Does semorelin (Sermorelin) increase Prostate-Specific Antigen (PSA) levels?

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Last updated: June 24, 2025View editorial policy

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From the Guidelines

Sermorelin is unlikely to significantly increase PSA levels, as the current evidence does not support a direct link between sermorelin and elevated PSA. When considering the use of sermorelin, it's essential to understand its mechanism of action and potential effects on prostate health. Sermorelin stimulates the pituitary gland to produce growth hormone (GH), which in turn increases insulin-like growth factor-1 (IGF-1) 1. Although IGF-1 can promote cell growth and proliferation, including in prostate tissue, the relationship between growth hormone pathways and prostate health is complex. Some key points to consider:

  • Theoretical basis for concern about PSA elevation exists due to the potential effects of IGF-1 on cell growth and proliferation.
  • Direct evidence linking sermorelin to increased PSA levels is limited.
  • Regular PSA monitoring is advisable for men using sermorelin, particularly those over 50 or with a family history of prostate cancer.
  • If you notice rising PSA levels while on sermorelin, consult your healthcare provider promptly to determine if the medication should be discontinued or if further prostate evaluation is needed. It's crucial to weigh the potential benefits of sermorelin against the theoretical risks, especially for men with a history of prostate cancer or those at high risk. However, the available evidence does not support a significant increase in PSA levels with sermorelin use 1.

From the Research

Sermorelin and PSA Levels

  • There is no direct evidence in the provided studies that suggests semorelin increases Prostate-Specific Antigen (PSA) levels 2, 3, 4, 5, 6.
  • The studies focus on various aspects of prostate cancer, PSA levels, and the use of sermorelin in different contexts, but none of them explicitly investigate the effect of semorelin on PSA levels.
  • Study 4 discusses the use of sermorelin in the diagnosis and treatment of children with idiopathic growth hormone deficiency, but it does not mention PSA levels or prostate cancer.
  • Studies 2, 3, 5, and 6 relate to prostate cancer and PSA levels, but they do not address the specific question of whether semorelin increases PSA levels.

Related Findings

  • Study 5 analyzes serum PSA levels in patients with prostate cancer and other diseases, but it does not provide information on the effect of semorelin on PSA levels.
  • Study 6 examines the risk of death in men with a history of myocardial infarction or stroke who receive androgen-suppression therapy for prostate cancer, but it does not mention semorelin or its potential impact on PSA levels.

Conclusion Not Available

No research papers directly assist in answering the question of whether semorelin increases PSA levels.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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