Estrogen

Estrogen


CHEMISTRY:

  • C18 steroids
  • Secreted as oestradiol

SOURCE:

  • Theca and granulosa cells of the Graafian follicles and corpus luteum
  • Adrenal cortex
  • Aromatase enzyme associated with the conversion of androgen to oestrogen in the growing ovarian follicle 
  • Post menopausal estrogen production is due to Peripheral aromatization of androstenedione

AMOUNT SECRETED:

  •  50 mcg daily
  • Plasma oestradiol level rises 6–7 days before ovulation from  to the peak level of 300–600 mcg about 2 days before ovulation and approximately 24 h before the LH peak (level up to 350 pg/mL). Thereafter, the oestradiol concentration falls to 150–200 mcg daily, but a small rise is seen again in the mid-luteal phase.

OESTROGEN IN PREGNANCY:

  • Oestradiol, is 10 times as potent as oestrone, is present during reproductive period.
  • The placenta is the main source of oestriol.
  • Each cycle produces 10 mg of oestradiol.

ACTIONS:

  • Feminization and secondary sex characteristics
  • Texture of the female skin
  • Hair and the shape of female form
  • Specific action on the genital tract
  • Vulva and vagina
  • Development
  • Vascular & Epithelial stimulation
  • Cornification of the superficial layers of the vagina
  • Deposition and metabolism of intracellular glycogen in the vaginal epithelium

Uterus

  • Causes myohyperplasia of the myometrium and cervix
  • Increases vascularity.
  • Regenerates endometrium after menstruation
  • Proliferative (preovulatory) growth of the endometrium.
  • Stimulant effect on the glands of the endocervix &  mucous secretion.

Fallopian tubes:

  • Stimulates the tubal musculature

Breast:

  • Hypertrophy of the ductal and parenchymal tissue
  • Increase vascularity
  • Areolar pigmentation
  • Supress lactation(large dose)

Other endocrine glands:

  • Suppresses FSH and thyrotropic hormones
  • Inhibit ovulation
  • Stimulate LH & ACTH

Skeletal system:

  • ↑ calcification of bone(adolescent)
  • Closure of epiphyses
  • Decalcification of bone( post menopausal) occur due to it’s deficiency
  • Water and sodium metabolism
  • Water and sodium , calcium and nitrogen retention

Blood cholesterol:

  • HDL & Triglycerides increases(post- menopausal) under oestrogen influence and is cardioprotective
Exam Question
 
  • Failure of bleeding after withdrawal of oestrogen indicates  Uterine factor
  • Estrogen replacement for post — menopausal symptoms causes an increase in Triglycerides
  • Estrogen administration in a menopausal woman increases the Bone mass
  • Oestrogen causes Weight gain, Fluid and water retention, Disappearance of comedones
  • Post menopausal estrogen production is due to  Peripheral aromatization of androstenedione
  • Estrogen dependent conditions are Endometriosis, Endometrial carcinoma & Fibroids
  • Functions of estrogen are Synthetic function on endometrium, develop secondary sexual characters in female, Breast enlargement during puberty
  • Secretion of estrogen is maximum Before ovulation
  • The enzyme associated with the conversion of androgen to oestrogen in the growing ovarian follicle is Aromatase
  • Effects of estrogen are  Reduces LDL,Beneficial effect on cognition,Reduced osteoclastic activity,Increased osteoblastic activity, Increases Triglycerides & Increases HDL
  • Estrogen is Used in HRT
  • Estrogen causes Increased risk of breast cancer
  • By estrogen administration in a menopausal woman Bone mass is increased
  • Estrogen Causes cholestasis
  • The success of estrogen and estrogen-like drugs in combating osteoporosis in postmenopausal women may indicate that estrogen Inhibits osteoclastic activity
  • Estradiol, Estrone & Estriol are the main form of oestrogen secreted from the ovary
  • The amount of estrogen in low dose oral contraceptive pills is 20 micrograms
  • Aromatase enzyme is associated with the conversion of androgen to oestrogen in a growing ovarian follicle
  • Estrogen action on carbohydrate metabolism Glycolysis increases
  • Estrogen  is mainly responsible for skeletal maturation
  • Major estrogen in normal adult women is  Estradiol
  • Ethinylestradiol is synthetic estrogens 
  • Estrogen Causes cholestasis
  • Estrogen  Used in HRT
  • Thromboembolism is due to Estrogen
  • Ferning pattern of mucus under influence of Estrogen
  • Estrogen deficiency leads to Osteoporosis
  • Aromatase produces estrogen from androgen
  • Estrogen Beta receptors are found on ovary
  • FSH and LH both are inhibited by Estrogen 
  • Reason for hepatic involvement in oral contraceptives is Estrogen 
  • Vaginal cornification, Pubic & axillary hair growth & Cervical mucus production are pubertal change due to estrogen
  • Estrogen is secreted by Granulosa cells
  • Estrogen  acts on nuclear receptors
Don’t Forget to Solve all the previous Year Question asked on Estrogen

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