Effects of Progesterone on the Body

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Progesterone, a type of female sex hormone which belong to a steroid hormone class known as progestogen, has a major role in the development of oral contraception. Progesterone is produced in ovaries, adrenal gland and in placenta when women get pregnant. In the menstrual cycle, ovary unceasingly alternates between two phases: the follicular phase, which is characterized by the presence of maturing follicles and the luteal phase, which is governed by the presence of corpus luteum. Ovulation occurs in between these phases. Corpus luteum, which is formed through luteinization of ruptured follicle after ovulation, secretes large amounts of progesterone and small amount of estrogen.
Progesterone acts at progesterone receptors (PR) which present in two isoforms: PR.A and PR.B. Binding of progesterone to the receptors leads to dimerization. “Dimers bind to DNA at specific progesterone response elements on promoters of progesterone-responsive genes and regulate transcription” (Ruenitz, 2010, p237) directly or associate with co-activators or co-repressors. It increases number of blood vessels and secretory glands in estrogen-primed endometrium to create a hospitable and nutritious lining for implantation of a fertilized ovum and maintains endometrium quiescent by reducing uterus contractility. Besides, progesterone also acts at hypothalamic arcuate (ARC) nucleus kiss1 neurons and indirectly inhibit gonadotropin-releasing hormone (GnRH) pulsatile release and thus suppress luteinizing hormone (LH) and follicle-stimulating hormone (FSH) secretion from the anterior pituitary. These inhibitions help prevent new follicular maturation and ovulation during the luteal phase.
Levonorgestrel (LNG) is a second generation synthetic progestogen. It a...

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...ifepristone increases decidual cells’ secretion of prostaglandins and induces accumulation of prostaglandin by inhibiting prostaglandin dehydrogenase. (Spitz, 2009) In addition, Mifepristone also increases myometrial sensitivity to prostaglandins. In early pregnancy, Mifepristone initiates cervical ripening through stimulates nitric oxide (NO) release and expression of inducible NO synthase in cervix. (Spitz, 2009)
Apart from abortion, mifepristone is also indicated for many conditions such as uterine fibroids, endometriosis and etc. mifepristone also exerts contraceptive potential as some studies found that ovulation is inhibited with daily doses of mifepristone of 2 mg or higher. (Spitz, 2009) However, mifepristone has a slow clinical development due to political, legal and religious controversy with regards to its ability to induce medical abortion. (Spitz, 2009)

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