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Triptorelin

Sexual health & hormones
GnRH agonist

After an initial surge, continuous use shuts down sex-hormone production; used for prostate cancer, endometriosis and early puberty.

Prescription-only (e.g. Trelstar).

Look it up on Wikipedia

3 listings across 2 independently tested vendors, ranked by price per milligram after coupon codes anyone can use. Vendors you can only order from by message are hidden.

Cheapest right now
$8.25 per mg
Qingdao Sigma Chemical QSC
Triptorelin 2mg | 20-Vial Kit | GnRH Agonist
$330.00 for 20 × 2 mg = 40 mg
Metascore 78Finnrick 64%Bought vials 103% of label · 47 testsNo report for thisOnline checkout
Go to qscpeptide.com
US compoundingFDA-approved drug

FDA-approved (Trelstar, Triptodur).

Sources: Drugs@FDA · checked 2026-10-08 · All peptides' status

Daily price tracking started October 7, 2026; a price-history chart appears here once a few days have been collected.

VendorTrustListingVialsPricePer mg
Qingdao Sigma Chemical QSC
#69 by metascore
Metascore 78Finnrick 64%Bought vials 103% of label · 47 testsNo report for thisOnline checkout
Triptorelin 2mg | 20-Vial Kit | GnRH Agonist 20 × 2 mg = 40 mg $330.00
$16.50 per vial
$8.25 Buy
Qingdao Sigma Chemical QSC
#69 by metascore
Metascore 78Finnrick 64%Bought vials 103% of label · 47 testsNo report for thisOnline checkout
Triptorelin 2mg | 10-Vial Kit | GnRH Agonist 10 × 2 mg = 20 mg $190.00
$19.00 per vial
$9.50 Buy
Core Peptides
#282 by metascore
Metascore 70 medium confidenceFinnrick 76%PepIndex 24/100Bought vials 92% of label · 4 testsTitrateLab · PeptideBase · Peptide Critic · PeptideCheckedNo report for thisOnline checkout
Triptorelin – 2MG 1 × 2 mg $54.00 $27.00 Buy

Mixing a 2 mg vial

What each common amount of bacteriostatic water gives you on a U-100 insulin syringe. Pick a vial size above to change it.

WaterStrengthPer 10 units (0.1 mL)Per unit
1 mL2 mg/mL200 mcg20 mcg
2 mL1 mg/mL100 mcg10 mcg
3 mL0.667 mg/mL66.7 mcg6.67 mcg
5 mL0.4 mg/mL40 mcg4 mcg

Doses studied in research Approved drug

What was given to people (or animals) in published studies and official labels, each linked to its source. This is not a recommendation: study products, purity and supervision differ from research-grade vials.

Trelstar (triptorelin pamoate) · advanced prostate cancer

single intramuscular injection in either buttock: 3.75 mg every 4 weeks, 11.25 mg every 12 weeks, or 22.5 mg every 24 weeks (strengths are not additive) (intramuscular)

Official label
Triptodur (triptorelin) · central precocious puberty in children 2 years and older

22.5 mg as a single intramuscular injection once every 24 weeks, given by a healthcare provider (intramuscular)

Official label
Who was studiedDose givenHow oftenFor how longWhat happened
women aged 18-45 with endometriosis (phase 3 RCT)
n = 300
15 mg (3-month pamoate) or 3.75 mg (1-month acetate) per injection
intramuscular injection (prolonged-release)
every 12 weeks or every 4 weeks6 months over 98% in both groups had estradiol suppressed to castration levels at week 12; similar pelvic-pain reductionPubMed
children with central precocious puberty (phase 3, single arm)
n = 66
22.5 mg triptorelin pamoate
injection (6-month prolonged-release)
two doses, day 1 and month 612 months LH suppressed in all children at month 6 and 98.5% at month 12; growth velocity fell from 9.82 to 5.17 cm/yearPubMed
children with central precocious puberty (meta-analysis)
n = 153
11.25 mg
intramuscular
every 3 months3 to 6 months peak LH suppressed in 87.6% at 3 months and 92.8% at 6 monthsPubMed
men with localized prostate cancer before radical prostatectomy (RCT)
n = 111
3.75 mg (with cyproterone acetate 50 mg twice daily for 3 weeks against flare)
intramuscular
every 28 days3 months before surgery positive surgical margins 23% vs 41% with immediate surgery; no difference in blood loss or operating timePubMed
girls with puberty onset at 7.5-8.5 years (RCT vs no treatment)
n = 46
3.75 mg
intramuscular
every 4 weeksuntil treatment stop (not stated in abstract) menarche delayed (11.9 vs 10.8 years) but final height not different (158.1 vs 158.6 cm)PubMed
teenage boys with delayed puberty or gonadotropin deficiency (diagnostic test) 0.1 mg/m2
subcutaneous
single injectionsingle dose, hormones measured after 4 hours gonadotropin and testosterone rise was greater in delayed puberty than in gonadotropin deficiencyPubMed

