Hormones & Neuromodulators
CAS
33515-09-2
Molecular Weight
1182
Da
A synthetic decapeptide identical to endogenous GnRH, with decades of FDA-approved clinical evidence for pituitary-function testing and ovulation induction. Its defining property is that pulsatile delivery stimulates the reproductive axis while continuous exposure suppresses it. Score reflects these established indications, not the popular off-label TRT-adjunct use.
IV · Injectable · Pump
Intranasal Suitable
No
Prescription
Community signal is concentrated almost entirely in TRT and male-hormone circles, where Gonadorelin is discussed primarily as an HCG substitute for maintaining testicular size and function during testosterone therapy. Much of its current visibility comes from supply dynamics rather than first-principles preference: as HCG access tightened, many telehealth clinics shifted patients to compounded Gonadorelin, and the community conversation reflects that shift. The most important signal-versus-evidence gap to flag is dosing pattern: the strong clinical evidence behind Gonadorelin comes from pulsatile pump delivery every ~90 minutes, whereas real-world TRT use is typically twice-weekly subcutaneous injection, and a meaningful share of experienced users report that this infrequent dosing underdelivers compared to HCG, with mixed subjective results. Cost is a recurring counterpoint (Gonadorelin generally runs cheaper than HCG). Informed users tend to understand that the compound's well-established fertility data comes from a clinical population and dosing schedule quite different from the TRT-adjunct context where they are using it.
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A synthetic version of gonadotropin-releasing hormone (GnRH), the natural hypothalamic hormone that signals the pituitary to release LH and FSH. FDA-approved for diagnostic pituitary-function testing (the GnRH stimulation test) and for inducing ovulation in women with hypothalamic amenorrhea. Its defining pharmacology was established by Belchetz and Knobil in 1978: delivered in physiological pulses it stimulates gonadotropin release, while continuous exposure downregulates the receptor and suppresses the axis.
Binds GnRH receptors on the anterior pituitary. Delivered in pulses (typically via infusion pump every 90 minutes), it drives sustained LH/FSH release; continuous, non-pulsatile exposure instead downregulates the receptor, the same property exploited by long-acting GnRH agonists used therapeutically to suppress the reproductive axis in conditions like prostate cancer and endometriosis. Very short half-life (2–4 minutes) means delivery pattern, not just dose, determines the effect.
FDA-approved for the GnRH stimulation test (pituitary diagnostics) and ovulation induction in hypothalamic amenorrhea. Established clinical use also includes pulsatile pump therapy for congenital hypogonadotropic hypogonadism (CHH), restoring fertility and spermatogenesis in men and inducing ovulation in women, with pregnancy rates comparable to gonadotropin therapy and lower multiple-pregnancy risk. The community-prominent, less-evidenced use is as a TRT-adjunct to preserve testicular function during testosterone replacement.
Decades of clinical use support an established safety profile in approved indications. The very short half-life requires frequent or pump-based dosing for therapeutic effect. The TRT-adjunct application rests on a mechanistically distinct rationale, stimulating a pituitary that is actively suppressed by exogenous testosterone, rather than one that is intact but unstimulated as in CHH, and carries thinner direct evidence than the approved-use literature. As a compounded product for off-label use, sourcing and preparation quality vary.
FDA-approved formulations use IV bolus (diagnostic test) or pulsatile subcutaneous infusion pump (fertility/CHH treatment, typically every 90 minutes). Community TRT-adjunct use is typically subcutaneous injection two to three times weekly — a markedly different delivery pattern from the pulsatile-pump evidence base.
Gonadorelin has established FDA-approved uses for HPG-axis evaluation and ovulation induction, giving it a more defined regulatory standing than most peptides in this catalog. It is available through licensed compounding pharmacies by prescription, which is the route for its off-label TRT-adjunct use.
https://pubmed.ncbi.nlm.nih.gov/100883/
https://pubmed.ncbi.nlm.nih.gov/24037890/
https://pubmed.ncbi.nlm.nih.gov/30569789/
https://pubmed.ncbi.nlm.nih.gov/2248500/
Kisspeptin-10, Sermorelin
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