12.07.2015 Views

Role of Mirena in HRT - Nick Panay

Role of Mirena in HRT - Nick Panay

Role of Mirena in HRT - Nick Panay

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Tibolone: : STEAR (selective tissue estrogenic activityregulator)Tibolone andactive metabolitesReceptorE2 receptoractivationPre-receptorEffect on Metabolismlocal enzymesBone, Vag<strong>in</strong>a, ?Bra<strong>in</strong>Tissue stimulationLess activeestrogenic compoundsBreastrNo tissue stimulationΔ 4-isomerEndometriumr

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