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Actions of Estradiol |
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The Actions of
Estradiol |
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In women, estradiol is a steroid
hormone produced primarily by the ovaries and adrenal glands. Estradiol has a
direct affect on the function of the reproductive system, the nervous system,
the cardiovascular system and the skeletal system. |
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Blood sugar levels, skin and other
tissues and functions are also significantly influenced by estradiol. |
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Like all steroid hormones, excessive
amounts of estradiol can contribute to a number of increased health risks. |
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Though proper estradiol levels are critical for the
prevention of osteoporosis, the actions of |
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Therefore
it is crucial that proper levels also be maintained in all women. |
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Following
is a list of some of the actions and functions of estradiol. More information
and more references can be found in the book What's Your Menopause
Type? |
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Estradiol
& The Endometrium |
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Excessive
estradiol, or estradiol that is not opposed by progesterone or another progestogen,
can increase the risk for developing endometrial cancer 1, 2. |
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Estradiol
& The Vagina |
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Estradiol
deficiency can result in increased vaginal dryness and atrophy. This can be
relieved with estradiol (or other estrogen) replacement, resulting in less
vaginal pain, itching and burning as well as less painful intercourse 3. |
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Estradiol
& The Urinary Tract |
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A deficiency of estradiol
is associated with increased urinary tract infections, which are diminished
with estrogen replacement 4. Estradiol deficiency may cause or
contribute to urinary incontinence, which is decreased with estrogen
replacement 5, 6, 7, 8. |
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Estradiol
& The Libido |
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Estradiol can directly
increase sexual desire, interest and responsiveness 9, 10, 11, 12, 13.
It also plays a role in increasing vaginal lubrication and satisfaction
during sex. 14 |
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Estradiol
& Blood Sugar and Insulin Levels |
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Estradiol improves blood
sugar (blood glucose) metabolism and decreases risk of developing
hyperinsulinemia 15, 16, 17, 18. It increases the uptake of
glucose by muscle cells 19, 20. |
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Estradiol
& The Brain, Mood and Memory |
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Estradiol can
significantly improve or alleviate depression in postmenopause women 21,
22. Estradiol is needed for normal the function of neurotransmitters
that affect mood and memory 23, 24, 25. |
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Estradiol
& The Breasts |
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Estradiol helps maintain
the size and density of breast tissue, though excess amounts increase risk of
some forms of breast cancer, or cause breast pain 26. |
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Estradiol
& The Skin |
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Estradiol has a positive
effect on skin thickness, skin collagen, water content, skin softness and
blood flow to the skin 27, 28, 29. |
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Estradiol
& The Bones and Osteoporosis |
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Estradiol decreases the
development and the activity of bone clearing osteoclast cells 30, 31.
It also increases the bone building ability of osteoblast cells directly 32,
33, 34. |
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Estradiol
&The Heart |
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Estradiol lowers total
cholesterol levels, and also lowers LDL (bad cholesterol) levels 35
while increasing HDL (good cholesterol) levels 36. Estradiol also
causes a reduction in the level of Lipoprotein (a), which result sin a significantly
reduced risk of developing heart disease 37, 38. |
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References: (1) - Gray LA Sr,
Christopherson WM, Hoover RN. Estrogens and endometrial carcinoma. Obstet
Gynecol 1977 Apr;49(4):385-9 (2) - Smith DC,
Prentice R, Thompson DJ, Herrmann WL. Association of exogenous estrogen and
endometrial carcinoma. N Engl J Med 1975 Dec 4;293(23):1164-7 (3) - Coope J.
