Can peptides make you infertile?
No data is not proof of safety. FDA labels for approved peptide drugs give clear advice.
By the Peptide Science Desk Editorial TeamFact-checked against FDA and official sources · Not yet reviewed by a licensed clinician. How we check facts

Can peptides make you infertile?
- There is no one answer. Each peptide is a different drug.
- Approved peptide drugs were tested in animals for fertility. The Zepbound label says tirzepatide did not change sperm, mating, fertility, or getting pregnant in rats. Female rats had cycle changes that the label links to eating less and losing weight.
- The Wegovy label says semaglutide had no effect on male fertility in rats. Female rats had longer cycles, which the label links to eating less.
- The Egrifta SV label says tesamorelin did not change fertility in male or female rats at the doses tested.
- Animal tests do not prove what happens in people.
- For most unapproved peptides, like BPC-157, there is no fertility data in people. That means the risk is unknown, not zero.
Are peptides safe during pregnancy?
- Wegovy: the label says weight loss offers no benefit in pregnancy and may harm the baby. It says to stop Wegovy for weight loss when pregnancy is found.
- Zepbound: the label says to stop when pregnancy is found. It says human data is too small to know the risk. Animal studies showed possible harm to the baby.
- Egrifta SV (tesamorelin): the label says it must not be used in pregnancy.
- Vyleesi (bremelanotide, PT-141): the label says the few pregnancies in its trials were too few to know the risk. Animal studies suggest possible harm.
- Unapproved peptides: we found no pregnancy safety data. No data is not proof of safety.
- If you are pregnant or could be, talk to your doctor before using any peptide.
- Studies in people help a little. A big study of babies born to women with type 2 diabetes did not find more birth defects after early GLP-1 use than after insulin. It still needs to be confirmed.
- A 2026 review of 36 human studies found no clear harm from early pregnancy use. It says there is little data on use later in pregnancy.
Can I take peptides while trying to conceive?
- Ask your doctor first, before you start trying.
- The Wegovy label says to stop at least 2 months before a planned pregnancy when you use it for weight loss or heart risk, because semaglutide stays in the body a long time.
- The label for Rybelsus and Ozempic tablets (semaglutide pills) also says to stop at least 2 months before a planned pregnancy.
- Some people trying to conceive ask about peptides like kisspeptin-10. It is not FDA approved, and the FDA says there is little or no safety data for how people use it.
Do Zepbound and Mounjaro affect birth control pills?
- Yes, they may. Their labels say tirzepatide may make birth control pills work less well, because it slows how fast the stomach empties.
- The labels say to switch to a non-pill birth control, or add a barrier method (like condoms), for 4 weeks after starting and for 4 weeks after each dose increase.
- The labels say birth control that is not taken by mouth should not be affected.
- Ask your doctor or pharmacist which birth control fits you.
Can peptides help fertility?
- Some approved peptide hormones are fertility medicines. HCG (Pregnyl, Novarel) is FDA approved to help some women release an egg, and for some men whose low sex hormones come from a pituitary gland problem.
- The HCG labels say it should be used by doctors who know how to treat infertility. It can over-stimulate the ovaries.
- The Pregnyl label says it is not for use in pregnancy. It may be used as support during fertility treatment, and it is stopped once pregnancy is confirmed.
- Gonadorelin was once approved for people as Factrel. FDA now lists the human version as discontinued.
- Kisspeptin-10 is not approved for fertility. Claims that it boosts fertility are not proven.
Are peptides safe while breastfeeding?
- Wegovy shots: the label says there is no data on whether semaglutide shots get into breast milk. Talk to your doctor about how to feed your baby.
- Wegovy, Ozempic and Rybelsus tablets: the labels say breastfeeding is not recommended, because of an added ingredient (SNAC) that may build up in babies.
- Zepbound: the label says a small study found tirzepatide in breast milk was not found or was low.
- Egrifta SV: the label says not to breastfeed.
- Unapproved peptides: no data that we found.
Are peptide skin creams or collagen safe in pregnancy?
- We found no FDA pregnancy data for peptide creams or collagen peptide powders.
- The FDA does not approve supplements, like collagen powders, before they are sold.
- Ask your OB doctor, midwife, or pharmacist before you use one while pregnant.
