Overview
Ganirelix is a synthetic decapeptide GnRH receptor antagonist used in assisted reproduction protocols.
- Approved pharmaceutical
- Subcutaneous injection (pre-filled syringe)
Mechanism of action
Competitively antagonizes pituitary GnRH receptors, rapidly suppressing LH and FSH without an initial flare.
- · GnRH receptor antagonism
- · LH and FSH suppression
- · GnRH
- · LH
- · FSH
How it acts on the body
Ganirelix is therapeutically equivalent to cetrorelix and is chosen on cost, schedule, and prescriber familiarity. It is injected daily during the late follicular phase of an IVF cycle to keep the LH surge at bay while follicles mature.
Pituitary recovery is rapid after the last dose, allowing trigger and retrieval to be timed precisely.
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
GnRH receptor blockade.
IVF cycle control.
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.
- Pre-filled syringe convenience
- No flare phase
Potential side effects
- · Injection-site reaction
- · Mild headache
- · Nausea
- · Hypersensitivity reactions reported
Drug interactions
No notable interactions reported.
Pairing context
- Recombinant FSH protocolsStandard component of antagonist IVF cycles.
- Latex allergy with older syringe formulationsCheck product insert for current formulation.