Introduction to the endocrine and reproductive system and medications
Endocrine system
The endocrine system helps control metabolism and other body functions by releasing hormones into the bloodstream. These hormones are produced by endocrine glands such as the thyroid, pituitary, pancreas, and adrenal glands.
The hypothalamus and pituitary gland play a central role because they help regulate hormone secretion from other glands. When an endocrine gland produces too much hormone (overfunction) or too little hormone (underfunction), it can lead to disease.
Common endocrine disorders include hypothyroidism, diabetes mellitus, Addison’s disease, and Cushing’s syndrome. Many medications used to treat these disorders work by replacing missing hormones or adjusting hormone-related pathways.
Table showing common drug classes and examples of the endocrine system
| Drug class | Generic name | Brand name(s) | Primary use |
|---|---|---|---|
| Insulins | Insulin | Humalog, Humulin R, Lantus | Lower blood glucose levels (hypoglycemic) |
| Biguanides | Metformin | Glucophage, Riomet | Increases insulin sensitivity, lowers blood glucose levels |
| Sulfonylureas | Glipizide, glimepiride | GlipiZIDE XL, Amaryl | Lowers blood glucose levels |
| Thiazolidinediones | Pioglitazone, rosiglitazone | Actos, Avandia | Increases insulin sensitivity, lowers blood glucose |
| Incretin mimetics or analogues | Liraglutide, semaglutide | Victoza, Ozempic, Wegovy | Increase insulin secretion, weight loss |
| Gliptins (DPP 4 inhibitors) | Sitagliptin, linagliptin | Januvia, Tradjenta | Increase insulin secretion |
| SGLT 2 inhibitors | Dapagliflozin, empagliflozin | Farxiga, Jardiance | Decrease blood glucose levels |
| Thyroid hormone supplements | Levothyroxine | Synthroid | Treatment of hypothyroidism |
| Corticosteroids | Fluticasone, prednisone, triamcinolone | Flovent, Rayos, Clinacort | Anti-inflammatory, autoimmune diseases, Crohn’s disease, eczema, asthma |
Reproductive system
The reproductive system includes the gonads (testes and ovaries) and accessory organs. Its main roles are reproduction and the development of secondary sex characters.
Common disorders include polycystic ovarian syndrome (PCOS), endometriosis, erectile dysfunction, and infertility. Many medications used for these conditions include synthetic forms of estrogen, progesterone, and testosterone.
Table showing common drug classes and examples of the endocrine system
| Drug class | Generic name | Brand name(s) | Primary use |
|---|---|---|---|
| Androgens | Testosterone, methyltestosterone, danazol, oxymetholone | Testim, Androgel, Methitest, Danocrine, Anadrol | Used in the treatment of fertility issues, to increase muscle mass, as hormone replacement, for endometriosis, and for certain types of breast cancer |
| Estrogens | Ethinyl estradiol, estradiol valerate | Climara, Estrace, Estraderm | Hormone replacement therapy, osteoporosis, ovarian failure, certain breast and prostate cancers, and treatment of menopausal symptoms |
| Estrogen and progestin combinations | Estrogen with progesterone | Estarylla, Yaz, Yasmin, NuvaRing | Birth control, hormone replacement, acne, osteoporosis |
| 5 alpha reductase inhibitors | Finasteride, dutasteride | Propecia, Avodart | Benign prostatic hyperplasia, male-pattern baldness |
| Aromatase inhibitors | Letrozole, anastrozole, exemestane | Femara, Arimidex, Aromasin | Breast cancer treatment |
| Selective estrogen receptor modulators or SERMs | Tamoxifen, raloxifene, clomiphene | Nolvadex, Clomid, Fareston, Tamofen, Serophene | Breast cancer, osteoporosis, and infertility treatment |