Hormonal and non-hormonal interventions for menopausal symptoms. Maturitas
1996 Mar;23(2):159-168 (4) - Raz R,
Stamm WE. A Controlled Trial of Intravaginal Estriol in Postmenopausal Women
with Recurrent Urinary Tract Infections. N Engl J Med 329:753-6, 1993 (5) - Phillips
JI, Davies I. A comparative morphometric analysis of the component tissues of
the urethra in young and old female C57BL/ICRFAt mice. Invest Urol 1981
May;18(8):422-5 (6)
- Bjornsdottir LT, Geirsson RT, Jonsson PV. Urinary incontinence and urinary
tract infections in octogenarian women. Acta Obstet Gynecol Scand 1998
Jan;77(1):105-9 (7)
- Lovatsis D, Drutz HP. The role of estrogen in female urinary incontinence
and urogenital aging: a review. Ostomy Wound Manage 1998 Jun;44(6):48-53 (8) - Formosa M, Brincat
MP, Cardozo LD, Studd JWW. Collagen; The Significance in Skin, Bone and
Bladder. IN: Lobo RA. Treatment of the Postmenopausal Woman, Basic and
Clinical Aspects. Lippincott-Raven Publishers. 1996 (9) - Myers LS.
Methodological review and meta-analysis of sexuality and menopause research.
Neurosci Biobehav Rev 1995;19(2):331-341 (10) - Beard MK,
Curtis LR. Libido, menopause, and estrogen replacement therapy. Postgrad Med
1989 Jul;86(1):225-228 (11) - Cutler WB,
Garcia CR, McCoy N. Perimenopausal sexuality. Arch Sex Behav 1987
Jun;16(3):225-234 (12) - Iatrakis G,
Haronis N, Sakellaropoulos G, Kourkoubas A, Gallos M. Psychosomatic symptoms
of postmenopausal women with or without hormonal treatment. Psychother
Psychosom 1986;46(3):116-121 (13) - Dow MG,
Hart DM, Forrest CA. Hormonal treatments of sexual unresponsiveness in
postmenopausal women: a comparative study. Br J Obstet Gynaecol 1983
Apr;90(4):361-366 (14) - McCoy NL,
Davidson JM. A longitudinal study of the effects of menopause on sexuality. Maturitas
1985 Sep;7(3):203-210 (15) - Cagnacci A,
Tuveri F, Cirillo R, Setteneri AM, Melis GB, Volpe A. The effect of
transdermal 17-beta-estradiol on glucose metabolism of postmenopausal women
is evident during the oral but not the intravenous glucose administration.
Maturitas 1997 Dec 15;28(2):163-7 (16) - Cagnacci A,
Soldani R, Carriero PL, Paoletti AM, Fioretti P, Melis GB. Effects of low
doses of transdermal 17 beta-estradiol on carbohydrate metabolism in
postmenopausal women. J Clin Endocrinol Metab 1992 Jun;74(6):1396-400 (17) - Barrat J,
Giboudeau J, Polonovski J, Bigel P, Fourcat C, Porta F, Leger D. [Comparison of the effects of orally or
percutaneously administered estradiol on carbohydrates and lipids after the
menopause].[Article in French] J Gynecol Obstet Biol Reprod (Paris)
1984;13(6):621-7 (18) - Colacurci
N, Zarcone R, Mollo A, Russo G, Passaro M, de Seta L, de Franciscis P.
Effects of hormone replacement therapy on glucose metabolism. Panminerva Med
1998 Mar;40(1):18-21 (19) - Kumagai S,
Holmang A, Bjorntorp P. The effects of oestrogen and progesterone on insulin
sensitivity in female rats. Acta Physiol Scand 1993 Sep;149(1):91-7 (20) - Puah JA,
Bailey CJ. Effect of ovarian hormones on glucose metabolism in mouse soleus
muscle. Endocrinology 1985 Oct;117(4):1336-40 (21) - Mayeaux EJ
Jr, Johnson C. Current concepts in postmenopausal hormone replacement
therapy. J Fam Pract 1996 Jul;43(1):69-75 (22) - Sherwin BB.
Sex hormones and psychological functioning in postmenopausal women. Exp
Gerontol 1994 May-Aug;29(3-4):423-30 (23) – Smith RNJ,
Studd JWW. Estrogens and Depression in Women. IN: Lobo RA. Treatment of the
Postmenopausal Woman, Basic and Clinical Aspects. Lippincott-Raven
Publishers. 1996 (24) - Sherwin BB.
Estrogen effects on cognition in menopausal women. Neurology 1997 May;48(5
Suppl 7):S21-6 (25) - Kampen DL,
Sherwin BB. Estrogen use and verbal memory in healthy postmenopausal women.
Department of Psychology, McGill University, Montreal, Quebec, Canada Obstet
Gynecol 1994 Jun;83(6):979-83 (26)
- Lipworth L, Adami HO, Trichopoulos D, Carlstrom K, Mantzoros C. Serum
steroid hormone levels, sex hormone-binding globulin, and body mass index in
the etiology of postmenopausal breast cancer. Epidemiology 1996
Jan;7(1):96-100 (27) - Grosman N,
Hvidberg E, Schou J. The effect of oestrogenic treatment on the acid
mucopolysaccharide pattern in skin of mice. Acta Pharmacol Toxicol (Copenh)
1971;30(5):458-64 (28) - Grosman N.
Study on the hyaluronic acid-protein complex, the molecular size of
hyaluronic acid and the exchangeability of chloride in skin of mice before
and after oestrogen treatment. Acta Pharmacol Toxicol (Copenh)
1973;33(3):201-8 (29) - Brincat M,
Moniz CJ, Studd JW, Darby A, Magos A, Emburey G, Versi E. Long-term effects
of the menopause and sex hormones on skin thickness. Br J Obstet Gynaecol
1985 Mar;92(3):256-9 (30)
- Mano H, Yuasa T, Kameda T, Miyazawa K, Nakamaru Y, Shiokawa M, Mori Y,
Yamada T, Miyata K, Shindo H, Azuma H, Hakeda Y, Kumegawa M. Mammalian mature
osteoclasts as estrogen target cells. Biochem Biophys Res Commun 1996 Jun
25;223(3):637-42 (31)
- Hughes DE, Dai A, Tiffee JC, Li HH, Mundy GR, Boyce BF. Estrogen promotes
apoptosis of murine osteoclasts mediated by TGF-beta. Nat Med 1996
Oct;2(10):1132-6 (32)
- Yamaguchi M, Matsui T. Zinc enhancement of 17beta-estradiol's anabolic
effect in osteoblastic MC3T3-E1 cells. Calcif Tissue Int 1997
Jun;60(6):527-32 (33)
- Slootweg MC, Swolin D, Netelenbos JC, Isaksson OG, Ohlsson C. Estrogen
enhances growth hormone receptor expression and growth hormone action in rat
osteosarcoma cells and human osteoblast-like cells. J Endocrinol 1997
Oct;155(1):159-64 (34)
- Stepan J, Formankova J, Masatova A, Michalsky M, Rosenova Z. [Comparison of the effectiveness of
17-beta-estradiol and calcitonin in women with postmenopausal bone
loss].[Article in Czech] Cas Lek Cesk 1997 Apr 16;136(8):242-8 (35)
- Heikkinen AM, Niskanen L, Yla-Herttuala S, Luoma J, Tuppurainen MT,
Komulainen M, Saarikoski S. Postmenopausal hormone replacement therapy and
autoantibodies against oxidized LDL. Maturitas 1998 Jun 3;29(2):155-61 (36)
- Nasr A, Breckwoldt M. Estrogen replacement therapy and cardiovascular
protection: lipid mechanisms are the tip of an iceberg. Gynecol Endocrinol
1998 Feb;12(1):43-59 (37)
- Haines CJ, Chung TK, Masarei JR, Tomlinson B, Lau JT. An examination of the
effect of combined cyclical hormone replacement therapy on lipoprotein(a) and
other lipoproteins. Atherosclerosis 1996;119(2):215-22. (38)
- Espeland MA, Marcovina SM, Miller V, Wood PD, Wasilauskas C, Sherwin R,
Schrott H, Bush TL. Effect of postmenopausal hormone therapy on
lipoprotein(a) concentration. PEPI Investigators. Postmenopausal
Estrogen/Progestin Interventions. Circulation 1998 Mar 17;97(10):979-86 |
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YourMenopauseType.com,
Inc. |
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