The first uterine pass effect.

Abstract:

:The endometrial effects of vaginal progesterone have been found to be unexpectedly reliable. This has led us to suspect that a local direct vagina-to-uterus transport or first uterine pass effect was the basis of the uterine targeting of vaginal progesterone. After vaginal administration of progesterone, uterine tissue concentration has been found to exceed by more than 10-fold the levels achieved by systemic administration, despite plasma levels in the latter case that were more than seven times higher. Similar differences in systemic-to-uterine tissue level ratios have been observed between oral and vaginal administration of danazol. Originally seen as a pharmacological advantage permitting the uterine targeting of vaginally administered substances, it is possible that the first uterine pass effect plays a physiological role in the control of uterine contractile activity through the prostaglandins contained in the semen.

journal_name

Ann N Y Acad Sci

authors

De Ziegler D,Bulletti C,De Monstier B,Jääskeläinen AS

doi

10.1111/j.1749-6632.1997.tb48550.x

subject

Has Abstract

pub_date

1997-09-26 00:00:00

pages

291-9

eissn

0077-8923

issn

1749-6632

journal_volume

828

pub_type

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