 |
 |
|
Progesterone
|
| Systematic (IUPAC) name |
| pregn-4-ene-3,20-dione |
| Identifiers |
| CAS number |
57-83-0 |
| ATC code |
G03DA04 |
| PubChem |
5994 |
| DrugBank |
APRD00700 |
| Chemical data |
| Formula |
C21H30O2 |
| Mol. mass |
314. IUPAC Nomenclature is a system of naming Chemical compounds and of describing the science of Chemistry in general CAS registry numbers are unique numerical identifiers for Chemical compounds Polymers biological sequences mixtures and Alloys They are also referred to The Anatomical Therapeutic Chemical Classification System is used for the classification of drugs It is controlled by the WHO Collaborating Centre for Drug A section of the Anatomical Therapeutic Chemical Classification System. PubChem is a Database of chemical Molecules The system is maintained by the National Center for Biotechnology Information (NCBI a component The DrugBank database available at the University of Alberta is a unique Bioinformatics and Cheminformatics resource that combines detailed drug (i A chemical formula is a way of expressing information about the Atoms that constitute a particular Chemical compound, and how the relationship between those atoms changes Carbon (kɑɹbən is a Chemical element with the symbol C and its Atomic number is 6 Hydrogen (ˈhaɪdrədʒən is the Chemical element with Atomic number 1 Oxygen (from the Greek roots ὀξύς (oxys (acid literally "sharp" from the taste of acids and -γενής (-genēs (producer literally begetteris the The molecular mass (abbreviated m of a substance, more commonly referred to as molecular weight and abbreviated as MW, is the Mass of one 47 |
| Synonyms |
4-pregnene-3,20-dione |
| Physical data |
| Melt. point |
126 °C (259 °F) |
| Spec. rot |
[α]D |
| Pharmacokinetic data |
| Bioavailability |
prolonged absorption, half-life approx 25-50 hours |
| Protein binding |
96%-99% |
| Metabolism |
hepatic to pregnanediols and pregnanolones |
| Half life |
34. This article deals with the general meaning of the term "synonym" The melting point of a solid is the temperature range at which it changes state from solid to Liquid. The specific rotation of a Chemical compound is defined as the observed angle of Optical rotation α when plane-polarized light is passed through a sample with a In Pharmacology, bioavailability is used to describe the fraction of an administered Dose of unchanged drug that reaches the Systemic circulation, one of A drug's efficiency may be affected by the degree to which it binds to the proteins within Blood plasma. Drug metabolism is the Metabolism of drugs, their Biochemical modification or degradation usually through specialized enzymatic systems The liver is a vital organ in the human body and is present in Vertebrates and some other animals The biological half-life of a substance is the time it takes for a substance (drug radioactive nuclide or other to lose half of its pharmacologic physiologic or radiologic activity 8-55. 13 hours |
| Excretion |
renal |
| Therapeutic considerations |
| Pregnancy cat. |
B (USA)
|
| Legal status |
|
| Routes |
oral, implant |
Progesterone is a C-21 steroid hormone involved in the female menstrual cycle, pregnancy (supports gestation) and embryogenesis of humans and other species. Excretion is the process of eliminating waste products of Metabolism and other non-useful materials The pregnancy category of a pharmaceutical agent is an assessment of the risk of fetal injury due to the pharmaceutical if it is used as directed by the mother during The United States of America —commonly referred to as the The regulation of therapeutic goods, that is drugs and therapeutic devices, varies by jurisdiction In Pharmacology and Toxicology, a route An implant is a Medical device made to replace and act as a missing biological structure (as compared with a transplant, which indicates transplanted Biomedical A steroid is a Terpenoid Lipid characterized by a Carbon skeleton with four fused rings generally arranged in a 6-6-6-5 fashion Hormones (from Greek ὁρμή - "impetus" are chemicals released by cells that affect cells in other parts of the body Female (♀ is the Sex of an Organism, or a part of an organism which produces ova (egg cells The menstrual cycle is a recurring cycle of physiologic changes that occurs in reproductive-age Females Overt menstruation (where there is blood flow from the Pregnancy ( Latin graviditas) is the carrying of one or more offspring known as a Fetus or Embryo, inside the Uterus of a Female Gestation is the carrying of an Embryo or Fetus inside a Female Viviparous Animal. Embryogenesis is the process by which the Embryo is formed and develops Progesterone belongs to a class of hormones called progestogens, and is the major naturally occurring human progestogen. Progestagens (also spelled progestogens or gestagens) are Hormones that produce effects similar to those of Progesterone, the only natural progestagen
