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Goserelin is a synthetic decapeptide analog of gonadotropin-releasing hormone (GnRH, also known as luteinizing hormone-releasing hormone). It acts as a potent inhibitor of pituitary gonadotropin secretion by overstimulating the GnRH receptor, leading to downregulation and suppression of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) release. This results in decreased production of sex hormones—testosterone in men and estradiol in women—to castrate or postmenopausal levels. Goserelin is primarily used for the treatment of prostate cancer, breast cancer (especially in pre- and perimenopausal women), endometriosis, uterine fibroids, dysfunctional uterine bleeding (as an endometrial-thinning agent prior to ablation), and for assisted reproduction protocols. It is administered as a subcutaneous implant[1][3][5][7].
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