Comparison of transdermal and oral estrogen therapy in girls with Turner's syndrome
Abstract
Eight girls with Turner's syndrome were given low dose oral ethinyl estradiol or transdermal 17 beta-estradiol in order to compare the effect of the route of administration on selected markers of hepatic metabolism, and various hormonal concentrations. Oral estrogen was given at a dose of 100 ng/kg/day and transdermal estrogen via adhesive skin patch at 0.0125 mg/kg/day. The subjects received one form of estradiol for one month, and after a one month washout period, received the other form. Both oral and transdermal estradiol caused a significant decrease in FSH while only transdermal resulted in a significant decrease in LH. Oral estradiol, though not transdermal estradiol, increased serum high density lipoprotein, thyroxine binding protein and growth hormone binding protein. Urinary growth hormone excretion increased after both forms of therapy, while insulin-like growth factor-I and insulin-like growth factor binding protein-3 remained unchanged. Thus, in girls with Turner's syndrome, estrogen replacement by the transdermal route may have less deleterious effect on hepatic metabolism than oral estrogen.
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Studies differ on whether oral E2 vs TD E2 leads to increased total cholesterol and decreased HDL.
“Studies differ on whether oral E2 vs. TD E2 leads to increased total cholesterol and decreased HDL”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [337]
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- Authors
- Jospe, N., Orlowski, C. C., & Furlanetto, R. W.
- Affiliations
- University of Rochester Medicine (US)
- Venue
- Journal of Pediatric Endocrinology and Metabolism
- Publisher
- Walter de Gruyter GmbH
- Published
- 1995-01
- Volume
- 8
- Issue
- 2
- Pages
- 111-6
- ISSN
- 0334-018X (ISSN-L)
- 2191-0251
- OpenAlex
- W2321098202
- Cited by
- 54
- References
- 19
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 3 · 2020: 1 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 1
- FWCI
- 0.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Endocrinology and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (RR-00044, M01RR000044)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Keywords
- Turner syndrome, transdermal estrogen, oral estrogen, ethinyl estradiol, estradiol, estrogen replacement therapy, route of administration, hepatic metabolism, follicle-stimulating hormone, luteinizing hormone, HDL cholesterol, thyroxine-binding proteins, growth hormone binding protein, insulin-like growth factor I, insulin-like growth factor binding protein-3, girls
- MeSH terms
- Administration, Cutaneous, Administration, Oral, Adolescent, Carrier Proteins, Child, Estradiol, Ethinyl Estradiol, Female, Follicle Stimulating Hormone, Humans, Luteinizing Hormone, Lipids, Lipoproteins, HDL, Growth Hormone, Thyroxine-Binding Proteins, Turner Syndrome
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