Leuprorelin in Gender-Affirming Care: An overview


Gender-affirming care encompasses a spectrum of medical interventions aimed at aligning an individual’s physical characteristics with their gender identity. Central to this process is hormonal transition, wherein medications like leuprorelin, a gonadotropin-releasing hormone (GnRH) agonist, play a pivotal role in suppressing endogenous hormone production and facilitating the desired hormonal changes.

Leuprorelin and Hormonal Suppression

For transgender individuals undergoing hormone therapy, the suppression of endogenous hormone production is essential to achieve the desired gender-affirming effects. Leuprorelin works by continuously stimulating the pituitary gland to release gonadotropins, which initially increases sex hormone levels, but with sustained use, ultimately leads to their suppression.

In transgender women (assigned male at birth), leuprorelin helps suppress testosterone production, facilitating the feminization process by reducing masculine secondary sexual characteristics such as body hair growth and muscle mass. Similarly, in transgender men (assigned female at birth), leuprorelin suppresses estrogen production, promoting masculinization by inhibiting breast development and menstrual cycling.

Facilitating Hormonal Transition

Leuprorelin’s ability to effectively suppress endogenous hormone production lays the groundwork for successful hormonal transition in transgender individuals. By creating a hormonal environment consistent with the individual’s gender identity, leuprorelin facilitates the development of secondary sexual characteristics congruent with the desired gender, enhancing gender affirmation and overall well-being.

Dosage and Administration

Leuprorelin is typically administered via subcutaneous injection, with dosages ranging from monthly to quarterly formulations, depending on the specific treatment protocol and individual response. Healthcare providers specializing in transgender care will tailor the dosage and frequency of administration to optimize hormone suppression while minimizing side effects.


Leuprorelin represents a cornerstone of hormonal transition in gender-affirming care, offering precise and effective suppression of endogenous hormone production to align with an individual’s gender identity. By facilitating the development of secondary sexual characteristics consistent with the desired gender, leuprorelin plays a vital role in supporting transgender individuals on their journey towards self-affirmation, empowerment, and improved quality of life. As part of a comprehensive treatment approach, leuprorelin empowers individuals to embrace their authentic selves, fostering resilience, confidence, and overall well-being in their pursuit of gender affirmation.

Updated on April 2, 2024

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