Approved triptorelin regimens are long-acting depots designed to suppress sex hormones. No study in our candidate pool tested a single dose to restore testosterone after anabolic steroid use.

What the research says

A
Strong human evidence
Why: Approved drug; large RCTs and meta-analyses (thousands of patients) consistently show hormone suppression for cancers, endometriosis and early puberty.

Triptorelin is an approved long-acting GnRH agonist with extensive human RCT and meta-analysis evidence for suppressing sex hormones in prostate cancer, breast cancer, endometriosis and precocious puberty. Its sustained effect is to shut down, not stimulate, the reproductive axis; no study in the candidates tests the off-label single-dose use to 'restart' testosterone after anabolic steroids.

Key papers ✓ 5✗ 1~ 1? 1

  • ✓ Positive human RCTN Engl J Med · 2014
    Adjuvant exemestane with ovarian suppression in premenopausal breast cancer.
    Humans4,690 peopleRandomized5 years of therapy; median follow-up 68 months
    Two phase 3 randomized trials, combined analysis; ovarian suppression by triptorelin, oophorectomy or ovarian irradiation

    SOFT/TEXT trials in 4,690 premenopausal women with hormone-receptor-positive breast cancer (ovarian suppression mostly with triptorelin): exemestane plus suppression improved 5-year disease-free survival vs tamoxifen plus suppression (91.1% vs 87.3%); grade 3-4 adverse events ~30% in both arms.

    Key result5-year disease-free survival 91.1% vs 87.3% (HR 0.72; 95% CI 0.60 to 0.85; P<0.001); overall survival not different (HR 1.14; P=0.37)

    Study details
    Studied
    Premenopausal women with hormone-receptor-positive early breast cancer
    Compared with
    Tamoxifen plus ovarian suppression
    Main outcome
    Disease-free survival at 5 years
    Sample
    4690 premenopausal women pooled from the SOFT and TEXT trials
    Authors' conclusion
    In premenopausal women, exemestane plus ovarian suppression significantly reduced recurrence compared with tamoxifen plus ovarian suppression.
    Limitations
    Ovarian suppression was triptorelin in some patients only; the comparison is of the aromatase inhibitor, not of triptorelin itself.
  • ✓ Positive meta-analysisLancet Oncol · 2022
    Aromatase inhibitors versus tamoxifen in premenopausal women with oestrogen receptor-positive early-stage breast cancer treated with ovarian suppression: a patient-level meta-analysis of 7030 women from four randomised trials.
    Humans7,030 peopleRandomized trialsMedian follow-up 8.0 years
    Patient-level meta-analysis of four randomised trials

    Patient-level meta-analysis of 7,030 premenopausal women receiving ovarian suppression (goserelin or triptorelin): an aromatase inhibitor reduced breast cancer recurrence vs tamoxifen (RR 0.79), without a difference in mortality; more fractures with aromatase inhibitors.

