Estrogen modifies the temperature effects of progesterone
Abstract
To test the hypothesis that progestin-mediated increases in resting core temperature and the core temperature threshold for sweating onset are counteracted by estrogen, we studied eight women (24 ± 2 yr) at 27°C rest, during 20 min of passive heating (35°C), and during 40 min of exercise at 35°C. Subjects were tested four times, during the early follicular and midluteal menstrual phases, after 4 wk of combined estradiol-norethindrone (progestin) oral contraceptive administration (OC E+P), and after 4 wk of progestin-only oral contraceptive administration (OC P). The order of the OC P and OC E+P were randomized. Baseline esophageal temperature (T es) at 27°C was higher ( P < 0.05) in the luteal phase (37.08 ± 0.21°C) and in OC P (37.60 ± 0.31°C) but not during OC E+P (37.04 ± 0.23°C) compared with the follicular phase (36.66 ± 0.21°C). T es remained above follicular phase levels throughout passive heating and exercise during OC P, whereas T es in the luteal phase was greater than in the follicular phase throughout exercise ( P < 0.05). The T es threshold for sweating was also greater in the luteal phase (38.02 ± 0.28°C) and OC P (38.07 ± 0.17°C) compared with the follicular phase (37.32 ± 0.11°C) and OC E+P (37.46 ± 0.18°C). Progestin administration raised the T es threshold for sweating during OC P, but this effect was not present when estrogen was administered with progestin, suggesting that estrogen modifies progestin-related changes in temperature regulation. These data are also consistent with previous findings that estrogen lowers the thermoregulatory operating point.
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Core body temperature was higher when taking progestin-only compared with the combined oral contraceptive.
“In addition, core body temperature was higher when taking progestin-only compared with the combined oral contraceptive.”
From Temperature regulation in women: Effects of the menstrual cycle (2020) · cites this paper as [107]
In a randomized cross-over study, during 20 min of rest in a thermoneutral environment, esophageal temperature was higher when women were taking the progestin-only pill compared with their follicular phase.
“During 20 min of rest in a thermoneutral environment, the esophageal temperature was higher when women were taking the progestin-only pill compared with their follicular phase.”
From Temperature regulation in women: Effects of the menstrual cycle (2020) · cites this paper as [107]
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- Authors
- Stachenfeld, N. S., Silva, C., & Keefe, D. L.
- Affiliations
- Yale University (US)
- Brown University (US)
- Venue
- Journal of Applied Physiology
- Publisher
- American Physiological Society
- Published
- 2000-05-01
- Volume
- 88
- Issue
- 5
- Pages
- 1643-1649
- ISSN
- 0161-7567 (ISSN-L)
- 8750-7587
- 1522-1601
- OpenAlex
- W1899639583
- Cited by
- 167
- References
- 34
- Citations by year
- 2026: 13 · 2025: 7 · 2024: 8 · 2023: 11 · 2022: 5 · 2021: 12 · 2020: 11 · 2019: 9 · 2018: 5 · 2017: 4 · 2016: 13 · 2015: 9 · 2014: 11 · 2013: 2 · 2012: 4
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Keywords
- estrogen, progesterone, progestins, thermoregulation, core body temperature, sweating threshold, esophageal temperature, oral contraceptives, progestin-only contraceptives, menstrual cycle, follicular phase, luteal phase, passive heating, exercise thermoregulation
- MeSH terms
- Adult, Body Temperature, Contraceptives, Oral, Differential Threshold, Drug Combinations, Esophagus, Estradiol, Estrogens, Female, Follicular Phase, Humans, Luteal Phase, Norethindrone, Progesterone, Sweating, Exercise
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