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Estradiol and Women’s Health: Considering the Role of Estradiol as a Marker in Behavioral Medicine

  • Special Issue: Salivary Bioscience
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Abstract

The sex hormone estradiol, as measured through saliva, represents a non-invasive and cost-effective approach to understanding the influence of hormonal factors on physical and psychological well-being among women. Estradiol levels dramatically change at hormonal transitions, such as puberty, menopause, and postpartum. It is at these transitions where women are at increased risk for psychological and somatic distress. Salivary estradiol also has implications for decision-making and has been broadly associated with engagement in health-compromising behaviors which can influence women’s ability to cope with and manage chronic health conditions. This review summarizes the evidence for salivary estradiol as a marker of physical and psychological health, and discusses practical information regarding saliva collection and assay. The overall intent is to expand and clarify knowledge of the relation between changes in salivary estradiol and women’s health as well as to provide a means of integrating salivary estradiol into future behavioral medicine research.

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References

  1. Navarro-Pardo E, Holland CA, Cano A. Sex hormones and healthy psychological aging in women. Front Aging Neurosci. 2018;9:439.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  2. Hara Y, Waters EM, McEwen BS, Morrison JH. Estrogen effects on cognitive and synaptic health over the lifecourse. Physiol Rev. 2015;95(3):785–807.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Kessler RC. Epidemiology of women and depression. J Affect Disord. 2003;74:5–13.

    Article  PubMed  Google Scholar 

  4. Phillips BA, Collop NA, Drake C, Consens F, Vgontzas AN, Weaver TE. Sleep disorders and medical conditions in women. J Women's Health. 2008;17:1191–9.

    Article  Google Scholar 

  5. Yunus MB. The role of gender in fibromyalgia syndrome. Curr Rheumatol Rep. 2001;3:128–34.

    Article  CAS  PubMed  Google Scholar 

  6. Allen KD, Renner JB, Devellis B, Helmick CG, Jordan JM. Osteoarthritis and sleep: the Johnston County osteoarthritis project. The Journal of Rheumatology. 2008;35:1102–7.

    PubMed  PubMed Central  Google Scholar 

  7. Lund I, Lundeberg T. Is it all about sex? Acupuncture for the treatment of pain from a biological and gender perspective. Acupunct Med. 2008;26:33–45.

    Article  PubMed  Google Scholar 

  8. Furberg H, Olarte M, Afari N, Goldberg J, Buchwald D, Sullivan PF. The prevalence of self-reported chronic fatigue in a US twin registry. J Psychosom Res. 2005;59:283–90.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Lanciotti L, Cofini M, Leonardi A, Penta L, Esposito S. Up-to-date review about minipuberty and overview on hypothalamic-pituitary-gonadal axis activation in fetal and neonatal life. Front Endocrinol. 2018;9:410.

    Article  Google Scholar 

  10. Ikegami S, Moriwake T, Tanaka H, et al. An ultrasensitive assay revealed age related changes in serum oestradiol at low concentrations in both sexes from infancy to puberty. Clin Endocrinol. 2001;55:789–95.

    Article  CAS  Google Scholar 

  11. Klein KO, Baron J, Colli MJ, McDonnell DP, Cutler GB. Estrogen levels in childhood determined by an ultrasensitive recombinant cell bioassay. J Clin Invest. 1994;94:2475–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Cole LA, Ladner DG, Byrn FW. The normal variabilities of the menstrual cycle. Fertil Steril. 2009;91:522–7.

    Article  CAS  PubMed  Google Scholar 

  13. Treloar AE, Boynton RE, Behn BG, Brown BW. Variation of the human menstrual cycle through reproductive life. Int J Fertil. 1967;12:77–126.

    CAS  PubMed  Google Scholar 

  14. Henderson VW, John JAS, Hodis HN, et al. Cognition, mood, and physiological concentrations of sex hormones in the early and late postmenopause. Proc Natl Acad Sci. 2013;110:20290–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Van Wingen GA, Van Broekhoven F, Verkes RJ, et al. Progesterone selectively increases amygdala reactivity in women. Mol Psychiatry. 2008;13:325.

    Article  PubMed  CAS  Google Scholar 

  16. Callegari C, Buttarelli M, Cromi A, Diurni M, Salvaggio F, Bolis PF. Female psychopathologic profile during menopausal transition: a preliminary study. Maturitas. 2007;56(4):447–51.

    Article  PubMed  Google Scholar 

  17. Lewis G, Ioannidis K, van Harmelen AL, et al. The association between pubertal status and depressive symptoms and diagnoses in adolescent females: a population-based cohort study. PLoS One. 2018;13:e0198804.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  18. Freeman EW, Sammel MD, Lin H, Nelson DB. Associations of hormones and menopausal status with depressed mood in women with no history of depression. Arch Gen Psychiatry. 2006;63:375–82.