    Key resultRecurrence lower with aromatase inhibitor (RR 0.79, 95% CI 0.69-0.90, p=0.0005); breast cancer mortality RR 1.01 (95% CI 0.82-1.24; p=0.94); fractures 6.4% vs 5.1% (p=0.017)

    Study details
    Studied
    Premenopausal women with ER-positive early breast cancer receiving ovarian suppression (goserelin or triptorelin) or ablation
    Compared with
    Tamoxifen
    Main outcome
    Breast cancer recurrence, breast cancer mortality, all-cause mortality
    Sample
    7030 women from four randomised trials
    Authors' conclusion
    Using an aromatase inhibitor rather than tamoxifen in premenopausal women receiving ovarian suppression reduces recurrence risk; longer follow-up is needed for any effect on mortality.
    Limitations
    Compares aromatase inhibitor vs tamoxifen, not triptorelin; ovarian suppression agent included goserelin.
  • ✓ Positive meta-analysisHorm Res Paediatr · 2017
    Meta-Analysis of Paediatric Patients with Central Precocious Puberty Treated with Intramuscular Triptorelin 11.25 mg 3-Month Prolonged-Release Formulation
.
    Humans153 people3 and 6 months
    Meta-analysis of clinical studies of triptorelin 11.25 mg 3-month formulation

    Meta-analysis of 153 children with central precocious puberty: the 3-month triptorelin formulation suppressed the LH response in 87.6% at 3 months and 92.8% at 6 months.

    Key resultSuppressed peak LH in 87.6% (95% CI 81.3-92.4) at 3 months and 92.8% (95% CI 87.5-96.4) at 6 months

    Study details
    Studied
    Children with central precocious puberty
    Main outcome
    Proportion with suppressed peak LH response to GnRH test
    Sample
    153 children (13 boys, 140 girls) in a meta-analysis of all available studies
    Authors' conclusion
    The triptorelin 11.25 mg 3-month formulation is efficacious in suppressing LH peak and other gonadal hormones and slowing the progression of CPP in children.
    Limitations
    Mostly girls; single-arm pooled data without a control group.
  • ✓ Positive human RCTAdv Ther · 2022
    Assessment of Two Formulations of Triptorelin in Chinese Patients with Endometriosis: A Phase 3, Randomized Controlled Trial.
    Humans300 peopleRandomizedOpen-label6 months of treatment; primary outcome at 12 weeks
    Phase 3 randomized, open-label, active-controlled, multicenter noninferiority trial

    300 women with endometriosis: 3-month triptorelin was noninferior to the 1-month formulation, with over 98% reaching castration-level estradiol at 12 weeks and similar pelvic-pain reduction.

    Key resultOver 98% of patients in both groups were chemically castrated at week 12

    Study details
    Studied
    Chinese women aged 18-45 with endometriosis needing GnRH agonist treatment for 6 months
    Compared with
    Triptorelin acetate PR 1-month (3.75 mg every 4 weeks)
    Main outcome
    Proportion with estradiol suppressed to castration level at 12 weeks
    Sample
    300 Chinese women, 150 per arm
    Authors' conclusion
    Triptorelin pamoate PR 3-month was noninferior to the 1-month formulation, equally efficacious for pelvic pain, with no new safety concerns and fewer injections.
    Limitations
    Open-label design.
  • ✗ Negative human RCTArch Dis Child · 1999
    Randomised trial of LHRH analogue treatment on final height in girls with onset of puberty aged 7.5-8.5 years.
    Humanssize not reportedRandomizedFollowed to final height
    Randomised trial: triptorelin vs no treatment

    46 girls with puberty onset at 7.5-8.5 years randomized to triptorelin or no treatment: final adult height was the same (158.1 vs 158.6 cm).

    Key resultFinal height 158.1 (6.2) cm with triptorelin vs 158.6 (6.0) cm without treatment, not significantly different

    Study details
    Studied
    Girls with onset of puberty aged 7.5-8.5 years
    Compared with
    No treatment
    Main outcome
    Final adult height
    Sample
    Forty-six girls (written as words), 20 in treatment group and 18 analysed in controls
    Authors' conclusion
    LHRH analogue has no apparent effect on final height in girls with onset of puberty between 7.5 and 8.5 years.
    Limitations
    Small trial with no placebo (untreated control).
  • ~ Mixed human RCTBJU Int · 2019
    Metabolic consequences of gonadotropin-releasing hormone agonists vs orchiectomy: a randomized clinical study.
    Humanssize not reportedRandomized48 weeks
    Randomized clinical study: subcapsular orchiectomy vs triptorelin 22.5 mg depot every 24 weeks

    58 men with advanced prostate cancer randomized to triptorelin depot or orchiectomy: androgen deprivation by either route increased fat mass, cholesterol and insulin resistance and reduced lean mass within 12-24 weeks; orchiectomy caused more fat gain.

