Hormonal & EndocrineApproved (US)

Gonadorelin

Factrel · GnRH

Gonadorelin activates GnRHR on gonadotroph cells in the anterior pituitary. Pulses stimulate secretion of FSH and LH, supporting sperm formation and testosterone within the testes. During TRT, this mechanism is intended to counter hypogonadism without relying on HCG.

Not medical advice. Educational reference only.

Typical dose
100 mcg subcutaneously, 2–3 times weekly as a TRT adjunct
Route
Subcutaneous injection
Storage
Keep at 2–8°C after mixing and use within 28 days.

What is Gonadorelin?

Gonadorelin reproduces GnRH, the hypothalamic hormone composed of 10 amino acids. FDA-approved diagnostic applications assess pituitary and gonadal function and hypogonadotropic hypogonadism. Use alongside testosterone replacement therapy aims to preserve fertility, testicular size and internal testosterone production by limiting suppression of the HPG axis. Compounded preparations are available by prescription.

Mechanism of action

Gonadorelin activates GnRHR on gonadotroph cells in the anterior pituitary. Pulses stimulate secretion of FSH and LH, supporting sperm formation and testosterone within the testes. During TRT, this mechanism is intended to counter hypogonadism without relying on HCG.

Targets: GnRH receptor (GnRHR) · Pituitary gonadotrophs

Research indications

  • Hormonal Regulation

    Most effective

    Direct endocrine activity produces effects on hormone regulation that are well characterized.

  • Reproductive Health

    Effective

    Fertility investigations and reproductive medicine are areas of research and clinical application.

  • Metabolic Support

    Moderate

    Hormonal signaling may produce secondary effects on metabolic function.

Interactions

  • Medications

    Caution

    Consult your prescriber before combining this compound with any medication.

  • BPC-157

    Compatible
  • NAD+

    Compatible
  • Vitamin D

    Compatible

How to reconstitute and inject

Diluent: Use bacteriostatic water only; avoid saline because precipitation can occur.

  1. Let the refrigerated vial warm to room temperature for 15–20 minutes before preparing it.
  2. Disinfect the stopper using an alcohol swab, then wait until the surface has dried fully in the air.
  3. Use a sterile syringe to measure your calculated amount of bacteriostatic water. Use this diluent only; avoid saline because precipitation may occur.
  4. Introduce the water gradually against the inner glass wall. Keep the stream away from the peptide powder itself.
  5. Rotate the vial gently to mix its contents. Do not shake forcefully, because vigorous agitation can degrade the peptide.
  6. Wait 2–3 minutes for the powder to dissolve completely. Check that the liquid is transparent and has no color.
  7. Measure your calculated dose with an insulin syringe in preparation for administration beneath the skin.
  8. Use the abdomen, thigh or upper arm for subcutaneous administration. Change the injection location each time to help prevent lipodystrophy.
  9. Return the mixed vial to refrigeration at 2–8°C. Use the prepared solution within 28 days of mixing.

What to expect

Week 1–2
Early effects may accompany an adjustment period. Watch for any unwanted reaction as you adapt.
Week 2–4
The principal effects may begin emerging. Follow your clinician’s recommendations for any change in dose.
Week 4–8
Main effects are expected to be apparent at this stage. Review your progress together with your clinician.
Week 8+
Review the outcome with your clinician and decide whether to continue, take a cycle break or adjust the dose. These timings do not establish effectiveness for every compound.

Side effects and safety

  • Bruising, redness or mild soreness where the injection is given
  • Possible allergic response; stop use if you develop hives or a rash
  • Variable individual response; begin with the lowest dose and watch closely for reactions
  • Discuss use with your clinician beforehand and report symptoms that are unusual for you

Gonadorelin: approved in the US.

Regulatory status

  • US

    Approved

    FDA — approved diagnostic uses assess hypogonadotropic hypogonadism and pituitary-gonadal function; prescription compounding is available.

    Rx required
    Yes
    503A
    Allowed
    Telehealth
    Available

Frequently asked questions

What is Gonadorelin?

Gonadorelin reproduces GnRH, the hypothalamic hormone composed of 10 amino acids. FDA-approved diagnostic applications assess pituitary and gonadal function and hypogonadotropic hypogonadism. Use alongside testosterone replacement therapy aims to preserve fertility, testicular size and internal testosterone production by limiting suppression of the HPG axis. Compounded preparations are available by prescription.

Which applications are being investigated?

Investigations focus on hormonal regulation, reproductive health, metabolic support. The indication ratings summarize proposed applications and do not establish a study design or an approved treatment. Discuss any intended use with a qualified clinician.

Which dosing schedules are discussed?

A TRT adjunct schedule uses 100 mcg subcutaneously 2–3 times weekly. Its approximate half-life ranges from 2–10 minutes. Community protocols also name a low starting amount and later titration without stating a numeric dose. Frequency and administration route depend on the protocol. These schedules require individual clinical guidance.

What should I know about adverse effects?

Adverse reactions can differ with the amount administered, the route and individual sensitivity. Human studies do not fully characterize the compound-specific adverse-effect profile. Watch for local injection reactions and possible allergy, and discuss symptoms with a qualified clinician.

References

  1. Gonadotropin-releasing hormone agonists and antagonists in assisted reproduction (2016)

  2. Microglia Rank signaling regulates GnRH neuronal function and the hypothalamic-pituitary-gonadal axis. (2026)

  3. How to pause fertility. (2024)