Abstract
Estrogen therapy is indicated whenever estrogen deficiency is at hand. Such deficiency could be either general or local. The major indications for systemic therapy would be climacteric symptoms, such as sweats and hot flushes etc., and for inducing or maintaining female sex characteristics in primary and secondary amenorrhoea. However, estrogen mono therapy is seldom used for lengthier periods due to its stimulatory effect on the endometrium. Prolonged estrogen treatment may lead to endometrial cancer, but much more often to various types of bleeding disorders. A progestogen is therefore usually added when administering estrogen to women with intact uteri. In this chapter, a number of clinical conditions will be mentioned, in which estrogen treatment has been shown to be useful. However, it should be remembered that, in most cases, a progestogen co-medication is necessary in women with intact uteri.
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References
Archer DF, Pickar JH, Bottiglioni F(1994)For the Menopause Study Group: Bleeding patterns in postmenopausal women taking continuous combined or sequential regimens of conjugated estrogens with medroxy-progesterone acetate. Obstet Gynecol 83:686–692
Lloyd ME, SpectorTD, Hughes GR(1994)Safety of hormone replacement therapy (HRT) in systemic lupus erythematosus (SLE). Lupus 3:11–13
Boumpas DR, Fessler BJ, Austin HA et al. (1995)Systemic lupus erythematosus: emerging concepts. Part 2: Dermatologic and joint disease, the anti-phospholipid antibody syndrome, pregnancy and hormonal therapy, morbidity and mortality, and pathogenesis. Ann Intern Med 123:42–53
Chandler M, Schuldheisz S, Phillips BA, Muse KN(1997)Premenstrual Asthma: The effect of estrogen on symptoms, pulmonary function, and 132-receptors. Pharmacotherapy 17:224–234
Grodstein F, Stampfer MJ, Colditz GA et al. (1997)Postmenopausal hormone therapy and mortality.N Engl J Med 336:1769–1775
Hall GM, Daniels M, Muskisson EC, Spector TD(1994)A randomised controlled trial of the effect of hormone replacement therapy on disease activity in postmenopausal rheumatoid arthritis. Am Rheum Dis 3:112–116
Julkunen HA, Kaaja R, Friman C(1993)Contraceptive practice in women with systemic lupus erythematosus. Br J Rheumatol 32:227–230
Koepsell TD, Duguwson CE, Nelson JL et al. (1994) Non-contraceptive hormones and the risk of rheumatoid arthritis in menopausal women. In J Epidemiol 23:1248–1255
Miller J, Burfield GD, Moretti KL(1994)Oral conjugated estrogen therapy for treatment of hemorrhagic cystitis. J Urol 51:1349–1350
Nilsson K, Heimer G(1994) Ultralow dose transdermal estrogen therapy in postmenopausal urogenital estrogen deficiency, a placebo controlled study. Menopause. The Journal of the North American Menopause Society 4:191–197
Raz R, Stamm W(1993)A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections. N Engl J Med 329:753–756
Samsioe G, Jansson I, Mellstrom D, Svanborg A(1985)The occurrence, nature and treatment of urinary incontinence in a 70 year old population. Maturitas 7:335–342
Smith SK (1993) Endometrial changes during the perimenopausal years. In: Berg G, Hammar M (eds) The Modern Management of the Menopause. Parthenon Publishing, London, pp 201–206
Spector TD, Hochberg MC(1990)The protective effect of the oral contraceptive pill on rheumatoid arthritis: an overview of the analytic epidemiological studies using metaanalysis. J Clin EpidemioI 43:1221–1230
Sturdee DW, Barlow DH, Ulrich LG et al. (1994)Is the timing of withdrawal bleeding a guide to endometrial safety during sequential estrogen-progestogen replacement therapy?Lancet 344:979–982
Vigano G, Gaspari F, Locatelli M et al. (1988) Dose-effect and pharmaco-kinetics of estrogens given to correct bleeding time in uremia. Kidney Int 34:853–858
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Samsioe, G. (1999). Gynaecological Disorders. In: Estrogens and Antiestrogens II. Handbook of Experimental Pharmacology, vol 135 / 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60107-1_20
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DOI: https://doi.org/10.1007/978-3-642-60107-1_20
Publisher Name: Springer, Berlin, Heidelberg
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