Gonadorelin
Also known as GnRH, LHRH, Gonadorelin acetate, Factrel, Lutrelef
A synthetic form of gonadotropin-releasing hormone (GnRH), structurally identical to the natural hormone, used clinically to stimulate LH/FSH release and assess pituitary function.
Typical use cases
Dosing guidelines
Titration
Not a simple ramp — the effect is pattern-dependent: pulsatile dosing stimulates the axis while continuous exposure downregulates it.
Reconstitution
10 mg vial: ~2 mL bacteriostatic water yields ~5000 mcg/mL (0.1 mL = 500 mcg); larger volumes give finer dosing.
Injection sites
Subcutaneous (also given IV/IM clinically); rotate subcutaneous sites such as the abdomen.
Storage & handling
Lyophilized: stable months cool/dark, longer frozen. Reconstituted: refrigerate (2–8 °C).
Side effects
- Injection-site redness or irritation
- Headache
- Nausea or flushing
- Hypersensitivity / allergic reaction
Research summary
Gonadorelin is identical in structure to endogenous GnRH and acts as an agonist at pituitary GnRH receptors to trigger release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH); its action depends critically on administration pattern, with physiologic pulsatile dosing stimulating the hypothalamic-pituitary-gonadal axis and continuous exposure causing paradoxical suppression. It is an approved drug (e.g. Factrel) used diagnostically to evaluate pituitary function and therapeutically in conditions such as hypothalamic amenorrhea. Its very short half-life makes sustained signaling difficult; reported side effects are generally mild, with rare hypersensitivity reactions. Educational only — not medical advice.
Key references
- Gonadorelin — DrugBank (DB00644): mechanism and approved indications
- Factrel (gonadorelin) — FDA prescribing information
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Educational reference only — not medical advice. Dosing figures are commonly-cited ranges, not prescriptions. Consult a qualified clinician.
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