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    HomeMedication GuideGonadorelin safety
    Synthetic gonadotropin-releasing hormone (GnRH)Compounded / Off-Label

    Gonadorelin: Patient Information & Safety Notes

    Also known as GnRH, Factrel, Lutrepulse

    Other names: gnrh, gonadotropin-releasing-hormone, factrel, lutrepulse

    Gonadorelin is a synthetic form of gonadotropin-releasing hormone (GnRH) that stimulates the pituitary to release LH and FSH. FDA-approved formulations have been used for fertility diagnostics and primary hypothalamic amenorrhea. Compounded gonadorelin is used off-label in male TRT to preserve testicular function.

    FDA-approved gonadorelin products (Factrel, Lutrepulse) are no longer commercially marketed in the US. Compounded gonadorelin is available through licensed 503A pharmacies. Off-label use in males for testosterone axis support is not an FDA-approved indication.
    Reviewed by the OmniRx Health clinical teamLast reviewed Jul 4, 2026

    In plain language

    What Gonadorelin is used for

    • Off-label/compounded: LH/FSH stimulation in males during testosterone replacement therapy
    • Fertility support (male and female)

    Taking this medicine

    How it is administered

    • Subcutaneous injection

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    Risks and precautions

    Risks and warnings

    • Headache, nausea, flushing
    • Injection site reactions

    Who should not take it

    • Hormone-sensitive cancers
    • Pregnancy or breastfeeding

    Common questions

    Patient questions

    How is gonadorelin used in testosterone replacement therapy?

    Gonadorelin stimulates the pituitary to produce LH and FSH, which signal the testes to produce testosterone and sperm. Some providers use it as an alternative or adjunct to HCG to maintain testicular function during exogenous testosterone therapy. This is an off-label use of a compounded preparation.

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    This information is educational — not medical advice.

    This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.

    Have medication questions?

    A licensed OmniRx provider can review your health history and medication list. Availability and treatment options are determined individually.