Clinical and metabolic effects of the menopause and the role of replacement oestrogen therapy.

dc.contributor.authorUtian, Wulf Hessel
dc.date.accessioned2017-11-17T08:03:55Z
dc.date.available2017-11-17T08:03:55Z
dc.date.issued1970
dc.date.updated2017-04-19T14:29:07Z
dc.description.abstractThe present investigation was undertaken in order to clarify the clinical and metabolic effects of the menopause following bilateral oophorectomy in the human female and to evaluate the role of subsequent replacement exogenous oestrogen therapy. To this end pertinent clinical and laboratory studies were carried out. It is considered that the following contributions to knowledge have been made: 1. The symptoms and clinical signs directly related to endogenous oestrogen withdrawal following bilateral oophorectomy have been clarified and defined. 2. Symptoms responding to exogenous oestrogen therapy have been differentiated from those responding to placebo (general supportive) therapy. 3. The ability of exogenous oestrogens to produce a feeling of well-being in postmenopausal females is statistically substantiated. 4. The parabasal cell is shown to be the best cytologic index of the oestrogenic status of the postmenopausal female. Claims for an increase of vaginal superficial cells with exogenous oestrogen therapy are refuted. 5. Bi lateral oophorectomy. in the female of reproductive age is shown to have no effect for up to 2 years on the total serum cholesterol level. Oestrogen therapy, however, reduced the level of serum cholesterol in oophorectomized females. 6. The effects of b i lateral oophorectomy on plasma calcium and inorganic phosphorus are shown. The ability of oestrogen to lower plasma calcium and phosphorus is demonstrated and the possible explanation and implication of these findings is discussed. 7. A controlled comparative evaluation of two different forms of oestrogen demonstrates different oestrogens to have different effects. Moreover, endogenous, and exogenous oestrogens are shown to be not entirely similar in their clinical and metabolic effects. 8. The specific short-term sequelae of oophorectomy are demonstrated and the current role of exogenous oestrogen replacement therapy in postmenopausal females is discussed.
dc.identifier.apacitationUtian, W. H. (1970). <i>Clinical and metabolic effects of the menopause and the role of replacement oestrogen therapy</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology. Retrieved from http://hdl.handle.net/11427/26366en_ZA
dc.identifier.chicagocitationUtian, Wulf H. <i>"Clinical and metabolic effects of the menopause and the role of replacement oestrogen therapy."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology, 1970. http://hdl.handle.net/11427/26366en_ZA
dc.identifier.citationUtian, W. 1970. Clinical and metabolic effects of the menopause and the role of replacement oestrogen therapy. University of Cape Town.en_ZA
dc.identifier.risTY - Thesis / Dissertation AU - Utian, Wulf H DA - 1970 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1970 T1 - Clinical and metabolic effects of the menopause and the role of replacement oestrogen therapy TI - Clinical and metabolic effects of the menopause and the role of replacement oestrogen therapy UR - http://hdl.handle.net/11427/26366 ER -en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/26366
dc.identifier.vancouvercitationUtian WH. Clinical and metabolic effects of the menopause and the role of replacement oestrogen therapy. []. University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology, 1970 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/26366en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Obstetrics and Gynaecologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherEstrogens
dc.titleClinical and metabolic effects of the menopause and the role of replacement oestrogen therapy.
dc.typeDoctoral Thesis
dc.type.qualificationlevelDoctoral
dc.type.qualificationnamePhD
uct.type.filetypeText
uct.type.filetypeImage
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