Key studies in people: GLP-1 drugs and pregnancy
| Study type | People | Main finding | Limits |
|---|---|---|---|
| Cohort study, 4 Nordic countries, US and Israel | 938 babies exposed to GLP-1 drugs early | Birth defect risk was about the same as with insulin | Mothers had type 2 diabetes; some numbers not exact |
| Review of 36 human studies (2026) | 36 studies | Early pregnancy use was not clearly linked to harm; little data on breastfeeding | Few studies of use all through pregnancy |
What FDA labels say about pregnancy and fertility
| Wegovy (semaglutide) | Zepbound or Mounjaro (tirzepatide) | Egrifta SV (tesamorelin) | Unapproved peptides (like BPC-157) | |
|---|---|---|---|---|
| Pregnant? | Stop for weight loss when pregnancy is found | Zepbound: stop when pregnancy is found | Must not use | No data |
| Planning a pregnancy? | Stop at least 2 months before (weight loss or heart risk use) | Ask your doctor | Ask your doctor | No data |
| Birth control pills | Not flagged on the label | May work less well: use a non-pill or backup method | Not flagged on the label | No data |
| Breastfeeding | Shots: no data. Tablets: not recommended | Small study: low or not found in milk | Do not breastfeed | No data |
| Fertility studies | Rats: no effect on male fertility | Rats: no effect on sperm or conception | Rats: no effect on fertility | None in people |
FAQ
Can BPC-157 affect fertility?
Nobody knows. We found no fertility or pregnancy studies of BPC-157 in people. It is not FDA approved.
Does semaglutide make you more fertile?
The Wegovy label does not say that. It does say to plan ahead: stop at least 2 months before trying, and stop if you become pregnant while using it for weight loss.
What should I do if I got pregnant while on a GLP-1?
Call your doctor soon. Do not just keep going. The Zepbound and Wegovy labels list pregnancy registries that collect safety data. Your doctor can help you join.
Is HCG used for men?
Yes, for one approved use: some men whose low sex hormones come from a pituitary gland problem. A doctor needs to find the cause first. HCG is banned in sports for men.
Can men take peptides while trying for a baby?
Ask a doctor. For most unapproved peptides, effects on sperm in people are unknown. Testosterone shots can lower sperm count; see our TRT guide.
Who can I ask about medicine in pregnancy?
Your OB doctor, midwife, or pharmacist. You can also bring our printable doctor questions sheet.
Related pages
- GLP-1: Wegovy / Ozempic (semaglutide)FDA approved · Proof: Strong
- GLP-1: Zepbound / Mounjaro (tirzepatide)FDA approved · Proof: Strong
- HCG (Pregnyl, Novarel)FDA approved · Proof: Strong
- Kisspeptin-10Not approved · Proof: Early
- GonadorelinOff market · Proof: None found
- Egrifta (tesamorelin)FDA approved · Proof: Strong
- Vyleesi (bremelanotide, PT-141)FDA approved · Proof: Some
- Peptides for libido and sex drive: what works?Guide
- Peptides for perimenopause and menopause: do any really help?Guide
- Are Peptides Safe? What to Know FirstGuide
- Do peptides really work? The honest answerGuide
- Can a doctor prescribe peptides?Guide
- Peptides vs TRT vs SARMs: which is safer?Guide
- Can peptides cause blood clots, hair loss, diarrhea and more? Short answersGuide
- Questions to ask your doctorTool
- Do peptides show up on a drug test?Tool
- Compare GLP-1: Wegovy / Ozempic vs GLP-1: Zepbound / MounjaroComparison tool
We never share doses or tell you where to buy. Always ask your doctor. Print our doctor questions sheet.
Sources
- DailyMed (FDA label): Wegovy (semaglutide) prescribing information, revised 6/2026
- DailyMed (FDA label): Rybelsus / Ozempic tablets (semaglutide) prescribing information
- DailyMed (FDA label): Zepbound (tirzepatide) prescribing information
- DailyMed (FDA label): Mounjaro (tirzepatide) prescribing information
- DailyMed (FDA label): Egrifta SV (tesamorelin) prescribing information
- DailyMed (FDA label): Vyleesi (bremelanotide) prescribing information
- DailyMed (FDA label): Pregnyl (chorionic gonadotropin) prescribing information
- DailyMed (FDA label): Novarel (chorionic gonadotropin) prescribing information
- FDA: Bulk drug substances that may present significant safety risks (Category 2 and withdrawn list)
- FDA: Questions and answers on dietary supplements (FDA does not approve supplements before sale)
- DailyMed (FDA label): Xyosted (testosterone enanthate) prescribing information
- FDA: Concerns with unapproved GLP-1 drugs used for weight loss
- PubMed: Cesta et al., Safety of GLP-1 receptor agonists and other second-line antidiabetics in early pregnancy, JAMA Intern Med 2024
- PubMed: Ozbek et al., Safety of GLP-1 and GLP-1/GIP drugs in preconception, pregnancy and lactation: systematic review, Diabetes Obes Metab 2026