Progesterone should not be confused with progestins, which are synthetically produced progestogens. A progestin is a synthetic progestagen that has progestinic effects similar to Progesterone. Progestagens (also spelled progestogens or gestagens) are Hormones that produce effects similar to those of Progesterone, the only natural progestagen
Chemistry
Progesterone was independently discovered by four research groups. [1][2][3][4]
Willard Myron Allen who co-discovered Progesterone with his anatomy professor George Washington Corner at the University of Rochester Medical School in 1933. Willard Myron Allen (1904-1993 was an American Gynecologist. He was born in 1904 in Farmington New York, near Rochester New York. Allen first determined its melting point, molecular weight, and partial molecular structure. He also gave it the name Progesterone derived from Progestational Steroidal ketone. [5]
Like other steroids, progesterone consists of four interconnected cyclic hydrocarbons. A steroid is a Terpenoid Lipid characterized by a Carbon skeleton with four fused rings generally arranged in a 6-6-6-5 fashion In Organic chemistry, a hydrocarbon is an Organic compound consisting entirely of Hydrogen and Carbon. Progesterone contains ketone and oxygenated functional groups, as well as two methyl branches. A ketone (pronounced as key tone) is either the Functional group characterized by a Carbonyl group (O=C linked to two other Carbon atoms or In Chemistry, a methyl group is a Hydrophobic Alkyl Functional group named after Methane (4 Like all steroid hormones, it is hydrophobic. In Chemistry, hydrophobicity (from the combining form of water in Attic Greek hydro- and for fear phobos) refers to the physical property of
Synthesis
Progesterone, like all other steroid hormones, is synthesized from pregnenolone, a derivative of cholesterol. A steroid is a Terpenoid Lipid characterized by a Carbon skeleton with four fused rings generally arranged in a 6-6-6-5 fashion Hormones (from Greek ὁρμή - "impetus" are chemicals released by cells that affect cells in other parts of the body Pregnenolone is a Steroid hormone involved in the Steroidogenesis of Progesterone, Mineralocorticoids, Glucocorticoids, Androgens Cholesterol is a Lipid found in the Cell membranes and transported in the Blood plasma of all Animals It is an essential component of mammalian This conversion takes place in two steps. The 3-hydroxyl group is converted to a keto group and the double bond is moved to C-4, from C-5. Hydroxyl in Chemistry stands for a molecule consisting of an Oxygen atom and a Hydrogen atom connected by a Covalent bond. A ketone (pronounced as key tone) is either the Functional group characterized by a Carbonyl group (O=C linked to two other Carbon atoms or
Conversion of Pregnenolone to Progesterone
Progesterone is the precursor of the mineralocorticoid aldosterone, and after conversion to 17-hydroxyprogesterone (another natural progestogen) of cortisol and androstenedione. Aldosterone is a hormone that causes the tubules of the kidneys to retain sodium and water Cortisol is a Corticosteroid Hormone produced by the Adrenal gland (in the Zona fasciculata of the Adrenal cortex) Androstenedione (also known as 4-androstenedione) is a 19- Carbon Steroid Hormone produced in the Adrenal glands and the Gonads Androstenedione can be converted to testosterone, estrone and estradiol. Testosterone is a Steroid hormone from the Androgen group In mammals testosterone is primarily secreted in the testes of males and the Ovaries Estrone (also oestrone) is an Estrogenic Hormone secreted by the Ovary. Estradiol (17β-estradiol (also oestradiol) is a Sex hormone.
Progesterone is important for
aldosterone (
mineralocorticoid) synthesis, as 17-hydroxyprogesterone is for
cortisol (
glucocorticoid), and
androstenedione for
sex steroids.
Aldosterone is a hormone that causes the tubules of the kidneys to retain sodium and water Mineralocorticoids are a class of Steroid hormones characterised by their similarity to Aldosterone and their influence on salt and water balance Cortisol is a Corticosteroid Hormone produced by the Adrenal gland (in the Zona fasciculata of the Adrenal cortex) Glucocorticoids (GC are a class of Steroid hormones characterised by an ability to bind with the glucocorticoid receptor ( GR) and trigger similar effects Androstenedione (also known as 4-androstenedione) is a 19- Carbon Steroid Hormone produced in the Adrenal glands and the Gonads Sex steroids, also known as gonadal steroids, are Steroid hormones that interact with Vertebrate Androgen or Estrogen receptors
Sources
Progesterone is produced in the adrenal glands, the gonads (specifically after ovulation in the corpus luteum), the brain, and, during pregnancy, in the placenta. In Mammals the adrenal glands (also known as suprarenal glands) are the triangle-shaped Endocrine glands that sit on top of the Kidneys their The corpus luteum ( Latin for "yellow body" (plural corpora lutea) is a temporary Endocrine structure in mammals involved in production of The placenta is an Ephemeral organ present in placental Vertebrates, such as Eutherial Mammals and Sharks during Gestation
In humans, increasing amounts of progesterone are produced during pregnancy:
- Initially, the source is the corpus luteum that has been "rescued" by the presence of human chorionic gonadotropins (hCG) from the conceptus. Human chorionic gonadotropin ( hCG) is a Glycoprotein Hormone produced in Pregnancy that is made by the Embryo soon after conception
- However, after the 8th week production of progesterone shifts over to the placenta. The placenta utilizes maternal cholesterol as the initial substrate, and most of the produced progesterone enters the maternal circulation, but some is picked up by the fetal circulation and is used as substrate for fetal corticosteroids. Corticosteroids are a class of Steroid hormones that are produced in the Adrenal cortex. At term the placenta produces about 250 mg progesterone per day.
- An additional source of progesterone are milk products. They contain much progesterone because on dairy farms cows are milked during pregnancy, when the progesterone content of the milk is high. After consumption of milk products the level of bioavailable progesterone goes up. [6] This observation has resulted in concern that diets high in dairy products might induce pet and human diseases. [7]
Levels
Progesterone levels (black line) during the menstrual cycle
In women, progesterone levels are relatively low during the preovulatory phase of the menstrual cycle, rise after ovulation, and are elevated during the luteal phase. The menstrual cycle is a recurring cycle of physiologic changes that occurs in reproductive-age Females Overt menstruation (where there is blood flow from the Note This article deals primarily with Human ovulation nonhuman Animal ovulation is touched on briefly at the conclusion In women progesterone levels tend to be < 2 ng/ml prior to ovulation, and > 5 ng/ml after ovulation. If pregnancy occurs, progesterone levels are maintained at luteal levels initially. Pregnancy ( Latin graviditas) is the carrying of one or more offspring known as a Fetus or Embryo, inside the Uterus of a Female With the onset of the luteal-placental shift in progesterone support of the pregnancy levels start to rise further and may reach 100-200 ng/ml at term. Whether a decrease in progesterone levels is critical for the initiation of labor has been argued and may be species-specific. Childbirth (also called labour, birth, partus or parturition) is the culmination of a Human Pregnancy or After delivery of the placenta and during lactation, progesterone levels are very low.
Progesterone levels are relatively low in children and postmenopausal women. [8] Adult males have levels similar to those in women during the follicular phase of the menstrual cycle.
Effects
Progesterone exerts its action primarily through the intracellular progesterone receptor although a distinct, membrane bound progesterone receptor has also been postulated. The progesterone receptor ( PR) also known as NR3C3 ( Nuclear receptor subfamily 3 group C member 3 is an intracellular Steroid receptor that [9][10] Progesterone has a number of physiological effects which are amplified in the presence of estrogen. Estrogens (US otherwise oestrogens or œstrogens) are a group of Steroid compounds named for their importance in the Estrous cycle, Estrogen through estrogen receptors upregulates the expression of progesterone receptors. WikipediaWikipedia is not a dictionary ---> Downregulation is the process by which Gene expression is the process by which inheritable information from a Gene, such as the DNA sequence, is made into a functional Gene product, such [11]
Reproductive system
Progesterone is sometimes called the "hormone of pregnancy",[12] and it has many roles relating to the development of the fetus:
- Progesterone converts the endometrium to its secretory stage to prepare the uterus for implantation. The endometrium is the inner membrane of the Mammalian Uterus. At the same time progesterone affects the vaginal epithelium and cervical mucus, making the mucus thick and impermeable to sperm. In biology and medicine epithelium is a tissue composed of cells that line the cavities and surfaces of structures throughout the body The cervix (from Latin "neck" is the lower narrow portion of the Uterus where it joins with the top end of the Vagina. In vertebrates mucus is a slippery secretion produced by and covering Mucous membranes It is a viscous Colloid containing Antiseptic enzymes (such as The term sperm is derived from the Greek word (σπέρμα sperma (meaning "seed" and refers to the male reproductive cells. If pregnancy does not occur, progesterone levels will decrease, leading, in the human, to menstruation. See also "Mensuration" a term sometimes used to describe Measurement, particularly in the context of Forestry. Normal menstrual bleeding is progesterone withdrawal bleeding.
- During implantation and gestation, progesterone appears to decrease the maternal immune response to allow for the acceptance of the pregnancy. Gestation is the carrying of an Embryo or Fetus inside a Female Viviparous Animal. An immune system is a collection of mechanisms within an Organism that protects against Disease by identifying and killing Pathogens and Tumor
- Progesterone decreases contractility of the uterine smooth muscle. Smooth muscle is a type of non- Striated muscle, found within the Tunica media layer of large and small Arteries and Veins, the bladder [12]
- In addition progesterone inhibits lactation during pregnancy. Lactation describes the secretion of Milk from the Mammary glands the process of providing that milk to the young and the period of time that a Mother The fall in progesterone levels following delivery is one of the triggers for milk production.
- A drop in progesterone levels is possibly one step that facilitates the onset of labor. Childbirth (also called labour, birth, partus or parturition) is the culmination of a Human Pregnancy or
The fetus metabolizes placental progesterone in the production of adrenal mineralo- and glucosteroids. A fetus (or foetus or fœtus) is a developing Mammal or other Viviparous Vertebrate, after the Embryonic stage and Metabolism is the set of Chemical reactions that occur in living Organisms in order to maintain Life. In Mammals the adrenal glands (also known as suprarenal glands) are the triangle-shaped Endocrine glands that sit on top of the Kidneys their
Nervous system
Progesterone, like pregnenolone and dehydroepiandrosterone, belongs to the group of neurosteroids that are found in high concentrations in certain areas in the brain and are synthesized there. Pregnenolone is a Steroid hormone involved in the Steroidogenesis of Progesterone, Mineralocorticoids, Glucocorticoids, Androgens Dehydroepiandrosterone ( DHEA) is a natural Steroid Prohormone produced from Cholesterol by the Adrenal glands the Gonads Neuroactive Steroids (or neurosteroids') rapidly alter Neuronal excitability through interaction with Neurotransmitter[[ligand gated ion channel|-gated
Neurosteroids affect synaptic functioning, are neuroprotective, and affect myelinization. Neuroactive Steroids (or neurosteroids') rapidly alter Neuronal excitability through interaction with Neurotransmitter[[ligand gated ion channel|-gated Chemical synapses are specialized junctions through which Neurons signal to each other and to non-neuronal cells such as those in Muscles or Glands Myelin is an electrically-insulating Dielectric Phospholipid layer that surrounds only the Axons of many Neurons It is an outgrowth [13] They are investigated for their potential to improve memory and cognitive ability. In Psychology, memory is an organism's ability to store retain and subsequently retrieve information Cognition is a concept used in different ways by different disciplines but is generally accepted to mean the process of awareness or thought
Progesterone as neuroprotectant affects regulation of apoptotic genes.
