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Estrogen is not one hormone, but rather the name
of a group of hormones. There are three principle forms of estrogen
found in the human body estrone, estradiol and estriol, also known
as E1, E2 and E3 respectively.
There is also a group of compounds called phytoestrogens, which
are not hormones but occupy estrogen receptors in the body and offer
protection against xeno-estrogens in the body.
Estradiol (E2) is the primary estrogen produced by the ovaries.
Estrone (E1) is formed from estradiol. It is a weak estrogen and
is the most abundant estrogen found in the body after menopause.
Estriol (E3) is produced in large amounts during pregnancy and is
a breakdown product of estradiol. Estriol is also a weak estrogen
and may have anti-cancer effects and is the primary form of estrogen
used to treat hot flashes, night sweats and vaginal dryness.
Before menopause estradiol is the predominant estrogen. After menopause
estradiol levels drop more than estrone so that now estrone is the
predominant estrogen.
The fact is, you cannot live without estrogen. Estrogen is not merely
a "sex" hormone, as there are presently three hundred known
functions for estrogen in the body and we are only beginning to understand
all its interactions. Every cell in your body has receptors--what
you might think of as little landing docks--that receive the complex
hormonal messages circulating through your blood. There are estrogen
receptors in all your vital organs--such as your brain, your heart,
and your liver--and all through your body. Estrogen spurs the production
of an important enzyme in the brain that helps the connections between
brain cells to flourish. It is estrogen that helps maintain verbal
learning and enhances a woman's capacity for new learning.(3) Indeed,
estrogen supports you from birth until death.
Most of the time, estrogen has lovely effects: it ripens a woman’s
sexuality and strengthens her bones, blood vessels, and memory. But
it also has a dark side: playing a role in the development of breast
and uterine cancer. As scientists unknot the intricacies of that
role, they are using the knowledge to develop better anti-cancer
drugs.
The Way Estrogen Works
Once released by the ovaries, estrogen travels through the bloodstream
to certain body parts, including the breasts and uterus that contain
a kind of welcoming committee called estrogen receptors. These
protein molecules live inside specific tissue cells and essentially
act as cellular on-off switches.
Scientists believe that estrogen’s stimulation of breast and
uterine receptors may kick off a process that can lead to cancer
development in those tissues. In fact, one concern about long-term,
estrogen-based hormone replacement therapy (HRT) is the potential
harm from constant stimulation of these receptor “switches.”
In the absence of estrogen, estrogen receptors just sit quietly
within our tissues. But when estrogen is around, it binds to the
receptors inside the cells, altering their shape. The new entity
of estrogen-plus-receptor binds to sections of DNA – our genes’ steering
wheel – in the cell nucleus. And that’s where the trouble
seems to begin. In some people, the binding activates genes along
the DNA strand, guiding the manufacture of new proteins that can
lead to cell damage and ultimately, cancer.
How Cancer Cells Grow
It turns out that a large percentage of breast cancer patients also
have estrogen receptors in their cancer cells. These cancer cells
tend to grow and multiply when stimulated by estrogen – in
other words, they are “switched on.”
When surgeons remove breast cancer, laboratory technologists test
the cancer cells to see if they contain these hormonal switches – and
around 75% of them do. The presence of a significant number of cells
with hormone receptors indicates that estrogen is likely driving
the cancer.
Thanks to science, however, treatments that address estrogen-fed
breast cancers can block the interaction between estrogen and the
receptor, removing a key stimulator for cancer growth.
What's Your Breast Cancer Risk?
The biggest risk factor for developing breast cancer is simply being
a woman, though a small percentage of men develop it, too. Fortunately,
with better screening processes for early detection, breast cancer
doesn't have to be fatal.
Looking Younger Than Ever
What has become evident in the United States is that women act and
look younger for their age than in previous generations--forty
today is what thirty was twenty years ago. Actresses can now actually
be sexy onscreen past forty--Susan Sarandon, Jessica Lange, and
Meryl Streep, to name just a few--which was not true a generation
ago. Marilyn Monroe was considered over the hill at thirty-six.
And now fifty for a woman is what forty was twenty years ago.
What's the secret?
One thing we know is that these contemporary
actresses are taking very good care of themselves. In fact, American
women in general are taking advantage of a physical youthfulness
that has been biologically possible for a long time. And they don't
want to sink into the "Age fifty plus spends her life in the
doctor's office" syndrome.
We're on the side of looking good at any age. We believe there is
such a thing as healthy vanity. Wanting to look and feel beautiful
is a woman's right. Some women have defensively embraced the idea
of an old age with wrinkles and without sex. That's certainly an
option. But any expectation you may have that after fifty you will
turn into an old woman sitting on a park bench talking about her
ailments is the function of an acculturated image. It doesn't have
to be that way.
But the first step in taking full charge of your "second spring" is
getting on good terms with your hormones--that is, understanding
how they work in your body, and what you need to do to keep them
balanced--and most important, learning how the plant-based diets
and herbal medicines have supported human life for millions of years
and are crucial to the well-being of women.
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