Serum levels of oestrogens, progesterone, follicle-stimulating hormone and sex-hormone-binding globulin during simultaneous vaginal administration of 17 beta-oestradiol and progesterone in the pre- and post-menopause

Maturitas. 1988 Dec;10(4):307-16. doi: 10.1016/0378-5122(88)90066-7.

Abstract

Serum concentrations of 17 beta-oestradiol (E2), unconjugated oestrone (E1), total oestrone (tE1), progesterone (P), follicle-stimulating hormone (FSH) and sex-hormone-binding globulin (SHBG) were measured before and after daily intravaginal administration of 250 micrograms micronized E2 and 10 mg micronized P for 14 days to 12 post-menopausal and for 1 day only (during cycle days 5-8) to 11 pre-menopausal women. In the post-menopausal women the levels of all steroids increased to maximum values on day 1, 8-10 h after administration and fell thereafter. In the pre-menopausal women the steroid concentrations rose slowly to a plateau level 10-15 h after administration. Significantly higher absorption of E2 and E1 (area under the curve increments) was noted in the post-menopausal than in the pre-menopausal women. In the post-menopausal women the steroid levels measured on days 7 and 14 corresponded to those observed in the very early or late luteal phase. Area under the curve increments were usually smaller on days 7 and 14 than on day 1 and the absorption kinetics altered to a 'pre-menopausal' pattern. FSH levels were significantly reduced as from 12 h after administration on day 1 and onwards. A slight (10%) but significant increase in SHBG levels was noted on day 14. It was concluded that the combined E2 and P treatment used in this investigation brings about a physiological response with only minimal side effects on the liver as judged from changes in SHBG concentrations.

MeSH terms

  • Administration, Intravaginal
  • Aged
  • Drug Combinations
  • Estradiol / administration & dosage*
  • Estrogens / blood
  • Female
  • Follicle Stimulating Hormone / blood
  • Hormones / blood*
  • Humans
  • Menopause / blood*
  • Menopause / drug effects
  • Middle Aged
  • Progesterone / administration & dosage*
  • Progesterone / blood
  • Sex Hormone-Binding Globulin / metabolism*

Substances

  • Drug Combinations
  • Estrogens
  • Hormones
  • Sex Hormone-Binding Globulin
  • Progesterone
  • Estradiol
  • Follicle Stimulating Hormone