Peptide Decoding
All groups · Goal

Peptides for libido and hormones

Compounds affecting libido, fertility, and sex hormones.

24 approved by the FDA, 7 available on prescription or through a compounding pharmacy, 6 with no approval anywhere.

One compound in this group has an approved product behind it. Bremelanotide, sold as PT-141, cleared the FDA for low sexual desire in premenopausal women, which means there are dose-finding studies, a known side effect profile, and a label. Nothing else on this page has that.

The rest divide by where they act. Melanocortin compounds work in the brain on desire itself. Kisspeptin and the gonadotropin analogs act further upstream, on the signaling chain that ends in testosterone or estrogen, so their effects show up on a hormone panel rather than as an immediate sensation.

That upstream position is the reason to be careful here. Anything that moves the hormonal axis can also move fertility, mood and menstrual timing, and those changes take weeks to appear and weeks to unwind.

For the one approved compound, what the approval trials actually showed is narrower than the marketing suggests: a desire score moved modestly, and the one study that measured physical arousal directly found no change.

LibidoFDA-approved
PT-141 (Bremelanotide)
Melanocortin agonist

Raises sexual desire through brain signaling, not blood flow. Approved for low libido in women.

Libido & fertilityResearch only
Kisspeptin
GnRH-upstream peptide

Sits at the top of the reproductive hormone chain and switches on your body's own sex-hormone production.

Bonding & moodClinical use
Oxytocin
Neuropeptide hormone

The 'bonding hormone', used as a nasal spray or tablet for connection and mood. Effects are subtle and short-lived.

Fertility / TRT supportClinical use
HCG (Human Chorionic Gonadotropin)
Gonadotropin

Mimics the signal telling the testicles to make testosterone and sperm. Used with testosterone therapy or for fertility.

Testosterone & agingResearch only
Testagen
Bioregulator (KEDG)

A 4-amino-acid Khavinson peptide sold for testosterone with age, with very little human research.

Prostate & agingResearch only
Prostamax
Bioregulator (KEDP)

A 4-amino-acid Khavinson peptide sold for prostate support in older men, with very little human research.

Hormone / fertilityClinical use
Gonadorelin (GnRH)
GnRH peptide

Prompts your own testosterone and fertility hormones. It clears fast, so it needs frequent dosing.

Testosterone & fertilityClinical use
Enclomiphene
SERM, trans-isomer of clomiphene (oral, not a peptide)

Stops the brain seeing estrogen, so it tells the testicles to make more testosterone. One of clomiphene's two isomers.

FertilityClinical use
HMG (Menotropin)
Gonadotropin (FSH + LH)

Supplies FSH and LH, the two hormones that drive egg and sperm production. Used in fertility treatment.

Hormone / fertilityFDA-approved
Triptorelin
GnRH analog

A copy of the brain signal that controls sex hormones. An approved medicine, sold in the US as Trelstar and Triptodur.

Estrogen blockingFDA-approved
Tamoxifen
SERM (oral, not a peptide)

Blocks estrogen in breast tissue. Used against breast cancer and against breast tissue growth in men.

Estrogen controlFDA-approved
Anastrozole
Aromatase inhibitor (oral, not a peptide)

Stops the body making estrogen in the first place, so levels fall. It does not block the receptor.

Fertility & testosteroneFDA-approved
Clomiphene
SERM, mixed isomers (oral, not a peptide)

Blocks estrogen feedback in the brain. That triggers ovulation in women and raises testosterone in men.

Estrogen controlFDA-approved
Letrozole
Aromatase inhibitor (oral, not a peptide)

Shuts down estrogen production more completely than anastrozole does.

Thyroid & pituitaryFDA-approved
TRH (Protirelin)
Hypothalamic hormone (tripeptide)

The brain's signal to the thyroid chain. Its approved form was a single test injection, now discontinued.

Prolactin controlFDA-approved
Cabergoline
Ergot dopamine agonist (oral, not a peptide)

Tells the pituitary to stop releasing prolactin. Approved for disorders of high prolactin.

Estrogen blockingFDA-approved
Toremifene
SERM (oral, not a peptide)

A close relative of tamoxifen for breast cancer. It also stretches out the heart's electrical cycle.

Raise blood pressure in shockFDA-approved
Angiotensin II (Giapreza)
Vasoconstrictor hormone (angiotensin II)

The body's own blood-pressure hormone, given by drip in intensive care to raise blood pressure in septic shock.

Delay preterm laborClinical use
Atosiban (Tractocile)
Oxytocin and vasopressin receptor antagonist (cyclic peptide)

An oxytocin blocker used in Europe to delay premature labor for up to 48 hours. Never approved in the US.