    Key resultNo difference in fasting glucose change (0.2 mmol/L, 95% CI -0.1, 0.4; P = 0.32); orchiectomy had greater total fat mass gain (+2.06 kg, 95% CI 0.55, 3.56) at 48 weeks

    Study details
    Studied
    Hormone-naive men with advanced prostate cancer
    Compared with
    Orchiectomy
    Main outcome
    Change in fasting plasma glucose; body composition, lipids, insulin resistance
    Sample
    Fifty-eight men randomised 1:1 (written as words)
    Authors' conclusion
    Androgen deprivation therapy worsens body composition, insulin resistance and cholesterol within 12-24 weeks; orchiectomy causes greater fat accumulation than GnRH agonists.
    Limitations
    Comparison is triptorelin vs orchiectomy; no untreated control group.
  • ✓ Positive human RCTJ Natl Cancer Inst · 2022
    Long-Term Outcomes With Pharmacological Ovarian Suppression During Chemotherapy in Premenopausal Early Breast Cancer Patients.
    Humans281 peopleRandomizedOpen-labelMedian follow-up 12.4 years
    Multicenter randomized open-label phase III superiority trial (PROMISE-GIM6), long-term post hoc analysis

    PROMISE-GIM6 trial in 281 premenopausal breast cancer patients: adding triptorelin during chemotherapy (to protect ovarian function) did not worsen 12-year disease-free or overall survival.

    Key result12-year DFS 65.7% vs 69.2% (HR = 1.16, 95% CI = 0.76 to 1.77); 12-year OS 81.2% vs 81.3% (HR = 1.17, 95% CI = 0.67 to 2.03)

    Study details
    Studied
    Premenopausal women with early breast cancer (80.4% hormone receptor-positive) receiving (neo)adjuvant chemotherapy
    Compared with
    Chemotherapy alone
    Main outcome
    12-year disease-free and overall survival (post hoc)
    Sample
    281 randomly assigned patients
    Authors' conclusion
    Final analysis provides reassuring results on the safety of GnRHa during chemotherapy for ovarian function preservation, including in hormone receptor-positive disease.
    Limitations
    Survival endpoints were post hoc; open-label.
  • ? Inconclusive human trialJ Pediatr · 1995
    Use of the gonadotropin-releasing hormone agonist triptorelin in the diagnosis of delayed puberty in boys.
    Humanssize not reportedBlood sampled at baseline and 4 hours after injection
    Diagnostic test: single subcutaneous triptorelin 0.1 mg/m2 at 4 AM

    In teenage boys, a single triptorelin injection raised gonadotropins and testosterone more in constitutional delayed puberty than in gonadotropin deficiency, supporting its use as a diagnostic test.

    Study details
    Studied
    Teenage boys with delayed puberty or gonadotropin deficiency
    Compared with
    Boys with gonadotropin deficiency vs delayed puberty
    Main outcome
    Rise in serum gonadotropins and testosterone
    Sample
    Number of boys not stated in the abstract
    Authors' conclusion
    The increase in blood gonadotropin and testosterone levels was significantly greater in boys with delayed puberty than in those with gonadotropin deficiency.
    Limitations
    Abstract gives no sample size or numerical data.

Reported side effects

  • commonHot flashes (with complete androgen ablation incl. triptorelin + flutamide) [ref]
  • commonIncreased fat mass, insulin resistance and cholesterol; reduced lean mass [ref]
  • commonDrug-related adverse events in children (none grade 3+) [ref]
  • reportedSlowed growth, increased BMI and bone-health risks (adolescent puberty suppression) [ref]

Adverse effects largely reflect intended sex-hormone suppression; there is no published human safety data in the candidates on single-dose use in men after anabolic steroid cycles.