Its effect as a neurosteroid works predominantly through the GSK-3 beta pathway, as an inhibitor. Glycogen synthase kinase 3 ( GSK-3) is a Serine/threonine protein kinase, which means that it mediates the addition of phosphate molecules on certain serine and threonine (Other GSK-3 beta inhibitors include bipolar mood stabilizers, lithium and valproic acid. Lithium (ˈlɪθiəm is a Chemical element with the symbol Li and Atomic number 3 Valproic acid ( VPA) is a Chemical compound that has found clinical use as an Anticonvulsant and mood-stabilizing drug, primarily in )
Other systems
- It raises epidermal growth factor-1 levels, a factor often used to induce proliferation, and used to sustain cultures, of stem cells. Epidermal growth factor or EGF is a Growth factor that plays an important role in the regulation of Cell growth, Proliferation, and Stem cells are cells found in most if not all multi-cellular Organisms.
- It increases core temperature (thermogenic function) during ovulation. [14]
- It reduces spasm and relaxes smooth muscle. A spasm is a sudden involuntary contraction of a Muscle, a group of muscles or a hollow organ, or a similarly sudden Contraction of an Orifice Smooth muscle is a type of non- Striated muscle, found within the Tunica media layer of large and small Arteries and Veins, the bladder Bronchi are widened and mucus regulated. A bronchus (plural bronchi, adjective bronchial) is a caliber of airway in the Respiratory tract that conducts air into the Lungs No Gas In vertebrates mucus is a slippery secretion produced by and covering Mucous membranes It is a viscous Colloid containing Antiseptic enzymes (such as (Progesterone receptors are widely present in submucosal tissue. The progesterone receptor ( PR) also known as NR3C3 ( Nuclear receptor subfamily 3 group C member 3 is an intracellular Steroid receptor that The mucous membranes (or mucosae; singular mucosa) are linings of mostly endodermal origin covered in Epithelium, which are involved in )
- It acts as an antiinflammatory agent and regulates the immune response. Inflammation ( Latin, inflamatio, to set on fire is the complex biological response of vascular tissues to harmful stimuli such as Pathogens An immune system is a collection of mechanisms within an Organism that protects against Disease by identifying and killing Pathogens and Tumor
- It reduces gall-bladder activity. The gallbladder (or cholecyst sometimes gall bladder is a small organ whose function in the body is to store Bile and aid in the digestive process [15]
- It normalizes blood clotting and vascular tone, zinc and copper levels, cell oxygen levels, and use of fat stores for energy. Blood is a specialized Bodily fluid that delivers necessary substances to the body's cells such as nutrients and oxygen—and transports Waste products Zinc (ˈzɪŋk from Zink is a Metallic Chemical element with the symbol Zn and Atomic number 30 Copper (ˈkɒpɚ is a Chemical element with the symbol Cu (cuprum and Atomic number 29 The cell is the structural and functional unit of all known living Organisms It is the smallest unit of an organism that is classified as living and is often called Oxygen (from the Greek roots ὀξύς (oxys (acid literally "sharp" from the taste of acids and -γενής (-genēs (producer literally begetteris the
- It assists in thyroid function, in bone building by osteoblasts, in bone, teeth, gums, joint, tendon, ligament and skin resilience and in some cases healing by regulating various types of collagen, and in nerve function and healing by regulating myelin. The thyroid is one of the largest Endocrine glands in the body Bones are rigid organs that form part of the Endoskeleton of Vertebrates They function to move support and protect the various organs of the body produce An osteoblast (from the Greek words for " Bone " and "germ" or embryonic is a mononucleate cell that is responsible for bone formation Bones are rigid organs that form part of the Endoskeleton of Vertebrates They function to move support and protect the various organs of the body produce The gingiva (sing and plur: gingiva) or gums, consists of the Mucosal tissue that lies over the Alveolar bone. A joint is the location at which two or more Bones make contact A tendon (or sinew) is a tough band of Fibrous connective tissue that usually connects Muscle to Bone and is capable of withstanding tension In Anatomy, the term ligament is used to denote three different types of structures Fibrous tissue that connects Bones to other bones The skin is the outer covering of living tissue of an animal (or plant Resilience is the property of a material to absorb energy when it is deformed elastically and then upon unloading to have this energy recovered Collagen is the main Protein of Connective tissue in Animals and the most abundant protein in Mammals making up about 50% of the whole-body protein Myelin is an electrically-insulating Dielectric Phospholipid layer that surrounds only the Axons of many Neurons It is an outgrowth
- It appears to prevent endometrial cancer (involving the uterine lining) by regulating the effects of estrogen. Endometrial cancer refers to several types of malignancy which arise from the Endometrium, or lining of the Uterus.
