HPG-Axis Modulation (Grade B for IVF) — Stacking Protocols

IVF oocyte maturation trigger, LH/testosterone support and reproductive hormone optimization

Overview

Kisspeptin-54/10 for IVF oocyte maturation (GRADE B: multiple RCTs, n=175+ women, 95-96% maturation, 45% live birth rate). Superior OHSS prevention vs hCG (33.6× lower risk). NOT FDA-approved; investigational in specialized fertility centers.

Indications

  • LH/testosterone support and reproductive hormone optimization
  • Synergistic peptide combination therapy
  • Multi-pathway optimization

Mechanism of Action

Kisspeptin binds KISS1R on GnRH neurons in hypothalamus

Dosing

CompoundDoseFrequencyNotes
KisspeptinSee dosing notesAs per protocolFollow detailed dosing schedule below

Evidence Grade

GRADE B

Safety & Contraindications

  • Requires physician supervision for peptide stacking
  • Monitor for additive or synergistic side effects
  • Follow individual peptide safety guidelines for each component
  • Use sterile technique for all injections
  • Consult healthcare provider before combining multiple peptides