§ 01 Overview
Overview
Synthetic gonadotropin-releasing hormone (decapeptide). Historically FDA-approved for HPG-axis testing and pulsatile ovulation induction. Today compounded off-label as an HCG alternative in TRT / post-cycle protocols.
Factrel (NDA 018123) approved 1978 for diagnostic HPG testing; marketing discontinued. Lutrepulse approved for pulsatile ovulation induction; no longer marketed. Currently compounded.
§ 02 Mechanism
Mechanism of action
Gonadorelin is identical to native GnRH. Pulsatile administration (every 90–120 min) activates pituitary GnRH receptors to release LH and FSH, driving endogenous testosterone or ovulation. Continuous dosing paradoxically downregulates GnRH receptors (the principle behind GnRH-agonist cancer therapy).
- 01Stimulates endogenous testosterone via LH release
- 02Preserves testicular function during TRT
- 03Historical gold-standard for HPG-axis diagnostic testing
§ 03 Dosing
Dosing protocol
Standard Protocol
- Vial
- 10 mg
- BAC Water
- 2 ml BAC water
- Dose Range
- 100 – 300 mcg per injection
- Starting Dose
- 100 mcg 2–3× weekly (TRT adjunct)
- Route
- SubQ
- Frequency
- 2–3× weekly (TRT adjunct) or every 90 min (pulsatile, fertility)
- Cycle
- Continuous with TRT or during fertility cycle
Storage
Refrigerate reconstituted; stable ~30 days at 4°C.
§ 04 Evidence
Evidence & research
Factrel (NDA 018123) approved 1978 for diagnostic HPG testing; marketing discontinued. Lutrepulse approved for pulsatile ovulation induction; no longer marketed. Currently compounded.
FDA Status
Historically FDA-approved; brand products discontinued. Available via compounding.
§ 05 Stacks
Common stacks
§ 06 News
In the news
8 articles from the last 12 months · updates hourly
Dual GnRH agonist and low-dose hCG trigger improves outcomes in high responders - Bioengineer.org
Dual GnRH agonist and low-dose hCG trigger improves outcomes in high responders Bioengineer.org
Choosing Between Newer GnRH Antagonist Therapies for Endometriosis - Patient Care Online
Choosing Between Newer GnRH Antagonist Therapies for Endometriosis Patient Care Online
Comparing GnRH Agonists and Antagonists for Endometriosis Pain - Patient Care Online
Comparing GnRH Agonists and Antagonists for Endometriosis Pain Patient Care Online
Do Platelets Explain Why GnRH Antagonists Are Potentially Safer From a Cardiovascular Perspective? - JACC Journals
Do Platelets Explain Why GnRH Antagonists Are Potentially Safer From a Cardiovascular Perspective? JACC Journals
Preliminary Embryological and Implantation Outcomes of Progesterone Versus GnRH Antagonist for LH Suppression in IVF Cycles - EMJ
Preliminary Embryological and Implantation Outcomes of Progesterone Versus GnRH Antagonist for LH Suppression in IVF Cycles EMJ
GnRH Antagonists Improve Outcomes in Unexplained Infertility During COS: Study - Medical Dialogues
GnRH Antagonists Improve Outcomes in Unexplained Infertility During COS: Study Medical Dialogues
GnRH Agonists Improve Estrogen-Based Gender-Affirming Hormone Therapy - endocrinologyadvisor.com
GnRH Agonists Improve Estrogen-Based Gender-Affirming Hormone Therapy endocrinologyadvisor.com
Triptorelin: GnRH Agonist With Flexible Dosing for Prostate Cancer - Pharmacy Times
Triptorelin: GnRH Agonist With Flexible Dosing for Prostate Cancer Pharmacy Times
§ 07 Sourcing
Sourcing & supply
Regulatory status
Compoundable via 503A/503B
This compound has a 503A/503B compounding pathway. State-licensed compounding pharmacies can prepare it with a valid prescription.
No suppliers in our directory currently stock this compound. For investigational or research-only compounds, legitimate channels may not exist outside clinical trials.
Browse full supplier directory§ 09 Safety
Safety & side effects
Side effects
- 01Injection site reactions
- 02Headache
- 03Flushing
- 04Potential anaphylaxis (rare)
Contraindications
- 01Pituitary adenoma
- 02Pregnancy
§ 10 Questions
Gonadorelin FAQ
- What is Gonadorelin?
- Synthetic gonadotropin-releasing hormone (decapeptide). Historically FDA-approved for HPG-axis testing and pulsatile ovulation induction. Today compounded off-label as an HCG alternative in TRT / post-cycle protocols. Gonadorelin is identical to native GnRH. Pulsatile administration (every 90–120 min) activates pituitary GnRH receptors to release LH and FSH, driving endogenous testosterone or ovulation. Continuous dosing paradoxically downregulates GnRH receptors (the principle behind GnRH-agonist cancer therapy).
- What is Gonadorelin used for?
- Reported uses include stimulates endogenous testosterone via lh release, preserves testicular function during trt, and historical gold-standard for hpg-axis diagnostic testing. Evidence strength is rated Established — see the evidence section for detail.
- How is Gonadorelin dosed?
- Commonly referenced dosing is 100 – 300 mcg per injection, typically 2–3× weekly (trt adjunct) or every 90 min (pulsatile, fertility), administered SubQ. This is educational reference only; consult a licensed clinician before use.
- How do you reconstitute Gonadorelin?
- For Gonadorelin, vials commonly come in 10 mg and a common reconstitution is 2 ml BAC water. Use the reconstitution calculator to convert any vial size and water volume into exact insulin-syringe units.
- What are the side effects of Gonadorelin?
- Commonly reported side effects include injection site reactions, headache, flushing, and potential anaphylaxis (rare). This list is not exhaustive.
- Is Gonadorelin legal?
- This compound has a 503A/503B compounding pathway. State-licensed compounding pharmacies can prepare it with a valid prescription. FDA status: Historically FDA-approved; brand products discontinued. Available via compounding..