Female Sex Hormones and Their Physiological Functions
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Questions and Answers

Which hormone is the principle estrogen in premenopausal women?

  • Estriol
  • Estrone
  • Estradiol (correct)
  • Ethinylestradiol
  • What is the primary circulating estrogen after menopause?

  • Estriol
  • Estradiol
  • Estrone (correct)
  • Mestranol
  • Which type of estrogen is significantly less potent than estradiol and is present in significant amounts during pregnancy?

  • Estrone
  • Quinesterol
  • Mestranol
  • Estriol (correct)
  • Which type of estrogen is synthetically produced, has long duration, and slow metabolism?

    <p>Synthetic Estrogen</p> Signup and view all the answers

    What is the main physiological function of estrogen related to the endometrium?

    <p>Stimulation of proliferative phase</p> Signup and view all the answers

    What is the mechanism of action of conjugated estrogens in target tissues?

    <p>Interaction with nuclear receptors Erα and Erβ in target tissues</p> Signup and view all the answers

    What is the therapeutic use of postmenopausal hormone therapy (HT) called estrogen-progesterone therapy (EPT)?

    <p>Prevention of menopausal symptoms and protection against osteoporosis</p> Signup and view all the answers

    How are naturally occurring estrogens and synthetic estrogen analogs primarily administered?

    <p>Orally</p> Signup and view all the answers

    What is the primary reason for the low bioavailability of orally administered estrogens?

    <p>Rapid metabolism and inactivation by the liver</p> Signup and view all the answers

    What is the recommended hormone therapy for women who have undergone surgical removal of the uterus?

    <p>Unopposed estrogen therapy</p> Signup and view all the answers

    Which of the following is NOT a physiological function of estrogen?

    <p>Development of male reproductive tract</p> Signup and view all the answers

    Which type of estrogen is the principle estrogen in premenopausal women?

    <p>Estradiol</p> Signup and view all the answers

    What is the primary circulating estrogen after menopause?

    <p>Estrone</p> Signup and view all the answers

    Which type of estrogen has long duration of action and slow metabolic rate?

    <p>Synthetic steroidal estrogen</p> Signup and view all the answers

    Which type of estrogen is significantly less potent than estradiol and is present in significant amounts during pregnancy?

    <p>Estriol</p> Signup and view all the answers

    What is the primary mechanism of action of estrogens in target tissues?

    <p>Stimulation of gene transcription</p> Signup and view all the answers

    What is the recommended hormone therapy for women who have undergone surgical removal of the uterus?

    <p>Unopposed estrogen therapy</p> Signup and view all the answers

    What is the main physiological function of conjugated estrogens in target tissues?

    <p>Reduction of menopausal symptoms</p> Signup and view all the answers

    Why is the bioavailability of orally administered estrogens low?

    <p>Rapid metabolism and partial inactivation by the liver</p> Signup and view all the answers

    What is the therapeutic use of postmenopausal Hormone Therapy (HT) called estrogen-progesterone therapy (EPT)?

    <p>Reducing osteoporosis risk after menopause</p> Signup and view all the answers

    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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