167 registered human trials (28 active)

✓ positive · ✗ negative · ~ mixed · ? inconclusive, judged on each paper's own main outcome. Grades: A strong human evidence → D little or none. Papers and verdicts are drawn from PubMed, Europe PMC and Russian journals (CyberLeninka); not medical advice.

Registered clinical trials 167 on ClinicalTrials.gov · 28 active · 77 completed · 33 with posted results

TrialStatusPhasePeopleSponsor
Evaluation of Clinical Outcomes of Chemotherapy or Androgen-receptor Targeting Agent (Alone or Combined) or Radiotherapy on Primary Tumor in Addition to Androgen Deprivation Therapy in HOrmone-Sensitive Metastatic Prostate Cancer Patients
NCT06473259 · started 2016-12-16
Recruiting–3,000Santa Chiara Hospital
Two Studies for Patients With High Risk Prostate Cancer Testing Less Intense Treatment for Patients With a Low Gene Risk Score and Testing a More Intense Treatment for Patients With a High Gene Risk Score, The PREDICT-RT Trial
NCT04513717 · started 2021-01-21
Active, not recruitingPhase 32,753NRG Oncology
Two Studies for Patients With Unfavorable Intermediate Risk Prostate Cancer Testing Less Intense Treatment for Patients With a Low Gene Risk Score and Testing a More Intense Treatment for Patients With a Higher Gene Risk Score, The Guidance Trial
NCT05050084 · started 2021-12-06
Active, not recruitingPhase 32,050NRG Oncology
Standard Systemic Therapy With or Without Definitive Treatment in Treating Participants With Metastatic Prostate Cancer
NCT03678025 · started 2018-09-24
RecruitingPhase 31,273SWOG Cancer Research Network
Treating Prostate Cancer That Has Come Back After Surgery With Apalutamide and Targeted Radiation Based on PET Imaging
NCT04423211 · started 2020-10-08
RecruitingPhase 3804ECOG-ACRIN Cancer Research Group
GnRH Agonist for Dual Trigger in IVF and for Luteal Phase Support in FET
NCT04064840 · started 2019-09-01
RecruitingPhase 3784The University of Hong Kong
Luteal Phase Support With GnRH Agonist After GnRH Agonist Triggering in IVF/ICSI Cycles
NCT06150703 · started 2024-06-27
RecruitingPhase 3652Assistance Publique - Hôpitaux de Paris
Short Versus Long-term Androgen Deprivation Therapy With Salvage Radiotherapy in Prostate Cancer. URONCOR 0624
NCT05781217 · started 2023-03-14
RecruitingPhase 3534Instituto de Investigación en Oncología Radioterápica - Fundación Española de Oncología Radioterápic
Stereotactic Body Radiation Therapy Plus Immediate or Delayed Androgen Receptor Pathway Inhibitor and Androgen Deprivation Therapy or Salvage Radiation Therapy for the Treatment of Prostate Cancer, DIVINE Trial
NCT06378866 · started 2024-06-03
RecruitingPhase 2532Mayo Clinic
Use of GnRHa During Chemotherapy for Fertility Protection
NCT05328258 · started 2023-03-31
RecruitingPhase 3500Kenny Rodriguez-Wallberg
Treatment of High-Risk Prostate Cancer Guided by Novel Diagnostic Radio- and Molecular Tracers
NCT06282588 · started 2023-12-13
RecruitingPhase 2, Phase 3493Cancer Research Antwerp
Veterans Affairs Seamless Phase II/III Randomized Trial of STAndard Systemic theRapy With or Without PET-directed Local Therapy for Oligometastatic pRosTate Cancer
NCT04787744 · started 2021-07-01
RecruitingPhase 2, Phase 3464VA Office of Research and Development

All 167 Triptorelin trials, with countries and summaries · Search ClinicalTrials.gov · Recruiting trials for every peptide

Discussions elsewhere

Experiences and questions about Triptorelin on other sites. Treat anecdotes with care.

Triptorelin: questions people ask

What is Triptorelin?

GnRH agonist. After an initial surge, continuous use shuts down sex-hormone production; used for prostate cancer, endometriosis and early puberty.

How much does Triptorelin cost?

The cheapest Triptorelin from an independently tested vendor is $8.25 per mg (Qingdao Sigma Chemical QSC, Triptorelin 2mg | 20-Vial Kit | GnRH Agonist, $330.00). Across 3 listings from 2 vendors the median is $9.50 per mg.

Where can I buy Triptorelin?

2 vendors tested by Finnrick sell Triptorelin. The cheapest per mg right now: Qingdao Sigma Chemical QSC ($8.25), Core Peptides ($27.00). 0 of them publish a lab report (COA) for Triptorelin; compare lab scores and reports in the table above before buying.

How much bacteriostatic water for 2 mg of Triptorelin?

Adding 2 mL of bacteriostatic water to a 2 mg vial of Triptorelin gives 1 mg/mL: each 10 units on a U-100 insulin syringe holds 100 mcg. With 1 mL it's 2 mg/mL (200 mcg per 10 units); with 3 mL, 0.667 mg/mL (66.7 mcg per 10 units). More water makes small amounts easier to measure. Mixing charts: 2 mg.

Is Triptorelin FDA approved?

Prescription-only (e.g. Trelstar).

Can Triptorelin be compounded in the US?

FDA-approved (Trelstar, Triptodur). Compounding status for every peptide.

Does Triptorelin work? What does the research say?

Evidence grade A (strong human evidence), from 8 papers: Approved drug; large RCTs and meta-analyses (thousands of patients) consistently show hormone suppression for cancers, endometriosis and early puberty. Triptorelin is an approved long-acting GnRH agonist with extensive human RCT and meta-analysis evidence for suppressing sex hormones in prostate cancer, breast cancer, endometriosis and precocious puberty. Its sustained effect is to shut down, not stimulate, the reproductive axis; no study in the candidates tests the off-label single-dose use to 'restart' testosterone after anabolic steroids. See the papers.

Are there clinical trials of Triptorelin?

ClinicalTrials.gov lists 167 registered trials of Triptorelin: 28 active, 77 completed, 59 in phase 3, 33 with posted results. Examples: Evaluation of Clinical Outcomes of Chemotherapy or Androgen-receptor Targeting Agent (Alone or Combined) or Radiotherapy on Primary Tumor in Addition to Androgen Deprivation Therapy in HOrmone-Sensitive Metastatic Prostate Cancer Patients (Recruiting, 3,000 people); Two Studies for Patients With High Risk Prostate Cancer Testing Less Intense Treatment for Patients With a Low Gene Risk Score and Testing a More Intense Treatment for Patients With a High Gene Risk Score, The PREDICT-RT Trial (Active, not recruiting, Phase 3, 2,753 people); Two Studies for Patients With Unfavorable Intermediate Risk Prostate Cancer Testing Less Intense Treatment for Patients With a Low Gene Risk Score and Testing a More Intense Treatment for Patients With a Higher Gene Risk Score, The Guidance Trial (Active, not recruiting, Phase 3, 2,050 people).

What dose of Triptorelin was used in studies?

Triptorelin is an approved drug. Trelstar (triptorelin pamoate): single intramuscular injection in either buttock: 3.75 mg every 4 weeks, 11.25 mg every 12 weeks, or 22.5 mg every 24 weeks (strengths are not additive); Triptodur (triptorelin): 22.5 mg as a single intramuscular injection once every 24 weeks, given by a healthcare provider; women aged 18-45 with endometriosis (phase 3 RCT): 15 mg (3-month pamoate) or 3.75 mg (1-month acetate) per injection every 12 weeks or every 4 weeks. These are amounts used in published studies or official labels, not a recommendation.

What are the side effects of Triptorelin?

Reported in the research: Hot flashes (with complete androgen ablation incl. triptorelin + flutamide); Increased fat mass, insulin resistance and cholesterol; reduced lean mass; Drug-related adverse events in children (none grade 3+); Slowed growth, increased BMI and bone-health risks (adolescent puberty suppression). Adverse effects largely reflect intended sex-hormone suppression; there is no published human safety data in the candidates on single-dose use in men after anabolic steroid cycles.

More on Triptorelin