Estradiol sulfate

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Estradiol sulfate


Estradiol sulfate (E2S), also known as estrone sulfate, is a naturally occurring steroid and estrogen that is produced in the human body. It is a derivative of estradiol, the primary female sex hormone, and is one of three types of estrogen, along with estrone and estriol.

Chemical Structure and Function[edit | edit source]

Estradiol sulfate is a sulfate ester of estradiol. It is formed when estradiol is metabolized in the liver and other tissues by sulfotransferase enzymes. The addition of a sulfate group to estradiol increases its water solubility, which facilitates its excretion in the urine.

In the body, estradiol sulfate serves as a reservoir for estradiol. It can be converted back into estradiol by the enzyme steroid sulfatase, which removes the sulfate group. This conversion can occur in many tissues, including the breast, uterus, and brain, where estradiol has important physiological effects.

Physiological Role[edit | edit source]

Estradiol sulfate plays a key role in the menstrual cycle. Its levels fluctuate throughout the cycle, with the highest levels occurring during the follicular phase, when the ovary is preparing to release an egg.

In addition to its role in the menstrual cycle, estradiol sulfate is also involved in other physiological processes. For example, it contributes to the development and maintenance of female secondary sexual characteristics, such as breast development and the distribution of body fat. It also plays a role in bone health, helping to maintain bone density and prevent osteoporosis.

Clinical Significance[edit | edit source]

Estradiol sulfate levels can be measured in the blood and are sometimes used as a marker of overall estrogen activity in the body. Abnormally high or low levels of estradiol sulfate can indicate a variety of medical conditions, including polycystic ovary syndrome, menopause, and certain types of cancer.

In addition, estradiol sulfate is used in some forms of hormone replacement therapy (HRT). In these treatments, it is often combined with a progestogen to help manage the symptoms of menopause.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD