Estradiol

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Estradiol (E2) is the most potent naturally occurring female sex hormone and a primary type of estrogen. Essential for female reproductive health, estradiol governs various stages of the menstrual cycle, fosters the development of female secondary sexual attributes, and is indispensable during pregnancy. Beyond reproductive health, it influences diverse physiological aspects, spanning bone density, mood stabilization, skin vitality, and heart health.[1]

Biochemical Properties[edit | edit source]

Estradiol, a steroid hormone, originates from cholesterol. Predominantly produced in the ovaries and placenta among females, it's also generated in lesser quantities in the testes of males. Other synthesis sites include fat tissues and the brain. The hormone arises from the aromatization of testosterone, a process orchestrated by the enzyme aromatase.[2]

Broad Physiological Impact[edit | edit source]

Estradiol's influence is pervasive, impacting a myriad of tissues and organs:

  • Reproductive Functions: Estradiol is the linchpin in menstrual cycle regulation, fostering uterine lining growth during the cycle's initial phase and guiding the maturation of ovarian follicles.[3]
  • Skeletal System: Vital for skeletal health, estradiol bolsters bone density by amplifying osteoblast activity (bone-forming cells) while restraining osteoclasts (bone-resorbing cells).[4]
  • Cardiovascular System: Estradiol safeguards heart health, promoting blood vessel dilation and preserving their elasticity.[5]
  • Central Nervous System (CNS): Beyond physical health, estradiol exerts neuroprotective qualities and potentially modulates emotional and cognitive faculties.[6]

Clinical Relevance[edit | edit source]

Clinicians monitor estradiol levels via blood assays to diagnose reproductive disorders, encompassing menopause, polycystic ovary syndrome (PCOS), and fertility complications. Therapeutically, estradiol forms the backbone of hormone replacement therapies (HRT) to manage menopausal symptoms, features in oral contraceptives, and is utilized in transgender hormone regimens.[7]

Related Topics[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD