Overview
Cetrorelix is a synthetic decapeptide GnRH receptor antagonist used as an injectable in assisted reproduction.
- Approved pharmaceutical
- Subcutaneous injection
Mechanism of action
Competitively blocks pituitary GnRH receptors, rapidly suppressing LH and FSH release without an initial flare.
- · GnRH receptor antagonism
- · LH and FSH suppression
- · GnRH
- · LH
- · FSH
How it acts on the body
Unlike GnRH agonists, antagonists produce immediate suppression with no flare phase. In IVF, cetrorelix is started mid-cycle to block the LH surge while controlled ovarian stimulation continues, preventing premature ovulation and allowing the team to time egg retrieval precisely.
Recovery of the HPG axis is rapid after discontinuation, which is important for the embryo transfer window in IVF protocols.
Hormonal & endocrine impact
How this peptide is reported to shift specific hormones and signaling molecules. Directionality reflects research literature and preclinical models, not clinical prescribing data.
Curves are schematic shapes (sigmoid for increases/decreases, damped oscillation for modulation/stabilization) anchored to a 100% baseline. They communicate direction and tempo of change reported in research literature — not absolute hormone concentrations.
Effects on the body
Organ system effects
Pituitary GnRH receptor blockade.
Cycle control in IVF.
Reported effects
Drawn from preclinical research, anecdote, and small-scale clinical observation. No evidence grades are assigned — most peptides on this page lack rigorous human trials.
- No flare phase
- Rapid onset and offset
Potential side effects
- · Local injection-site reaction
- · Mild nausea
- · Headache
- · Ovarian hyperstimulation syndrome from concurrent stimulation
Drug interactions
No notable interactions reported.
Pairing context
- Controlled ovarian stimulation protocolsDesigned for that use.
- Known hypersensitivity to GnRH peptidesCross-reactivity risk.