Estradiol for tissue of the reproductive organs, supporting the lining of the vagina, the cervical glands, the endometrium, and the lining of the fallopian tubes. It enhances growth of the myometrium. Estradiol appears necessary to maintain oocytes in the ovary. During the menstrual cycle, estradiol produced by the growing follicles triggers, via a positive feedback system, the hypothalamic-pituitary events that lead to the luteinizing hormone surge, inducing ovulation. In the luteal phase, estradiol, in conjunction with progesterone, prepares the endometrium for implantation. During pregnancy, estradiol increases due to placental production. The effect of estradiol, together with estrone and estriol, in pregnancy
Pharmacokinetics of progesterone of the menstrual cycle with LC–MS/MS are 6.7 to 22.2 ng/mL. When the unreliable method of standalone RIA has been used to measure progesterone levels with oral progesterone, far higher peak levels of 6.5 to 10.2 ng/mL, 13.8 to 19.9 ng/mL, and 32.3 to 49.8 ng/mL have been erroneously observed after single 100, 200, and 300 mg doses, respectively. In addition, progesterone levels have been inaccurately measured by RIA as remaining elevated for 12 to 24 hours. Regardless of assay method, peak levels of progesterone following a dose of oral progesterone occur after about 1 to 3 hours. The elimination