Ganirelix
GnRH AntagonistAlso known as: Orgalutran · Antagon
A synthetic decapeptide GnRH antagonist used in IVF to prevent premature LH surges, providing an alternative to GnRH agonist down-regulation protocols.
Typical Dose
0.25 mg once daily SubQ
Route
Subcutaneous injection
Cycle
4–6 days within IVF cycle
Half-life
~13 hours
Storage
Room temperature or 2–8°C per manufacturer.
Overview
Ganirelix is a synthetic GnRH antagonist used in controlled ovarian stimulation (COS) for IVF. Like cetrorelix, it immediately suppresses LH without an initial surge, allowing for shorter & more flexible IVF stimulation protocols.
Quick Start Guide
Clinical use only. 0.25 mg SubQ daily starting on stimulation day 6.
Research Indications
IVF premature LH surge prevention
Most EffectiveFDA approved. Prevents premature luteinization during COS. Equivalent efficacy to cetrorelix.
Research Protocols
IVF LH suppression
Until HCG triggerDose
0.25 mg once daily
Frequency
Daily from stimulation day 6
Route
SubQ
Side Effects & Safety
Common
- Injection site reactions
- Headache
- Abdominal pain
Uncommon
- OHSS
- Nausea
When to Stop
- OHSS signs
- Signs of allergic reaction
How to Reconstitute
Pre-filled syringe — no reconstitution.
Dosing math: Commercial pre-filled syringe.
Quality Indicators
Good — use as normal
- Per manufacturer
Discard immediately
- Particulate or discoloration
What to Expect
Day 1–6
Immediate LH suppression. Follicular development continues under FSH stimulation.
Community Insights
Self-reported. Reflects user experience, not clinical outcomes.
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Information on this page applies to pharmaceutical-grade peptides. Purity & identity of research-grade products vary. Certipep provides independent ESI-TOF-MS & HPLC analysis with a signed analytical report.
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