Peptide library / Sexual & reproductive / Nafarelin
Nafarelin
A nasal-spray GnRH agonist for endometriosis and early puberty.
Effects studied or claimed
What it is used or promoted for, and where each effect has actually been seen
- EndometriosisFDA approved
- Central precocious pubertyFDA approved
How it is thought to work
Nafarelin suppresses the pituitary-gonad axis after an initial surge, lowering estrogen.
What the evidence shows
Trials show pain relief similar to other GnRH agonists.
Safety and unknowns
Hot flushes, vaginal dryness and bone loss with long use.
Regulatory status
FDA-approved as Synarel in 1990.
Regulatory status changes quickly. This entry was last reviewed on 27 October 2026. Confirm current status with the FDA before relying on it.
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General information, not medical advice. Do not buy or inject unregulated peptides.