To evaluate the possibility of using the LRH agonist buserelin as a contraceptive for lactating women we have investigated the passage of buserelin into breast milk and explored possible biological activity in the infant. Eleven mothers received 600 \ g=m\ gbuserelin by nasal spray. Buserelin was measured by radioimmunoassay in the breast milk of these mothers, and values ranged from undetectable levels (less than 15 pg/ml) to 8800 pg/ml. The maximum amount of buserelin that an infant could ingest during an average feed would be 1\p=n-\2\g=m\g.In adult men ingestion of 600 \ g=m\ g buserelin dissolved in cows milk was without biological effect upon both serum and urinary levels of luteinizing hormone. There was no change in the levels of LH found in the urine of infants fed by women who had received 600 \g=m\g buserelin by nasal spray. We conclude that the small amount of buserelin passing into the breast milk of these volunteers was without biological activity when ingested by the infant.The choice of contraceptive methods presently available to lactating mothers is limited. There is a need for a reliable, acceptable and easily admini¬ stered method of contraception which does not interfere with lactation and is non-steroidal. To this end we are currently evaluating the effective¬ ness of luteinizing hormone releasing hormone agonist (LRH agonist), buserelin, as a contracep¬ tive for lactating women. This report outlines the investigations that have been carried out prior to regular administration of buserelin to breast feeding mothers.Breast feeding is nutritionaly good for the infant (Buchanan 1975). The contraceptive effects of breast feeding have been investigated (Howie & McNeilly 1982;Short 1984), and it has been shown that while full breast feeding is asso¬ ciated with the suppression of ovarian activity in women post-partum when supplementary feeds are given (Howie et al. 1981) or when suckling activity declines to less than 50 min/day nursing (McNeilly et al. 1983), follicular development and ovulation resume. Steroidal forms of contracep¬ tion are the most practical method currently avail¬ able but are not ideal. Combined oral contracep¬ tives may have an adverse effect upon breast milk production (Koetswang 1982). The progestogen only pill is commonly prescribed to lactating women in developed countries, but troublesome side effects include irregular vaginal bleeding, nausea, vomiting and headache.Numerous studies have demonstrated that daily adinistration of LRH agonist to women with nor¬ mal menstrual cycles is a reliable and reversible method of suppressing ovulation (e.g. Bergquist et al. 1979; Schmidt-Gollwitzer et al. 1981). Our hypothesis is that buserelin administered to breast feeding women will reliably suppress ovulation