH caused a 3-fold stimulation. GnRHa (10\m=-\6mol/l) had a variable influence on the basal progesterone formation, whereas it consistently inhibited (40-50%) the FSH response. In granulosa cells from late follicular phase basal progesterone formation averaged 5 pg \ m=. \ cell\m=-\\m=.\(48 h)\m=-\1 and was stimulated 3\ x =r eq-\ to 6-fold by LH. GnRHa (10\m=-\6mol/l) stimulated the basal progesterone formation and caused a tended to potentiate the LH response on progesterone formation. It is concluded that GnRHa at relatively high concentrations exerts direct effects on gonadotropin-stimulated progesterone formation of human granulosa cells and that these effects are different (inhibitory or stimulatory) dependent on the degree of follicular maturation, and/or type of gonadotropin used.Gonadotropin-releasing hormone is the natural hypothalamic decapeptide which regulates the syn¬ thesis and secretion of the gonadotropins from the pituitary gland. Synthetic GnRH as well as agonistic analogues of GnRH (GnRHa) have been used clin¬ ically for two basically different purposes: 1. Treat¬ ment of certain forms of amenorrhea, in which case the pulsatile administration of physiological doses of GnRH are used (1). 2. As new contraceptive agents, in which case administration of pharmacological doses of potent GnRHa causes inhibition of ovarian function (2). 3. Down-regulation of pitu¬ itary-ovarian function prior to hyperStimulation with exogenous gonadotropins in the course of in vitro fertilization/embryo transfer (3). These »par¬ adoxical« inhibitory effects by pharmacological GnRHa treatment are probably largely due to down-regulation of pituitary GnRH receptors, di¬ minished secretion of gonadotropins and, second¬ arily, inhibition of ovarian function. A direct inhib¬ itory effect on the ovary by GnRHa can, however, not be ruled out.In the rat, administration of GnRH at pharma¬ cological doses has been shown to have direct ef¬ fects on the ovary both in vivo and in vitro. These effects are elicited by specific high-affinity recep¬ tors in the gonad and include short-term stimula¬ tory effects on ovulation, oocyte maturation, steroidogenesis, and prostaglandin synthesis (4), as well as long-term inhibitory effects on follicular de¬ velopment, gonadotropin receptors, and steroidogenesis (5,6).A similar direct GnRH effect has been consid¬ ered for the human ovary but the experimental results, so far, are contradictory. In cultured human granulosa cells obtained from natural cycl...