Cited by 588Reproductive System and PregnancyEstrogen and related hormone effectsMenstrual Health and Disorders

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Endocrine Regulation of Menstruation

Jabbour, Henry N., Kelly, Rodney W., Fraser, Hamish M., Critchley, Hilary O. D.·2006·Endocrine Reviews

DOI 10.1210/er.2004-0021

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Abstract

In women, endometrial morphology and function undergo characteristic changes every menstrual cycle. These changes are crucial for perpetuation of the species and are orchestrated to prepare the endometrium for implantation of a conceptus. In the absence of pregnancy, the human endometrium is sloughed off at menstruation over a period of a few days. Tissue repair, growth, angiogenesis, differentiation, and receptivity ensue to prepare the endometrium for implantation in the next cycle. Ovarian sex steroids through interaction with different cognate nuclear receptors regulate the expression of a cascade of local factors within the endometrium that act in an autocrine/paracrine and even intracrine manner. Such interactions initiate complex events within the endometrium that are crucial for implantation and, in the absence thereof, normal menstruation. A clearer understanding of regulation of normal endometrial function will provide an insight into causes of menstrual dysfunction such as menorrhagia (heavy menstrual bleeding) and dysmenorrhea (painful periods). The molecular pathways that precipitate these pathologies remain largely undefined. Future research efforts to provide greater insight into these pathways will lead to the development of novel drugs that would target identified aberrations in expression and/or of local uterine factors that are crucial for normal endometrial function.

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Matrix Metalloproteinase and Matrix Metalloproteinase Inhibitor Expression in Endometrial Stromal Cells during Progestin-Initiated Decidualization and Menstruation-Related Progestin Withdrawal**This work was supported in part by grants from the National Institutes of Health R29-HD29540–01A1 and HD-94–23 (to C.J.L.). Portions of this work were presented at the 44th Annual Meeting of the Society for Gynecologic Investigation. (Lockwood CJ, Krikun G, Hausknecht V, Wang E-Y, Ziegler D, Schatz F, Effects of RU 486 on endometrial stromal cell matrix metalloproteinase and matrix metalloproteinase inhibitor expression. Proceedings of the 44th Annual Meeting of the Society of Gynecologic Investigation, San Diego, CA, 1997, Abstract 220.
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See all 588

Authors: Jabbour, H. N., Kelly, R. W., Fraser, H. M., & Critchley, H. O. D.
Affiliations: The Queen's Medical Research Institute (GB)
Medical Research Council (GB)
Corresponding author: Jabbour, Henry N.
ORCID: Critchley, Hilary O. D.
Venue: Endocrine Reviews
Publisher: The Endocrine Society
Published: 2005-09-13
Volume: 27
Issue: 1
Pages: 17-46
ISSN: 0163-769X (ISSN-L)
1945-7189
DOI: 10.1210/er.2004-0021
OpenAlex: W2109160378
Cited by: 588
References: 359
Citations by year: 2026: 21 · 2025: 27 · 2024: 25 · 2023: 33 · 2022: 40 · 2021: 40 · 2020: 30 · 2019: 23 · 2018: 26 · 2017: 24 · 2016: 30 · 2015: 21 · 2014: 21 · 2013: 39 · 2012: 25
FWCI: 1.64
Type: journal article
Language: en
Open access: closed
Locations: Endocrine Reviews (publishedVersion)
PubMed (publishedVersion)
Funders: Wellcome Trust (044744)
Topics: Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
Keywords: menstruation, endometrium, endometrial receptivity, implantation, nuclear receptors, autocrine and paracrine signaling, intracrine signaling, menorrhagia, dysmenorrhea, menstrual disorders, endometrial angiogenesis, endometrial repair
MeSH terms: Adolescent, Adult, Endocrine System, Endometrium, Female, Humans, Menstruation, Menstruation Disturbances, Middle Aged, Progesterone, Paracrine Communication

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Endocrine Regulation of Menstruation

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