Skip to main content

Gynaecological Disorders

  • Chapter
Estrogens and Antiestrogens II

Part of the book series: Handbook of Experimental Pharmacology ((HEP,volume 135 / 2))

  • 682 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

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

    PubMed  CAS  Google Scholar 

  • Lloyd ME, SpectorTD, Hughes GR(1994)Safety of hormone replacement therapy (HRT) in systemic lupus erythematosus (SLE). Lupus 3:11–13

    Article  PubMed  Google Scholar 

  • 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

    PubMed  CAS  Google Scholar 

  • 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

    PubMed  CAS  Google Scholar 

  • Grodstein F, Stampfer MJ, Colditz GA et al. (1997)Postmenopausal hormone therapy and mortality.N Engl J Med 336:1769–1775

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • Julkunen HA, Kaaja R, Friman C(1993)Contraceptive practice in women with systemic lupus erythematosus. Br J Rheumatol 32:227–230

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • Miller J, Burfield GD, Moretti KL(1994)Oral conjugated estrogen therapy for treatment of hemorrhagic cystitis. J Urol 51:1349–1350

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

  • 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

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60107-1_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64261-6

  • Online ISBN: 978-3-642-60107-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics