Buserelin
Buserelin, a GnRH agonist, treats hormone-dependent conditions by reversibly desensitizing pituitary gonadotrophins, offering benefits in oncology, gynecology, and infertility with a favorable side effect profile.
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This paper reviews buserelin, a GnRH agonist, focusing on its pharmacodynamics, pharmacokinetics, and therapeutic use across gynecologic, andrologic, pediatric, and oncologic conditions. It describes how single doses stimulate pituitary gonadotropin release but repeated dosing causes reversible pituitary desensitization with suppression of sex-steroid production and inhibition of ovulation; it also notes limitations such as uncertainty about long-term hypoestrogenic effects on bone mineral content and that endometrial proliferation findings vary between studies at lower doses. Regarding endometriosis, the paper reports noncomparative trials using intranasal buserelin (often 300 μg three times daily for about 6 months) in which dysmenorrhea and pelvic pain improve and repeat laparoscopy shows a 70–80% reduction in active implant scores, with symptoms recurring in some patients after cessation and with higher recurrence in initially severe disease. This paper is centrally about endometriosis—specifically summarizing buserelin’s mechanism, tolerability, trial outcomes on symptom and implant score reduction, and the pattern of transient remission with recurrence after stopping treatment.
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Cited by (6)
- Pathogenetic therapy of endometriosis: Updated data on the use of buserelin acetate (depot form) 2025
- Pharmacokinetic considerations for gonadotropin-releasing hormone agonists and antagonists to treat endometriosis 2025
- Impact of different GnRH analogs in benign gynecological disorders related to their chemical structure, delivery systems and dose 1994
- Leuprorelin 1994
- Goserelin 1991
- Nafarelin 1990
Source provenance
- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:12:10.587122+00:00
- unpaywall
- last seen: 2026-06-05T02:00:03.366016+00:00