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雌三醇在绝经管理中的应用

Estriol in the management of the menopause.

作者信息

Tzingounis V A, Aksu M F, Greenblatt R B

出版信息

JAMA. 1978 Apr 21;239(16):1638-41.

PMID:633576
Abstract

Estriol was administered for a six-month period as estrogen replacement therapy to 52 symptomatic postmenopausal women. Assays of serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrone, and estradiol were performed before and during therapy. During this period of administration, vaginal cytology, cervical mucus, and endometrial studies were performed. Clinical effectiveness was directly related to dosage (2 to 8 mg/day). Estriol (8 mg/day) failed to induce endometrial proliferation and proved a poor suppressor of FSH and LH. This agent's capacity to relieve vasomotor instability and improve vaginal maturation without notable side effects is sufficient reason to include this drug in the management of the postmenopausal syndrome.

摘要

对52名有症状的绝经后妇女给予雌三醇进行为期6个月的雌激素替代疗法。在治疗前和治疗期间进行血清促卵泡激素(FSH)、促黄体生成素(LH)、雌酮和雌二醇的测定。在给药期间,进行了阴道细胞学、宫颈黏液和子宫内膜研究。临床疗效与剂量(2至8毫克/天)直接相关。雌三醇(8毫克/天)未能诱导子宫内膜增生,且对FSH和LH的抑制作用较差。该药物缓解血管舒缩不稳定和改善阴道成熟度且无明显副作用的能力,足以使其被纳入绝经后综合征的治疗方案。

相似文献

1
Estriol in the management of the menopause.雌三醇在绝经管理中的应用
JAMA. 1978 Apr 21;239(16):1638-41.
2
The significance of oestriol in the management of the post-menopause.雌三醇在绝经后管理中的意义。
Acta Endocrinol Suppl (Copenh). 1980;233:45-50.
3
Plasma estriol and its conjugates following oral and vaginal administration of estriol to postmenopausal women: correlations with gonadotropin levels.绝经后妇女口服和阴道给予雌三醇后的血浆雌三醇及其结合物:与促性腺激素水平的相关性
Am J Obstet Gynecol. 1980 Dec 15;138(8):1137-41. doi: 10.1016/s0002-9378(16)32780-6.
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Estrogen replacement therapy in postmenopausal women: a study of the efficacy of estriol and changes in plasma gonadotropin levels.绝经后女性的雌激素替代疗法:雌三醇疗效及血浆促性腺激素水平变化的研究
Gynecol Endocrinol. 2001 Feb;15(1):74-80.
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A clinical evaluation of treatment with estriol vaginal cream versus suppository in postmenopausal women.雌三醇阴道乳膏与栓剂治疗绝经后女性的临床评估
Acta Obstet Gynecol Scand. 1983;62(5):397-401. doi: 10.3109/00016348309154209.
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Endocrine studies in postmenopausal women during oral replacement therapy with unconjugated oestrogens.绝经后妇女口服非结合雌激素替代治疗期间的内分泌研究。
Reproduccion. 1982 Apr-Jun;6(2):49-59.
7
Vaginal, endometrial, and reproductive hormone findings: randomized, placebo-controlled trial of black cohosh, multibotanical herbs, and dietary soy for vasomotor symptoms: the Herbal Alternatives for Menopause (HALT) Study.阴道、子宫内膜及生殖激素研究结果:黑升麻、多种植物药草及膳食大豆用于血管舒缩症状的随机、安慰剂对照试验:更年期草药替代疗法(HALT)研究
Menopause. 2008 Jan-Feb;15(1):51-8.
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Influence of thyrotropin-releasing hormone on the postmenopausal female.促甲状腺激素释放激素对绝经后女性的影响。
Obstet Gynecol. 1975 Jan;45(1):25-6.
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Efficacy and safety of oral estriol for managing postmenopausal symptoms.
Maturitas. 2000 Feb 15;34(2):169-77. doi: 10.1016/s0378-5122(99)00108-5.
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Plasma oestrone, oestradiol and gonadotrophin concentrations in postmenopausal patients treated with oestradiol or with a combination of oestradiol and oestriol.接受雌二醇或雌二醇与雌三醇联合治疗的绝经后患者的血浆雌酮、雌二醇和促性腺激素浓度。
Ann Clin Res. 1979 Oct;11(5):172-8.

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Sci Rep. 2025 Mar 11;15(1):8390. doi: 10.1038/s41598-025-92881-1.
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J Neurol Sci. 2009 Nov 15;286(1-2):99-103. doi: 10.1016/j.jns.2009.05.028. Epub 2009 Jun 18.
4
High-affinity binding of estrone, estradiol and estriol in human cervical myometrium and cervical and vaginal epithelium.
J Endocrinol Invest. 1982 Jul-Aug;5(4):203-7. doi: 10.1007/BF03348324.
5
The effect of oral estrogen therapy on serum FSH and LH levels in young women with hyper-gonadotrophic ovarian failure.口服雌激素疗法对高促性腺激素性卵巢功能衰竭年轻女性血清促卵泡生成素(FSH)和促黄体生成素(LH)水平的影响。
Arch Gynecol. 1981;230(3):225-30. doi: 10.1007/BF02111807.
6
Estriol affects prolactin and LH secretion in rats.
J Endocrinol Invest. 1989 Jan;12(1):1-7. doi: 10.1007/BF03349902.