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Questions and Answers
Which hormone is the principle estrogen in premenopausal women?
Which hormone is the principle estrogen in premenopausal women?
What is the primary circulating estrogen after menopause?
What is the primary circulating estrogen after menopause?
Which type of estrogen is significantly less potent than estradiol and is present in significant amounts during pregnancy?
Which type of estrogen is significantly less potent than estradiol and is present in significant amounts during pregnancy?
Which type of estrogen is synthetically produced, has long duration, and slow metabolism?
Which type of estrogen is synthetically produced, has long duration, and slow metabolism?
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What is the main physiological function of estrogen related to the endometrium?
What is the main physiological function of estrogen related to the endometrium?
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What is the mechanism of action of conjugated estrogens in target tissues?
What is the mechanism of action of conjugated estrogens in target tissues?
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What is the therapeutic use of postmenopausal hormone therapy (HT) called estrogen-progesterone therapy (EPT)?
What is the therapeutic use of postmenopausal hormone therapy (HT) called estrogen-progesterone therapy (EPT)?
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How are naturally occurring estrogens and synthetic estrogen analogs primarily administered?
How are naturally occurring estrogens and synthetic estrogen analogs primarily administered?
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What is the primary reason for the low bioavailability of orally administered estrogens?
What is the primary reason for the low bioavailability of orally administered estrogens?
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What is the recommended hormone therapy for women who have undergone surgical removal of the uterus?
What is the recommended hormone therapy for women who have undergone surgical removal of the uterus?
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Which of the following is NOT a physiological function of estrogen?
Which of the following is NOT a physiological function of estrogen?
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Which type of estrogen is the principle estrogen in premenopausal women?
Which type of estrogen is the principle estrogen in premenopausal women?
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What is the primary circulating estrogen after menopause?
What is the primary circulating estrogen after menopause?
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Which type of estrogen has long duration of action and slow metabolic rate?
Which type of estrogen has long duration of action and slow metabolic rate?
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Which type of estrogen is significantly less potent than estradiol and is present in significant amounts during pregnancy?
Which type of estrogen is significantly less potent than estradiol and is present in significant amounts during pregnancy?
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What is the primary mechanism of action of estrogens in target tissues?
What is the primary mechanism of action of estrogens in target tissues?
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What is the recommended hormone therapy for women who have undergone surgical removal of the uterus?
What is the recommended hormone therapy for women who have undergone surgical removal of the uterus?
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What is the main physiological function of conjugated estrogens in target tissues?
What is the main physiological function of conjugated estrogens in target tissues?
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Why is the bioavailability of orally administered estrogens low?
Why is the bioavailability of orally administered estrogens low?
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What is the therapeutic use of postmenopausal Hormone Therapy (HT) called estrogen-progesterone therapy (EPT)?
What is the therapeutic use of postmenopausal Hormone Therapy (HT) called estrogen-progesterone therapy (EPT)?
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Study Notes
Estrogens Overview
- Estradiol is the principal estrogen in premenopausal women, playing a key role in reproductive health.
- After menopause, estrone becomes the primary circulating estrogen, replacing estradiol.
Types of Estrogens
- Estriol is significantly less potent than estradiol and is present in considerable amounts during pregnancy.
- Ethinyl estradiol is a synthetic estrogen that has a long duration of action and slow metabolism, making it effective for various therapeutic uses.
Physiological Functions
- Estrogen primarily promotes the proliferation of the endometrium, preparing it for potential implantation of a fertilized egg.
- The main physiological action of estrogens in target tissues involves binding to estrogen receptors, initiating transcription of estrogen-responsive genes.
Hormone Therapy and Administration
- Estrogen-progesterone therapy (EPT) is a common postmenopausal hormone therapy aimed at alleviating menopausal symptoms and preventing osteoporosis.
- Estrogens, both naturally occurring and synthetic analogs, are primarily administered through oral routes, patches, or other delivery systems.
Bioavailability and Additional Considerations
- The low bioavailability of orally administered estrogens is mainly due to first-pass metabolism in the liver, which significantly reduces the amount that enters systemic circulation.
- For women who have had a hysterectomy, estrogen-only therapy is recommended to mitigate menopausal symptoms without the need for additional progesterone.
Summary of Estrogen Functions
- Not all physiological functions of estrogen include ovulation induction; functions also encompass regulation of fat distribution, treatment of osteoporosis, and maintenance of reproductive tissues.
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Description
Pharmacology questions