Medical applications
The use of progesterone and its analogues have many medical applications -- both to address acute situations, and to address the long-term decline of natural progesterone levels. Because of the poor bioavailability of progesterone when taken orally, many synthetic progestins have been designed. However, the roles of progesterone may not be fulfilled by the synthetic progestins which in some cases were designed solely to mimic progesterone's uterine effects. Biological mimicry occurs when a group of organisms the mimics, have The uterus (from the Latin word for womb) is the major Female reproductive organ of most Mammals including Humans One end the
Progesterone is poorly absorbed by oral ingestion unless micronised and in oil, or with fatty foods; it does not dissolve in water. In Pharmacology, bioavailability is used to describe the fraction of an administered Dose of unchanged drug that reaches the Systemic circulation, one of Micronization is the process of reducing the Average Diameter of a solid material's particles Products such as Prometrium, Utrogestan, Minagest and Microgest are therefore capsules containing micronised progesterone in oil - in all three mentioned the oil is peanut oil, which may cause serious allergic reactions in some people, but compounding pharmacies, which have the facilities and licenses to make their own products, can use alternatives. The peanut, or Groundnut ( Arachis hypogaea) is a species in the Legume family Fabaceae native to South America, Mexico Allergy is a disorder of the Immune system often also referred to as Atopy. Pharmacy (from the Greek φάρμακον 'pharmakon' = drug is the Health profession that links the Health sciences with the chemical sciences Vaginal and rectal application is also effective, with products such as CRINONE and PROCHIEVE bioadhesive progesterone vaginal gels (the only progesterone products FDA-approved for use in infertility and during pregnancy) and Cyclogest, which is progesterone in cocoa butter in the form of pessaries. Cocoa butter, also called theobroma oil, is the pale-yellow pure edible Vegetable fat of the Cacao bean A pessary is a small Plastic or Silicone medical device or form of Pharmaceutical preparation which is inserted into the Vagina or Rectum Progesterone can be given by injection, but because it has a short half-life they need to be daily. An injection is an infusion method of putting Liquid into the Body, usually with a hollow needle and a Syringe which is pierced through A quantity is said to be subject to exponential decay if it decreases at a rate proportional to its value Implants, for a longer period, are also available. Marketing of progesterone phamaceutical products, country to country, varies considerably, with many countries having no oral progesterone products marketed, but they can usually be specially imported by pharmacies through international wholesalers. Wholesaling is the sale of Goods or Merchandise to Retailers to industrial commercial institutional or other professional Business users
"Natural progesterone" products derived from yams, do not require a prescription. Yam is the common name for some species in the genus Dioscorea (family Dioscoreaceae) Wild yams contain a plant steroid called diosgenin, however there is no evidence that the human body can metabolize diosgenin into progesterone. Diosgenin, a steroid sapogenin is the product of hydrolysis by acids strong bases or enzymes of Saponins, extracted from the Tubers of Dioscorea Metabolism is the set of Chemical reactions that occur in living Organisms in order to maintain Life. [16][17] Diosgenin can however be chemically converted into progesterone in the lab. [18]
Specific uses
- Progesterone is used to support pregnancy in Assisted Reproductive Technology (ART) cycles such as In-vitro Fertilization (IVF). While daily intramuscular injections of progesterone have been the standard route of administration, a recent meta-analysis showed that the intravaginal route with an appropriate dose and dosing frequency is equivalent to daily intramuscular injections. [19]