    Article  CAS  PubMed  Google Scholar 

  19. Vesga-Lopez O, Blanco C, Keyes K, Olfson M, Grant BF, Hasin DS. Psychiatric disorders in pregnant and postpartum women in the United States. Arch Gen Psychiatry. 2008;65(7):805–15.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Cyranowski JM, Frank E, Young E, Shear MK. Adolescent onset of the gender difference in lifetime rates of major depression: a theoretical model. Arch Gen Psychiatry. 2000;57:21–7.

    Article  CAS  PubMed  Google Scholar 

  21. Chai NC, Peterlin BL, Calhoun AH. Migraine and estrogen. Curr Opin Neurol. 2014;27:315.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Jasienska G. Why women differ in ovarian function: genetic polymorphism, developmental conditions, and adult lifestyle. In: Muehlenbein MP, editor. Human evolutionary biology. Cambridge University Press; 2010.

  23. Jasienska G, Kapiszewska M, Ellison PT, et al. CYP17 genotypes differ in salivary 17-β estradiol levels: a study based on hormonal profiles from entire menstrual cycles. Cancer Epidemiol Prev Biomark. 2006;15:2131–5.

    Article  CAS  Google Scholar 

  24. Tworoger SS, Chubak J, Aiello EJ, et al. Association of CYP17, CYP19, CYP1B1, and COMT polymorphisms with serum and urinary sex hormone concentrations in postmenopausal women. Cancer Epidemiol Prev Biomark. 2004;13:94–101.

    Article  CAS  Google Scholar 

  25. Peter I, Kelley-Hedgepeth A, Fox CS, et al. Variation in estrogen-related genes associated with cardiovascular phenotypes and circulating estradiol, testosterone, and dehydroepiandrosterone sulfate levels. J Clin Endocrinol Metab. 2008;93:2779–85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Westberg L, Baghaei F, Rosmond R, et al. Polymorphisms of the androgen receptor gene and the estrogen receptor β gene are associated with androgen levels in women. J Clin Endocrinol Metab. 2001;86:2562–8.

    CAS  PubMed  Google Scholar 

  27. Gonda X, Telek T, Juhasz G, Lazary J, Vargha A, Bagdy G. Patterns of mood changes throughout the reproductive cycle in healthy women without premenstrual dysphoric disorders. Prog Neuro-Psychopharmacol Biol Psychiatry. 2008;32:1782–8.

    Article  CAS  Google Scholar 

  28. Kanojia S, Sharma VK, Gandhi A, Kapoor R, Kukreja A, Subramanian SK. Effect of yoga on autonomic functions and psychological status during both phases of menstrual cycle in young healthy females. J Clin Diagn Res. 2013;7:2133–9.

    PubMed  PubMed Central  Google Scholar 

  29. Walder DJ, Statucka M, Daly MP, Axen K, Haber M. Biological sex and menstrual cycle phase modulation of cortisol levels and psychiatric symptoms in a non-clinical sample of young adults. Psychiatry Res. 2012;197:314–21.

    Article  CAS  PubMed  Google Scholar 

  30. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC; 2013.

  31. Epperson CN, Pittman B, Czarkowski KA, Stiklus S, Krystal JH, Grillon C. Luteal-phase accentuation of acoustic startle response in women with premenstrual dysphoric disorder. Neuropsychopharmacology. 2007;32:2190.

    Article  PubMed  Google Scholar 

  32. Reed SC, Levin FR, Evans SM. Changes in mood, cognitive performance and appetite in the late luteal and follicular phases of the menstrual cycle in women with and without PMDD (premenstrual dysphoric disorder). Horm Behav. 2008;54:185–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Edler C, Lipson SF, Keel PK. Ovarian hormones and binge eating in bulimia nervosa. Psychol Med. 2007;37:131–41.

    Article  PubMed  Google Scholar 

  34. Nillni YI, Pineles SL, Patton SC, Rouse MH, Sawyer AT, Rasmusson AM. Menstrual cycle effects on psychological symptoms in women with PTSD. J Trauma Stress. 2015;28:1–7.

    Article  PubMed  Google Scholar 

  35. Sein JA, Chodorowski Z, Ciechanowicz R, Wiśniewski M, Pankiewicz P. The relationship between suicidal attempts and menstrual cycle in women. Przegl Lek. 2005;62:431–3.

    Google Scholar 

  36. Schiller CE, O’Hara MW, Rubinow DR, Johnson AK. Estradiol modulates anhedonia and behavioral despair in rats and negative affect in a subgroup of women at high risk for postpartum depression. Physiol Behav. 2013;119:137–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. DeSoto MC, Geary DC, Hoard MK, Sheldon MS, Cooper L. Estrogen fluctuations, oral contraceptives and borderline personality. Psychoneuroendocrinology. 2003;28:751–66.

    Article  CAS  PubMed  Google Scholar 

  38. Gordon JL, Rubinow DR, Eisenlohr-Moul TA, Leserman J, Girdler SS. Estradiol variability, stressful life events and the emergence of depressive symptomatology during the Menopause Transition. