Hormone, adrenal cortex estrogenic

Steroids are synthetic products of cholesterol [57-88-5]. The chemical stmcture of a steroid hormone is determined by sequential enzymatic processing of the cholesterol molecule. Steroid products differ among steroid-secreting glands because of differences in enzyme processing, eg, the production of estrogen by the ovary requires enzymatic steps that do not occur in the adrenal cortex. 

Hormones of the Adrenal Cortex. The adrenal cortex synthesizes and secretes two primary groups of steroidal hormones the glucocorticoids and the min-eralocorticoids.41 Small amounts of sex steroids (estrogens, androgens, progesterone) are also produced, but these amounts are essentially insignificant during normal adrenal function. 

This chapter discusses the pharmacology of the steroid hormones that are produced by the adrenal cortex. The two primary types of adrenal steroids are the glucocorticoids and mineralocorticoids. Small amounts of other steroids such as the sex hormones (androgens, estrogens, and progestins) are also produced by the adrenal cortex. These steroids are discussed in Chapter 30. 

Male and female hormones are produced primarily in the gonads. Androgens are synthesized in the testes in the male. In the female, the ovaries are the principal sites of estrogen and progestin production. As discussed in Chapter 29, small amounts of sex-related hormones are also produced in the adrenal cortex in both sexes, which accounts for the fact that small amounts of hormones of the opposite sex are seen in females and males that is, low testosterone levels are seen in females, and males produce small quantities of estrogen. However, under normal conditions, the amounts of sex-related hormones produced by the adrenal cortex are usually too small to produce significant physiologic effects. 

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