Gonadorelin vs HCG: which is best for TRT?

Gonadorelin vs HCG; Is the new Gonadorelin better than the true and trusted HCG?

HCG is the most well-known compound for directly stimulating testicular function and is used by itself as well as in conjunction with TRT (testosterone replacement therapy).

Since 2020, HCG has become very expensive and more TRT clinics and healthcare professionals don’t prescribe it anymore. Hence the resurgence of alternatives, such as Gonadorelin.

Both Gonadorelin and HCG can increase testosterone but via slightly different mechanisms. And both are useful in conjunction with a TRT program.

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Being an alpha energy male is synonymous with possessing both high testosterone levels and abundant energy. Consequently, the question arises: what exactly is the significance of having elevated testosterone and energy levels?

Because high T and energy make us feel incredible and powerups our motivation, drive, confidence, and sexual function.

A life without high T and energy isn’t a life worth living.

What is Gonadorelin?

Gonadorelin is a peptide and it’s bio-identical to GnRH, which is naturally released from the hypothalamus gland.

The whole steroidogenic axis starts in the hypothalamus.

Evidence accumulated in the last 15 years suggests that kisspeptin, released in the hypothalamic arcuate nucleus, triggers pulsatile GnRH (gonadotropin-releasing hormone) in mammals.

GnRH is also created in the hypothalamus, which then stimulates the anterior pituitary gland to release luteinizing hormone (LH) and follicle-stimulating hormone (FSH).

LH and FSH then stimulate the Leydig and Sertoli cells of the testicles, respectively. This leads to an increase in sex hormones (e.g. testosterone) and sperm production.

Gonadorelin is bio-identical to gonadotropin-releasing hormone (GnRH; it’s a GnRH analog). When you inject it, it stimulates LH and FSH in the same manner.

Normally, GnRH is released in a pulsatile manner every 2 hours.

Gonadorelin only stimulates the pituitary and cannot directly stimulate the testicles to produce testosterone.

The use of gonadorelin

Gonadorelin injections are mainly used to:

  • Increase your own testosterone (endogenous synthesis)
  • Maintain fertility (increase sperm count) on testosterone therapy
  • Prevent testicular shrinkage (size of their testicles), due to age, stress, malnutrition or when on TRT
  • Restore testicular size (the testicles shrink with age as well as on hormone replacement therapy use)
  • Enhance semen volume
  • Increase upstream pro-hormones, such as pregnenolone and progesterone which are suppressed by TRT.
  • Improve cognitive function

It can definitely make a significant difference in how you feel.

How effective is gonadorelin at increasing testosterone

100mcg of Gonadorelin was given to men and it increased their LH for over 2 hours.

Gonadorelin increases LH

As per the graph above, people who were the least responsive got about a 2-3 fold boost (8 to 30) in LH, whereas the most responsive got an almost 5-fold increase (from 20 to 100) (R).

This can help to increase testosterone.

Since GnRH is released every 2 hours, a once-daily injection won’t be as good.

The Innopump® has been created to release a certain amount of GnRH in a pulsatile manner (GnRH pulse therapy) to create a more natural rhythm. The pump releases 10ug GnRH per 90 minutes (R). According to this clinical trial, using Innopump® increased testosterone levels by around 250ng/dl after 180 days, driving it into the normal range.

Gonadorelin increase LH and testosterone

Since the once-off Gonadorelin dose is 100mcg, it makes up for infrequent (once daily) dosing, compared to the smaller (10mcg), more frequent dosing of the GnRH pump.

Gonadorelin dosing TRT

For subcutaneous injection or intramuscular injection, 100mcg is a good starting dose. Work up as needed or as advised by your doctor. Keep an eye on your estrogen levels and your testosterone-to-estradiol ratio as you increase your Gonadorelin dose.

How often should I inject Gonadorelin?

You can take Gonadorelin daily due to its shorter half-life (compared to HCG), but some doctors recommend taking it only every 2-3 days. I’d say that’s too infrequent and will not give the same benefit.

Gonadorelin prevents testicular atrophy

Gonadorelin can help to restore normal testicular size. In this study, they gave infants with undescended testes intranasal Gonadorelin, which significantly increased their testicular volume.

In male patients, Gonadorelin is just as effective as HCG at increasing testicular volume (R).

Gonadorelin safety

Gonadorelin has been administered into a vein in doses of up to 3 mg twice daily for 28 days without any signs or symptoms of overdosage (R).

Gonadorelin is one of the safest GnRH agonists out there. Other GnRH agonists have a much longer half-life, which then over a few weeks completely shuts down testosterone production (due to desensitization). Those kinds of GnRH agonists (e.g. Leuprolide acetate) are used for androgen deprivation therapy.