Prevent bleeding after birthClinical use
Carbetocin (Pabal, Duratocin)
Long-acting oxytocin receptor agonist (cyclic peptide)

A long-acting oxytocin given once after birth to prevent heavy bleeding. Heat-stable, on the WHO essential list, not approved in the US.

Fertility controlFDA-approved
Cetrorelix (Cetrotide)
GnRH antagonist

Used during IVF to block the signal that triggers ovulation, so eggs can be collected on schedule.

Hormone suppressionFDA-approved
Degarelix (Firmagon)
GnRH antagonist

Drops testosterone immediately in advanced prostate cancer, without the surge the older drugs cause first.

Water balanceFDA-approved
Desmopressin (DDAVP)
Vasopressin analog

A modified vasopressin that tells the kidneys to hold on to water. It also treats bleeding disorders.

EndometriosisInvestigational
ENDO-205
Targeted peptide (non-hormonal)

EndoCyclic's non-hormonal peptide for endometriosis, cleared for a first human trial in March 2026.

Prevent early ovulationFDA-approved
Ganirelix (Orgalutran)
GnRH receptor antagonist (modified decapeptide)

A daily IVF injection that keeps eggs from being released before collection; in 1999 it became the first GnRH antagonist the FDA approved.

Hormone suppressionFDA-approved
Goserelin (Zoladex)
GnRH agonist

The same hormone shutdown as leuprolide, delivered as a pellet under the skin that dissolves over weeks.

Pause early pubertyFDA-approved
Histrelin (Supprelin LA)
GnRH receptor agonist (modified nonapeptide)

A once-yearly arm implant that pauses early puberty in children by switching off the pituitary signal to the ovaries or testes.

Lower growth hormoneFDA-approved
Lanreotide (Somatuline Depot)
Somatostatin analog (depot)

Octreotide's longer-acting cousin: a somatostatin copy given as a monthly depot for acromegaly and neuroendocrine tumors.

Hormone suppressionFDA-approved
Leuprolide (Lupron)
GnRH agonist

Floods the switch that controls sex hormones until it stops responding, shutting hormone production down.

Shrink or halt neuroendocrine tumorsFDA-approved
Lutetium-177 dotatate (Lutathera)
Radiolabeled somatostatin analog (peptide radioligand)

A somatostatin-like peptide carrying radioactive lutetium-177 into neuroendocrine tumors, approved since 2017 in Europe and 2018 in the US.

Suppress sex hormonesFDA-approved
Nafarelin (Synarel)
GnRH receptor agonist (modified decapeptide)

A modified GnRH sprayed into the nose that shuts down sex hormone production, approved in the US for endometriosis and early puberty in children.

Lower growth hormoneFDA-approved
Octreotide (Sandostatin)
Somatostatin analog

An FDA-approved somatostatin copy that shuts down growth hormone, used for acromegaly and hormone-secreting tumors.

Lower cortisol or growth hormoneFDA-approved
Pasireotide (Signifor)
Somatostatin analog (multi-receptor)

The third approved somatostatin analog: it hits more receptor types than octreotide or lanreotide, and raises blood sugar in most users.

Sexual functionResearch only
PT-142
Undocumented vendor name

A name sold next to PT-141. No published source describes a distinct compound called PT-142.

Halt neuroendocrine tumors after lutetium therapyInvestigational
RYZ101 (actinium-225 dotatate)
Radiolabeled somatostatin analog (alpha-emitting radioligand)

Lutathera's peptide carrying actinium-225 instead of lutetium; its phase 3 beat standard care in tumors that regrew after lutetium.

Hepatorenal syndromeFDA-approved
Terlipressin (Terlivaz)
Vasopressin analog (prodrug)

An FDA-approved vasopressin prodrug for a kidney failure that strikes people with advanced liver disease.

Raise blood pressureFDA-approved
Vasopressin (Vasostrict)
Vasopressin V1 and V2 receptor agonist (natural cyclic peptide hormone)

The body's own water-holding hormone, given by drip in intensive care to raise blood pressure in shock when fluids and other drugs are not enough.

Common questions

Which sexual health peptides are FDA approved?

Bremelanotide (PT-141) is approved for hypoactive sexual desire disorder in premenopausal women. Most other compounds on this page are not approved for any sexual indication.

Do these peptides raise testosterone?

Some act on the hormonal axis upstream of testosterone, such as kisspeptin and gonadotropin analogs. Effects vary widely and are not equivalent to prescribed testosterone therapy.

What side effects are most common?

Nausea and flushing are the most reported for melanocortin compounds. Anything acting on the hormonal axis can change mood, fertility and hormone panels.