Cetrorelix vs Leuprolide

Head-to-head comparison of Cetrorelix (Cetrorelix acetate) and Leuprolide (Leuprolide acetate) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyCetrorelixLeuprolide
CategorySexual HealthSexual Health
Full NameCetrorelix acetateLeuprolide acetate
Molecular Weight1431.06 Da1209.39 Da
Half-Life~30 hours~3 hours; depot lasts weeks
Amino Acids109
Typical Dose0.25 mg SC daily0.1 mg SC daily|3.75 mg IM monthly|11.25 mg depot per protocol
RouteSubcutaneousSubcutaneous/Intramuscular
Purity≥98%≥98%
Studies Count3001200
Research StatusClinicalClinical

Cetrorelix Benefits

  • prevents premature ovulation
  • supports IVF cycle control
  • blocks LH surge
  • short-acting pituitary suppression

Leuprolide Benefits

  • pituitary suppression
  • cycle synchronization
  • ovarian stimulation timing
  • endometriosis-related reproductive care

Cetrorelix Dosing

0.25 mg SC daily|start on stimulation day 5-6|protocol-dependent antagonist cycle

Leuprolide Dosing

0.1 mg SC daily|3.75 mg IM monthly depot|11.25 mg 3-month depot

Cetrorelix Side Effects

  • injection-site reactions
  • headache
  • nausea

Leuprolide Side Effects

  • hot flashes
  • decreased libido
  • injection-site reactions

Research Overview

Cetrorelix

Cetrorelix is a cornerstone GnRH antagonist in assisted reproduction, with a fast onset and reversible suppression of LH. Trials show it improves cycle management by reducing premature ovulation during stimulation.

Leuprolide

Leuprolide is one of the best-studied GnRH analogs in reproductive medicine and assisted reproduction. It produces an initial flare followed by receptor desensitization and reduced LH/FSH output.

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Common Stacking Partners

Cetrorelix stacks with:

FSHhCG

Leuprolide stacks with:

FSHhCG
GnRH-antagonistfertilityivfGnRH-agonistassisted-reproduction