Adverse effects of Gonadorelin

Rare side effects of gonadorelin can include:

  1. Headache
  2. Nausea
  3. Injection site pain or irritation
  4. Hot flashes
  5. Acne
  6. Mood changes
  7. Insomnia
  8. Increased sweating
  9. Painful or prolonged erection

It’s important to note that not all individuals will experience these side effects, and the severity and duration of side effects can vary.

Another “downside” of Gonadorelin is that it has to be used daily. Most TRT clinics recommend taking it at night to mimic the increase in testosterone that happens as we sleep.

The main reason why Gonadorelin’s side effects are rare is because the half-life is only 4 minutes. Something with a longer half-life, is more likely to cause side effects.

What is HCG

Human chorionic gonadotrophin (HCG) is a hormone that is produced during pregnancy. Men produce no HCG unless they have cancer or a tumor. Tumors promote HCG production (R). Thus, a man could appear to be “pregnant” due to high HCG.

HCG acts like LH, which directly stimulates the testicles to produce testosterone. Thus taking HCG will suppress LH levels.

HCG can reduce testicular LH and reduce testicular sensitivity to LH (R). This means that after you stop HCG, your LH might be normal, but your testosterone is low.

The half-life of HCG is 36 hours, whereas that of LH is only 30 minutes (R).

The “upside” to HCG is that it’s more thoroughly studied than Gonadorelin.

The use of HCG

HCG is mainly used to:

  • Prevent testicular shrinkage and restore testicular size
  • Increase testosterone in hypogonadal men
  • Promote fertility
  • Improve libido
  • Increase energy
  • Help with erectile dysfunction
  • Help against insomnia

HCG dosing TRT

Everyone’s response (sensitivity) to HCG will be different which will require frequent testing to find the ideal dose for you.

A good starting dose that good TRT clinics recommend is 250IU every other day. This is usually enough to prevent testicular shrinkage, maintain fertility and prevent complete suppression of pregnenolone production while minimizing side effects.

Can HCG by itself help to increase testosterone?

Yes, HCG, by stimulating the LH receptor in the Leydig cells of the testes, promotes testosterone production. However, it’s not strong enough to get high testosterone.

According to this study, they gave hypogonadotropic hypogonadism men 1500-2000IU of HCG x3 weekly and it increased their testosterone to only 558ng/dl on average (R).

And at that dose, you risk getting very high estrogen since HCG stimulates aromatase.

How long does it take for HCG to increase testicle size?

If you use HCG before going on TRT, you should be able to prevent testicular shrinkage completely. However, if you start HCG after being on TRT, you should be able to see an increase after a few weeks. Complete testicular restoration might take up to 3-6 months of cinsistent use.

Why does testosterone shrink your balls (and how to prevent it)

Side effects of HCG

HCG can:

  • Dramatically increases estradiol and unfavorably increases the testosterone-to-estradiol ratio
  • Promote tumor growth
  • Cause testicular insensitivity to LH
  • Cause mood changes
  • Cause fatigue
  • Cause restlessness
  • Cause headache
  • Cause swelling at the injection site
  • Cause mild pain or redness at the injection site
  • Cause nausea
  • Contribute to acne
  • Worsening of prostate cancer

Gonadorelin vs HCG: mechanism of action differences

Gonadorelin stimulates the pituitary to release LH and FSH. It’s great for a PCT (post-cycle therapy) to restore LH levels.

HCG acts like LH to stimulate the testes but it suppresses LH in the process and can even cause testicular insensitivity.

Gonadorelin vs HCG: Testosterone Production


1500-2000IU of HCG x3 weekly and it increased their testosterone to only 558ng/dl on average (R).


There is no human evidence on this, but it’s very effective at increasing LH (2-3 fold on average and even up to 5 fold in some) (R). And we know that higher LH will lead to higher testosterone.

HCG alternatives

Since there is an ongoing national shortage that makes it nearly impossible for patients to fill prescriptions for HCG, practitioners are looking for other alternatives. Quick side note, you can still get HCG from a compounding pharmacy (but you still need to go through a healthcare provider).

Common HCG alternatives include:

  • Kisspeptin
    • Kisspeptin stimulates the release of GnRH in the hypothalamus.
  • Gonadorelin
    • Gonadorelin mimics GnRH to stimulate the pituitary to release LH and FSH.
  • Clomiphene aka Clomid
    • Clomiphene inhibits the estrogen receptor alpha (ERα) in the hypothalamus and pituitary, thus increasing GnRH and LH release. However, it has certain side effects such as changes in mood, blurred vision and breast/nipple tenderness. A possible reason is due to the higher estradiol-to-testosterone ratio. The usual dose is 25mg daily.
  • Enclomiphene citrate
    • Enclomiphene is more effective than just clomiphene but hasn’t been extensively studied yet.
  • Nolvadex aka Tamoxifen
    • It’s a selective estrogen receptor modulator (SERM). It blocks the ERα in the pituitary, similar to Clomid, which increases LH. Side effects include hot flushes, blurred vision and risk of stroke.

