Fatty acid composition of serum lecithin and cholesterol ester in the normal menstrual cycle.

Gonadal hormones and the relative fatty acid composition of serum lecithin and cholesterol ester were studied on four occasions during one cycle in twenty-two regularly menstruating women. The most evident change during the menstrual cycle was a decrease in the sum of polyunsaturated fatty acids of the linoleic series in the late luteal phase. Concomitantly an increase in oleic acid as well as palmitic acid was recorded. These changes were considered to be dietary influenced since a shift of the oleic/linoleic acid ratio is often seen when fat is replaced by sugar and some women are known to increase their intake of refined carbohydrates premenstrually. The only correlation found for fatty acids and hormone levels was a correlation of the ratio oleic/linoleic acids and 17-beta-estradiol. This pattern is not seen after administration of exogenous estrogens and obviously there is a discrepancy between endogenous and exogenous estrogens in this context. Whether physiological fluctuations of sex hormones during the menstrual cycle directly influence the fatty acid composition of serum lecithin and cholesterol ester is uncertain. No changes in dihomo-gamma-linolenic acid or arachidonic acid, the major precursors of prostaglandin synthesis were recorded.