Gonadorelin is a synthetic decapeptide identical to endogenous gonadotropin‑releasing hormone (GnRH) secreted by the hypothalamus[1]. When administered in short, pulsatile fashion, it binds to GnRH receptors on pituitary gonadotrophs, triggering the release of luteinizing hormone (LH) and follicle‑stimulating hormone (FSH)[2][3]. LH stimulates Leydig cells to produce testosterone in men and triggers ovulation in women, while FSH supports spermatogenesis and ovarian follicle development[5]. Unlike continuous GnRH agonist administration, which desensitizes receptors and suppresses gonadotropins, brief periodic dosing preserves the natural pulsatile signaling pattern[4][6].