PubMed Health⌕ Search

Biomedical subjects

I Sojo-Aranda

Publications and source records attributed to I Sojo-Aranda.

18 recordsLinked to original sources

The evidence for an etiological relationship between oral contraceptive use and dysplastic change in cervical tissue.

A case-control study of 112 patients with cervical intraepithelial neoplasia (CIN) and 131 control subjects was conducted. Estradiol receptor levels were determined in the total (cytosolic-nucleosolic) fraction of the neoplastic cervical specimens taken during the late proliferative phase of their cycle from 58 premenopausal patients who had been oral contraceptive (OC) users for at least 2 years and from 54 premenopausal women who had not been OC users. All specimens contained variable amount of estradiol receptor (from 7.6 to 53.0 fmol estradiol/mg protein and 7.2 to 29.3 fmol estradiol/mg protein in patients who were OC users and non-users, respectively). A significant correlation was found between estradiol receptor concentration and histological grading in both groups, likewise higher levels of estradiol receptor were observed in the low-grade CIN group tissue from patients who were OC users (p < 0.05). At the same time 17 beta-estradiol and progesterone levels were also determined in the serum of all women who had not used an OC for at least 12 months. The mean +/- SD estradiol serum levels in non-users of OC with CIN (0.189 +/- 0.08 ng/ml, follicular phase) were greater than the mean +/- SD (1.163 +/- 0.33 ng/ml, luteal phase) progesterone serum concentration. Serum estradiol levels were significantly higher (p < 0.05) in OC users, whereas progesterone levels were not (p > 0.05). OC users had an increased risk (odds ratio = 1.31, 95% CI 1.0-2.3) of cervical neoplasia.

Adult↗

Inverted skin changes induced by estrogen and estrogen/glucocorticoid on aging dermis.

To evaluate hormone replacement therapy effects at the peripheral level, the present trial explored the oral effects of mestranol (80 micrograms/day for 10 days) and mestranol plus paramethasone (80 micrograms + 6 mg/day for 10 days) on the skin of postmenopausal women. This double-blind study included 13 patients. Skin biopsies were obtained from the thigh area by a single punch, 5 mm in diameter, before and after treatment, and the sections, six per sample, were micrometrically evaluated. Various features of the epidermis and dermis layers were stained using the hematoxylin and eosin, Masson, Verhoeff's and Gomori techniques. Statistically significant changes were found in the papillar dermis thickness; mestranol reduced it and mestranol plus paramethasone increased it. The current results encourage widening these observations of the possible advantage of this estrogen/glucocorticoid combination, in order to alleviate the cellular degenerative process.

Administration, Oral↗

Ethinylestradiol from contraceptive formulations and the ovarian response: an estrogen dose-dependency on natural estradiol concentrations.

To evaluate the competitive molecular phenomenon of ethinylestradiol from contraceptive formulations vs. endogenous 17 beta-estradiol in the intra- and extracellular compartments, a descriptive analysis was performed. Plasma and endometrial samples were simultaneously obtained on different days of the pseudomenstrual cycle from oral contraceptive users taking ethinylestradiol/norgestrel (30 micrograms/500 micrograms; n = 13) and ethinylestradiol/norethindrone (50 micrograms/1.0 mg; n = 14) in order to quantify the 17 beta-estradiol concentrations. From our results the chronic administration of these combined oral contraceptives demonstrated that the lower component ethinyl-estradiol (30 micrograms) does not compete substantially at the circulating level, permitting concentrations of natural estradiol such as those seen during follicular maturation in the ovulatory cycle. However, in the endometrium such a cyclicity is not seen, thus the possibility of a local infertility effect should be reconsidered to enable the investigation of a different approach in future methods of contraception.

Adolescent↗

[Estrogens. Contraceptive therapy].

To evaluate the competitive molecular phenomenon of Ethynyl-Estradiol (EE-2) from contraceptive formulations against the endogenous Estradiol (E-2) at the intra and the extracellular compartments, plasma and endometrial samples were simultaneously obtained on different days of the pseudomenstrual cycle from oral contraceptive users under EE-2+ Norgestrel (30 micrograms/+ 500 micrograms) and EE-2+ Norethindrone (50 micrograms + 1.0 mg) in order to quantify EE-2 & E-2. When measuring both molecules it was shown that the chronic administration of steroids regardless of the pharmacological action of the progestin component the lower content of EE-2 (30 micrograms) does not compete substantially at the circulating level permitting the cyclic fashion of the natural estradiol while at the endometrial compartment such phenomenon is not seen thus, a local infertility effect should be reconsidered to anticipate a different approach in the future of contraception.

Adolescent↗

[Pharmacodynamics of synthetic estrogens. A review].

Some details about the function of natural and synthetical hormonas are reviewed, particularly estrogens as ethynyl estradiol and its 3, Methyl ether (mestranol); its peripheral concentration vs tissular hormonal contents, a relationship of biological importance as the first step in its hormonal action and the cumulative local effects that could explain some intra and extracellular phenomena.

Adult↗

[Pharmacodynamics of synthetic estrogens. Review article].

Some details about the function of natural and synthetical hormonas are reviewed, particularly estrogens as ethynyl estradiol and its 3, Methyl ether (mestranol); its peripheral concentration vs tissular hormonal contents, a relationship of biological importance as the first step in its hormonal action and the cummulative local effects that could explain some intra and extracellular phenomena.

Adipose Tissue↗

Sleep deprivation and adaptive hormonal responses of healthy men.

To study the effects of sleep deprivation on the pituitary-testis axis physiology, we measured the circulating levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL), testosterone (T), androstanedione (A), dihydrotestosterone (DHT), estradiol (E2), and cortisol (C) in eight healthy men as follows: phase I (control), phase II (24-h restless period), phase III (48-h restless period), and phase IV (24-h recovery period). All samples were taken at 8:00 a.m. There was a significant decrease of T, A, DHT, and E2 in phase II but no decrease in FHS, LH, PRL, or C. In phase III there was no further decrease in any androgen, although E2 decreased along with the increase of PRL. In phase IV E2 and PRL tended to return to baseline values, and the androgens were very similar to the controls. FHS, LH, and C showed no change under the effects of phase III. These data extend the adaptive androgenic response and the association of the role of E2 and PRL to restricted or disturbed sleep in men.

Adult↗

[Pharmacologic stimulation in delayed female sexual development (response of androstenedione vs. 17 beta-estradiol). Presentation of 2 cases].

Two girls of 13 and 18 years of age, XX chromosomic pattern, complaining of delay in sexual development (Stage 1) and primary amenorrhea, were studied. Height, weight and surface area in the 13 years subject were three standard deviations below the anthropometric characteristics of already menstruating girls of the same age. Presence of uterus and ovarian tissue was demonstrated by laparoscopy in both, and afterwards, simultaneous measurements of androstenedione (delta 4) and 17 beta-estradiol (E2) were performed in peripheral blood, before and after: placebo, clomiphene (25 and 50 mg), LH-RH, FSH/LH. Under this trials the gonadal structures produced delta 4 and E2, being the former in many instances a good index of ovarian steroid production and associated to growth of pubic and axillary hair. In the patient whose menstruation began after the pharmacologic stimuli, the steroid production was higher as compared to the one, with initiation of no menstrual bleeding. Critical aspects of the various phases of the study are revised to better understand the physiology of some biological processes.

Adolescent↗

The biological expression of natural progesterone.

Progesterone tablets were orally administered to women with no recent luteal activity. Three hypoestrogenic subjects who received, respectively, a single dose of 150 mg, 300 mg and 300 mg/d/7d, showed absorption and a progressive increase in circulating values in a dose-dependent manner. Five out of nine oligomenorrheic patients experienced withdrawal uterine bleeding with 150 mg/12/5d. Postmenopausal endometrium estrogenised by mestranol (n = 5) showed secretory histological changes after 300 mg/d/7d of oral progesterone. Six women with luteal insufficiency received 300 mg/d after control studies, and this dosage was effective in supplementing the circulating natural hormone so that it reached the level of that of fertile women. However, the endometrial progesterone uptake of these women showed no parallel increase. This study supports the clinical usage of oral progesterone and suggests evaluation of the dynamics of hormone uptake by the reproductive tissues.

Abortion, Habitual↗

Presence of ethynyl-estradiol (EE-2) in blood and endometrium after interrupting steroidal contraception for three months.

Serial studies were conducted in five women under norgestrel + EE-2 after interrupting 11-34 months of regular use of the medication. A venous blood and an endometrial sample were simultaneously obtained from each subject between the 22nd and 25th day of the pseudocycle (last month of contraception) and on the same days of the following three cycles under no treatment for the measurement of EE-2 content. Values during and after the first month of no medication were: plasma = 85 +/- 6 versus 218 +/- 36 (pg/ml; P less than 0.001) and endometrium = 93 +/- 10 versus 29 +/- 7 (ng/g wet tissue; P less than 0.001). A decrement of circulating EE-2 from 346 pg/ml in the first month with no medication to 14 pg/ml in the third month off the treatment was observed. The EE-2 endometrial uptake of 93 +/- 10 (last month of steroidal ingestion) decreased to 29 +/- 7, 7 +/- 2 and 4 +/- 0.9 ng/g wet tissue in the following three months of no treatment. In 3/15 instances after interrupting contraception, circulating EE-2 was below the detection limit of the assay, while endometrial EE-2 uptake was in the range of 3-19 ng/g wet tissue. These data confirm our apparent controversial report that EE-2 plasma levels increased during the first month after interrupting medication and support the presence of the exogenous estrogen in plasma and endometrium after interrupting the steroidal contraceptive for three months.

Adult↗

Hormonal content of plasma and endometrium of women taking oral contraceptives.

A total of 134 women were studied, 75 of whom were using cyclic steroid contraception (ethinyl estradiol, 0.05 mg plus norgestrel, 0.5 mg) and 59 of whom had normal ovaulatory cycles. By radioimmunoassay techniques simultaneous determinations were made of total estrogens (TE) and progesterone (P) in both plasma and endometrium and of FSH and LH in plasma, covering all days of the pseudomenstrual and true menstrual cycles. As expected, the ovulating women showed a midcycle peak of plasma TE and an increase in plasma P thereafter, while no cyclic variations were observed in the treated group. Correlations of endometrial concentrations of TE and P with plasma FSH and LH levels are discussed. In 13 of the 75 treated women elevations of endometrial P concentrations were present, presumably demonstrating the "escape phenomenon." The possible future value of endometrial hormone determinations is suggested.

Adult↗

Role of stress in male fertility.

Specific or non-specific noxious agents induce several disorders in body systems. In the following series some of those agents are associated with disturbances in the pituitary-testis-axis. Testicular responses which represent an adaptive mechanism to the stress may be associated with various syndromes of unexplained infertility.

Adult↗