# Nafarelin (Synarel) > Intranasal GnRH agonist for endometriosis and central precocious puberty. Source: https://peptides.cafe/peptide/nafarelin Category: GnRH Agonist · Endocrine Tag: FDA-Approved · Endocrine ## Mechanism Decapeptide GnRH agonist administered intranasally; sustained receptor occupancy downregulates pituitary GnRH receptors, suppressing gonadotropin and sex steroid output. ## Research areas - Endometriosis - Central precocious puberty ## Common research protocols - Intranasal: 200 mcg per spray; one spray in each nostril twice daily for endometriosis. ## Study summaries - "Nafarelin for endometriosis" — Fertility & Sterility (1990): Comparable pain and lesion reduction to danazol with different side-effect profile. ## Considerations - FDA-approved. - Hypoestrogenic symptoms; limit treatment course for bone health. ## Disclaimer Educational content only. Not medical advice, diagnosis, or treatment. Most research peptides are not FDA-approved for human therapeutic use. Consult a licensed clinician before any use.