Gonadorelin vs HCG: Storage and Reconstitution

When it comes to the storage and reconstitution of medications like Gonadorelin and HCG, there are specific guidelines that need to be followed to ensure their effectiveness and safety.


Both Gonadorelin and HCG should be stored according to the manufacturer’s instructions. Typically, these medications should be kept at a controlled room temperature, away from direct sunlight, heat, and moisture. It is important to store them in their original packaging to protect them from light and maintain their integrity.

Unopened, the regular HCG formula has a shelf life of approximately two years from the manufacture date.

Gonadorelin is stable for at least 12 months when stored at 24 degrees C in 50% relative humidity, and showed no degradation even under accelerated storage conditions (R).


Gonadorelin and HCG often come in a powdered form and need to be reconstituted before use. The reconstitution process involves mixing the powder with a suitable diluent, such as sterile water or bacteriostatic water, according to the instructions provided by the healthcare professional or mentioned on the product label.

It is essential to follow the recommended reconstitution procedures to ensure the proper concentration and stability of the medication. Different medications may have specific reconstitution instructions, so it’s crucial to read the package insert and consult a healthcare professional if there are any doubts or concerns.

Once HCG is reconstituted, it must be refrigerated and used within 60 days (R).

Upon reconstitution, gonadorelin acetate was found to be stable for at least 45 days when stored at 24 degrees C or 37 degrees C (R).

Handling and Administration

Proper handling and administration of both Gonadorelin and HCG are important to achieve the desired therapeutic outcome. It is recommended to follow the instructions provided by the healthcare professional or the product label for the correct dose and route of administration.

Sterility is of utmost importance during the reconstitution and administration process. Ensure that all equipment and surfaces used are clean and free from any contaminants. If you are unsure about the correct technique, seek guidance from a healthcare professional or pharmacist.

FAQ – Gonadorelin vs HCG

Does Gonadorelin work as good as HCG?

Yes, it increases testosterone to the same extent as HCG. The only downside is that you have to take it more frequently.

What does Gonadorelin do for a man?

Gonadorelin increases testosterone, which helps eliminate low testosterone symptoms, such as low energy, poor mood, poor erections, low muscle mass, excess fat mass, etc.

How much does gonadorelin increase testosterone?

Gonadorelin is able to increase testosterone 6 fold with no difference between 5 and 40mcg (R). You can expect Gonadorelin to increase your testosterone to between 500 and 600ng/dl on average.

Gonadorelin testosterone

How does gonadorelin make you feel?

The effects of gonadorelin can vary depending on the individual and the specific circumstances. In general, the hormone works to stimulate the production of testosterone in males and estrogen in females. This can lead to various physiological and emotional changes.

For individuals undergoing gonadorelin therapy, the most common feelings reported include a sense of increased energy, heightened libido, and improved mood. However, it’s important to note that the response to gonadorelin can differ from person to person.

In addition to its effects on reproductive function, gonadorelin has also been explored for its potential in treating certain medical conditions, such as fertility issues, delayed puberty, and hormone imbalances.

Does gonadorelin increase sperm?

Yes, Gonadorelin increases FSH, which stimulates the Sertoli cells to produce sperm.

How often should men take HCG?

Men should take HCG every 2-3 days because it has a longer half-life.

Can Gonadorelin cause erectile dysfunction?

Yes, but only if it increases your estrogen-to-testosterone ratio too much. Estrogen is an independent risk factor for ED, so you want to make sure your estradiol doesn’t go over 30pg/ml.

Does Gonadorelin lower estrogen?

Gonadorelin doesn’t have any known direct action on aromatase, but similar to HCG and LH, it might likely stimulate aromatase directly, leading to an increase in estrogen.

Summary – Gonadorelin vs HCG

None of what I talked about is medical advice. It’s merely a discussion on what the research shows.

Gonadorelin is just as effective as HCG at increasing testosterone, preventing testicular shrinkage and maintaining fertility, but with fewer side effects.

The only downside to Gonadorelin is that you have to inject daily, whereas HCG only had to take it every other or every third day.

If you want to increase your testosterone naturally, please check out the following article and video.

> How to maximize your testosterone naturally

10 most important fundamentals for high testosterone

>1000ng/dl Testosterone: My Step-by-Step Guide on How I Do It Naturally!

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