- Progesterone is used to control anovulatory bleeding. It is also used to prepare uterine lining in infertility therapy and to support early pregnancy. Female infertility|Male infertility Infertility primarily refers to the biological inability of a Man or a Woman to contribute to conception. Patients with recurrent pregnancy loss due to inadequate progesterone production may receive progesterone. Habitual abortion, recurrent miscarriage or recurrent pregnancy loss (RPL is the occurrence of repeated (three or more consecutive pregnancies that
- Progesterone is being investigated as potentially beneficial in treating multiple sclerosis, since the characteristic deterioration of nerve myelin insulation halts during pregnancy, when progesterone levels are raised; deterioration commences again when the levels drop. Multiple sclerosis (abbreviated MS also known as disseminated sclerosis or encephalomyelitis disseminata) is an autoimmune condition in which the Myelin is an electrically-insulating Dielectric Phospholipid layer that surrounds only the Axons of many Neurons It is an outgrowth
- Vaginally dosed progesterone is being investigated as potentially beneficial in preventing preterm birth in women at risk for preterm birth. The initial study by Fonseca suggested that vaginal progesterone could prevent preterm birth in women with a history of preterm birth. [20]
A subsequent and larger study showed that vaginal progesterone was no better than placebo in preventing recurrent preterm birth in women with a history of a previous preterm birth,[21] but a planned secondary analysis of the data in this trial showed that women with a short cervix at baseline in the trial had benefit in two ways: a reduction in births less than 32 weeks and a reduction in both the frequency and the time their babies were in intensive care. [22] In another trial, vaginal progesterone was shown to be better than placebo in reducing preterm birth prior to 34 weeks in women with an extremely short cervix at baseline. [23] An editorial by Roberto Romero discusses the role of sonographic cervical length in identifying patients who may benefit from progesterone treatment. [24]
- Progesterone is used in hormone replacement therapy for transwomen, and some women with intersex conditions - especially when synthetic progestins have been ineffective or caused side-effects - since normal breast tissue cannot develop except in the presence of both progestogen and estrogen. Hormone replacement therapy ( HRT) for Transgender and Transsexual people replaces the Hormones naturally occurring in their bodies with those A transwoman (also spelled trans woman or trans-woman) is a male-to-female transsexual and the term transwoman is preferred by many such Intersexuality is the state of a living thing of a gonochoristic species whose Sex chromosomes, Genitalia, and/or Secondary sex characteristics The breast is the upper Ventral region of an animal’s Torso, particularly that of Mammals including Human beings. Estrogens (US otherwise oestrogens or œstrogens) are a group of Steroid compounds named for their importance in the Estrous cycle, Mammary glandular tissue is otherwise fibrotic, the breast shape conical and the areola immature. Mammary glands are the organs that in Mammals produce Milk for the sustenance of the young Fibrosis is the formation or development of excess fibrous Connective tissue in an organ or tissue as a reparative or reactive process as opposed to a formation of Fibrous A cone is a three-dimensional Geometric shape that tapers smoothly from a flat round base to a point called the apex or vertex This aritcle is about the breast tissue For the Entomology term see Glossary of Lepidopteran_terms#Wings. Progesterone can correct those even after years of inadequate hormonal treatment. Research usually cited against such value was conducted using Provera, a synthetic progestin. Progesterone also has a role in skin elasticity and bone strength, in respiration, in nerve tissue and in female sexuality, and the presence of progesterone receptors in certain muscle and fat tissue may hint at a role in sexually-dimorphic proportions of those. In Animal physiology, respiration is the transport of Oxygen from the outside air to the cells within tissues and the transport of Carbon dioxide This article is about the issues and phenomena pertaining to sexual function and behavior of Human Females Human female sexuality encompasses Sexual dimorphism is the systematic difference in form between individuals of different Sex in the same Species.
