Steroid regulation of menstrual bleeding and endometrial repair

In: Reviews in Endocrine and Metabolic Disorders · 2012 · vol. 13(4) , pp. 253–263 · doi:10.1007/s11154-012-9228-2 · PMID:23224720 · W2055236824
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This review examines how ovarian steroids, androgens, and local steroids regulate endometrial breakdown and repair, focusing on receptor presence and function during the luteo-follicular transition.

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This review examines how ovarian steroid hormones—particularly progesterone and estradiol, but also locally generated androgens and glucocorticoids—regulate endometrial breakdown and subsequent repair during the luteo-follicular transition, with emphasis on menstruation. It synthesizes evidence that the temporal and spatial distribution of steroid receptors in endometrial cells, together with modulatory proteins that refine receptor function, shapes the endometrial response to steroid withdrawal and other signals, including pathways involving extracellular matrix remodeling (for example, matrix metalloproteinases) and inflammatory mediators. A major limitation is that, as a review, it integrates findings across diverse experimental systems and prior studies rather than presenting new, unified experimental data. Relevance to endometriosis: the paper’s scope is endometrial steroid regulation of menstruation and repair rather than endometriosis-specific pathophysiology, with no explicit endometriosis focus indicated in the provided text.

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Abstract

The ovarian steroid hormones progesterone and estradiol are well established regulators of human endometrial function. However, more recent evidence suggests that androgens and locally generated steroids, such as the glucocorticoids, also have a significant impact on endometrial breakdown and repair. The temporal and spatial pattern of steroid receptor presence in endometrial cells has a significant impact on the endometrial response to steroids. Furthermore, regulation of steroid receptor function by modulatory proteins further refines local responses. This review focuses on steroid regulation of endometrial function during the luteo-follicular transition with a focus on menstruation and endometrial repair. Similar content being viewed by others

References

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