If fertility is desired, pulsatile GnRH therapy or gonadotropin therapy is necessary. At puberty, gonadotropin-releasing hormone (GnRH) is secreted in a pulsatile manner from the hypothalamus. GnRH secretion is pulsatile in all vertebrates, and is necessary for correct reproductive function. They are released by pulsatile secretion. He never complained of headaches, transient visual obscurations, diplopia, pulsatile tinnitus or other visual changes. It is a dimensionless expression of the pulsatile flow frequency in relation to viscous effects. It can be used for pulsatile blood flow imaging. This is called pulsatile tinnitus, and it can indicate several medical disorders. It was previously known as pulsatile or pulsating vacuole. Induction of fertility must also be done through pulsatile GnRH. On physical examination, a palpable and pulsatile abdominal mass can be noted. Zhang suggests that this pulsatile brain activation is the inducer of each dream. This approach involves a return to a pulsatile flow. Abdominal pain, shock, and a pulsatile mass is only present in a minority of cases. Continuous-flow VADs are smaller and have proven to be more durable than pulsatile VADs.