- Progesterone receptor antagonists, or selective progesterone receptor modulators (SPRM)s, such as RU-486 (Mifepristone), can be used to prevent conception or induce medical abortions. A receptor antagonist is a type of receptor ligand or Drug that does not provoke a biological response itself upon binding to a receptor, but blocks A selective progesterone receptor modulator ( SPRM) is an agent that acts on the Progesterone receptor. Mifepristone is a synthetic Steroid compound used as a pharmaceutical. Mifepristone is a synthetic Steroid compound used as a pharmaceutical. A medical abortion is a type of non-surgical Abortion in which a drug is used to induce the abortion
Note that methods of hormonal contraception do not contain progesterone but a progestin. Hormonal contraception refers to Birth control methods that act on the hormonal system A progestin is a synthetic progestagen that has progestinic effects similar to Progesterone.
Progesterone may affect male behavior. [25]
Lawn chemicals and no-till agricultual practices may disturb both estrogen and progesterone metabolism.
Aging
Since most progesterone in males is created during testicular production of testosterone, and most in females by the ovaries, the shutting down (whether by natural or chemical means), or removal, of those inevitably causes a considerable reduction in progesterone levels. Testosterone is a Steroid hormone from the Androgen group In mammals testosterone is primarily secreted in the testes of males and the Ovaries "Ovaria" redirects here This is also a proposed section and a Synonym of Solanum. Previous concentration upon the role of progestagens (progesterone and molecules with similar effects) in female reproduction, when progesterone was simply considered a "female hormone", obscured the significance of progesterone elsewhere in both sexes. Progestagens (also spelled progestogens or gestagens) are Hormones that produce effects similar to those of Progesterone, the only natural progestagen
The tendency for progesterone to have a regulatory effect, the presence of progesterone receptors in many types of body tissue, and the pattern of deterioration (or tumor formation) in many of those increasing in later years when progesterone levels have dropped, is prompting widespread research into the potential value of maintaining progesterone levels in both males and females. In Biochemistry, a receptor is a Protein molecule embedded in either the Plasma membrane or Cytoplasm of a cell to which a mobile signaling See also Cancer A tumor or tumour is the name for a swelling or lesion formed by an abnormal growth of cells (termed neoplastic
Brain damage
It has been observed in animal models that females have reduced susceptibility to traumatic brain injury and this protective effect has been hypothesized to be caused by increased circulating levels of estrogen and progesterone in females. Traumatic brain injury (TBI also called intracranial injury, occurs when Physical trauma injures the Brain. Estrogens (US otherwise oestrogens or œstrogens) are a group of Steroid compounds named for their importance in the Estrous cycle, [26] A number of additional animal studies have confirmed that progesterone has neuroprotective effects when administered shortly after traumatic brain injury. [27] Encouraging results have also been reported in human clinical trials. [28][29]
The mechanism of progesterone protective effects may be the reduction of inflammation which follows brain trauma. [30]
See also
References
- ^ Allen WM (1935). Willard Myron Allen (1904-1993 was an American Gynecologist. He was born in 1904 in Farmington New York, near Rochester New York. "Bioidentical" hormone replacement therapy (BHRT is the use of supplemental doses of Steroid hormones with a chemical structure identical to endogenous human hormones Prometrium ( Progesterone, USP) is a brand of micronized Progesterone Capsules from Solvay Pharmaceuticals, which has been "The isolation of crystalline progestin". Science 82 (2118): 89-93. doi:10.1126/science.82.2118.89. A digital object identifier ( DOI) is a permanent identifier given to an Electronic document. PMID 17747122.
- ^ Butenandt A, Westphal U (1934). "Zur Isolierung und Charakterisierung des Corpusluteum-Hormons". Berichte Deutsche chemische Gesellschaft 67: 1440–1442.
- ^ Hartmann M, Wettstein A (1934). "Ein krystallisiertes Hormon aus Corpus luteum". Helvetica Chimica Acta 17: 878–882. doi:10.1002/hlca.193401701111. A digital object identifier ( DOI) is a permanent identifier given to an Electronic document.
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Steroid metabolism is the complete set of Chemical reactions in organisms that produce modify and consume Steroids These Metabolic pathways include Pregnenolone is a Steroid hormone involved in the Steroidogenesis of Progesterone, Mineralocorticoids, Glucocorticoids, Androgens Deoxycorticosterone (DOC is a Steroid hormone produced by the Adrenal gland that possess Mineralocorticoid activity and acts as a precursor
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