PMID: 40889Jan 1, 1978

Progestational potency of oral contraceptives: a polemic

International Journal of Fertility
R A Edgren

Abstract

Dickey and Stone have attempted an evaluation of progestational potencies of oral contraceptives based upon such uterine criteria as subnuclear vacuolization and delay of menses. Their review, unfortunately, is marred by numerous errors which vitiate the potency estimates. The actions of progestagens in target organs depend upon the specific binding of the compounds to a protein receptor that is produced by estrogen treatment. Potency of hormones depends ultimately upon this binding. Since it seems unlikely that specific binding occurs in such nontarget sites as the blood vessels, direct potency relationships are highly improbable between diverse phenomena. Possible relationships between oral contraceptives and specific side effects must be studied in relationship to individual side effects and particular contraceptive products. Possible coincidental activities, no matter how analyzed, are unlikely to contribute meaningfully to our understanding of these drugs.

Related Concepts

Menstruation
Contraceptives, Oral, Synthetic
Hormone Receptors, Cell Surface
Endometrium
Uterus
Blood Vessel
Contraceptives, Oral
Organ
Plasma Protein Binding Capacity
Contraceptive Agents

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