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Steroid hormones and pregnancy.

Nancy Noyola-Martínez1, Ali Halhali1, David Barrera1

  • 1a Departamento de Biología de la Reproducción , Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán , D.F. México , México.

Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology
|February 23, 2019
PubMed
Summary

This review examines steroid hormone regulation during pregnancy, focusing on progestins, estrogens, and androgens. It discusses their roles in healthy and complicated pregnancies and potential therapeutic applications.

Keywords:
Pregnancyendocrine disorderhormonal therapiessteroidogenic enzymes

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Area of Science:

  • Reproductive Endocrinology
  • Maternal-Fetal Medicine
  • Steroid Biochemistry

Background:

  • Pregnancy involves significant physiological adaptations, with steroid hormones crucial for maintaining maternal and fetal well-being.
  • Steroidogenesis occurs across maternal, placental, and fetal compartments, influencing gestation.
  • Progestins and estrogens are key players, while androgen biosynthesis and function during pregnancy require further elucidation.

Purpose of the Study:

  • To review the biosynthesis, function, and regulation of progestins, androgens, and estrogens during gestation.
  • To discuss alterations in steroid hormone concentrations in complicated pregnancies.
  • To explore hormonal therapies for preventing pregnancy complications like miscarriages and preterm deliveries.

Main Methods:

  • Comprehensive literature review of steroidogenesis and hormone function in pregnancy.
  • Analysis of studies on steroid hormone levels in healthy and complicated pregnancies.
  • Examination of clinical data on hormonal treatments for pregnancy pathologies.

Main Results:

  • Steroid hormones, including progestins, estrogens, and androgens, exhibit dynamic changes throughout pregnancy.
  • Altered steroid hormone profiles are observed in pregnancies complicated by various pathologies.
  • Hormonal interventions show promise in managing certain pregnancy complications.

Conclusions:

  • Understanding steroid hormone dynamics is vital for managing pregnancy health.
  • Further research into androgen roles and targeted hormonal therapies can improve maternal and fetal outcomes.
  • Steroid hormone balance is critical for successful gestation and warrants continued investigation.