Gonadorelin

Gonadorelin

Quick Facts

  • Full Name: Gonadorelin (Gonadotropin-Releasing Hormone)
  • Aliases: GnRH, LH-RH, Factrel, Lutrepulse
  • Category: Sexual Health / Fertility / Testosterone / Hormonal Health
  • Sequence: pGlu-His-Trp-Ser-Tyr-Gly-Leu-Arg-Pro-Gly-NH2 (decapeptide)
  • Molecular Weight: 1182.3 Da
  • Administration: Subcutaneous / Intranasal / Pulsatile IV (fertility)
  • Typical Dose: 100 mcg SubQ 2x/week (TRT adjunct protocol)
  • Half-Life: 2โ€“10 minutes (very short; pulsatile release is physiological)
  • Status: FDA-approved (as Factrel for diagnostic use); widely used off-label
  • WADA Status: Prohibited (S4 โ€” Hormone Modulators)

What It Does

Gonadorelin is the endogenous decapeptide that controls the entire HPG (hypothalamic-pituitary-gonadal) axis. Released in pulses from the hypothalamus, it triggers LH and FSH release from the pituitary, which drives testosterone production in the testes and ovarian function in women. In the context of TRT (testosterone replacement therapy), gonadorelin is used to maintain testicular size, volume, and endogenous testosterone production while on exogenous testosterone. It is an alternative to HCG (human chorionic gonadotropin), which has faced supply restrictions.

Mechanism of Action

  1. GnRH receptor binding: Activates GnRH receptors on pituitary gonadotrophs โ†’ LH and FSH release
  2. Pulsatile requirement: Continuous GnRH suppresses the axis (used therapeutically in prostate cancer); pulsatile delivery (2x/week SubQ) maintains gonadotropin stimulation
  3. LH-driven testosterone: LH stimulates Leydig cells in testes โ†’ intratesticular testosterone production โ†’ maintains testicular size and function
  4. FSH-driven spermatogenesis: FSH stimulates Sertoli cells โ†’ sperm production and fertility preservation
  5. Endogenous T production maintenance: Prevents testicular atrophy and complete HPTA suppression during exogenous TRT

Dosing Protocols

TRT Adjunct Protocol (HCG Alternative)

  • Dose: 100 mcg SubQ
  • Frequency: 2x per week (pulsatile; do not use daily โ€” will suppress axis)
  • Timing: Anytime; some prefer morning
  • Duration: Continuous while on TRT
  • Source: The Peptides Bible, Peptides Made Easy

Fertility Protocol

  • Dose: 25โ€“50 mcg SubQ or pulsatile IV pump
  • Frequency: Pulsatile (every 90โ€“120 minutes in fertility induction)
  • Duration: As directed for fertility cycle

Stacks Well With

  • Oxytocin – hormonal and relational well-being complement; HPG axis synergy
  • Triptorelin – sequential use in PCT (Triptorelin restart โ†’ gonadorelin maintenance)
  • Kisspeptin-10 – upstream HPG axis support
  • BPC-157 – GI and systemic healing during hormonal optimization

Use Cases

  • TRT Adjunct (testicular maintenance during testosterone therapy)
  • Fertility Preservation (men on TRT wishing to maintain sperm production)
  • Post-cycle therapy (PCT) support (usually preceded by Triptorelin)
  • Hypogonadism diagnosis (GnRH stimulation test)
  • Female Fertility (pulsatile GnRH for ovulation induction)
  • Delayed Puberty treatment

Contraindications & Safety

  • Ovarian cysts / PCOS โ€” FSH stimulation may worsen; monitor
  • Hormone-sensitive tumors โ€” HPG axis stimulation; avoid
  • Continuous dosing โ€” paradoxically suppresses axis; must use pulsatile/intermittent dosing
  • Hypersensitivity reactions โ€” rare; monitor first injection
  • Common side effects: Injection site reaction, headache; at high doses โ€” nausea, abdominal discomfort

Storage

  • Lyophilized: -20ยฐC long-term; 2โ€“8ยฐC for weeks
  • Reconstituted: 2โ€“8ยฐC for 1โ€“2 weeks; protect from light
  • Solvent: Bacteriostatic water preferred

PubMed Research

Research links will be added after PubMed search

Sources

#sexual-health #fertility #testosterone #TRT #GnRH #HPG-axis #hormonal-health #peptide #gonadorelin