A reevaluation of estrogen status in postmenopausal women who smoke

Hypoestrogenism in postmenopausal smokers has been suggested as the mechanism for the observed decreased risk of endometrial cancer and increased risk of osteoporosis. We have prospectively studied a well-matched group of smokers and nonsmokers and have evaluated their estrogen levels and compared t...

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Veröffentlicht in:American journal of obstetrics and gynecology 1992-05, Vol.166 (5), p.1444-1448
Hauptverfasser: Cassidenti, Denise Lee, Pike, Malcolm C., Vijod, Ariel G., Stanczyk, Frank Z., Lobo, Rogerio A.
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container_end_page 1448
container_issue 5
container_start_page 1444
container_title American journal of obstetrics and gynecology
container_volume 166
creator Cassidenti, Denise Lee
Pike, Malcolm C.
Vijod, Ariel G.
Stanczyk, Frank Z.
Lobo, Rogerio A.
description Hypoestrogenism in postmenopausal smokers has been suggested as the mechanism for the observed decreased risk of endometrial cancer and increased risk of osteoporosis. We have prospectively studied a well-matched group of smokers and nonsmokers and have evaluated their estrogen levels and compared them with existing data from the literature. We conclude that increased adrenal activity resulting in increased androgens, mainly androstenedione, is seen in postmenopausal smokers but that estrogen levels are not decreased. We hypothesize that in nonusers, unlike in users of estrogen, smoking is not associated with changes in estrogen levels and that other mechanisms must be responsible for the epidemiologic observations seen.
doi_str_mv 10.1016/0002-9378(92)91617-J
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subjects Aged
Androstenedione - blood
Biological and medical sciences
Dehydroepiandrosterone - analogs & derivatives
Dehydroepiandrosterone - blood
Dehydroepiandrosterone Sulfate
Estradiol - blood
Estrogens - blood
Estrone - blood
Female
Fundamental and applied biological sciences. Psychology
hormonal status
Hormone metabolism and regulation
Humans
Hydrocortisone - blood
Mammalian female genital system
postmenopausal women
Prospective Studies
Sex Hormone-Binding Globulin - metabolism
Smoking
Smoking - blood
Vertebrates: reproduction
title A reevaluation of estrogen status in postmenopausal women who smoke
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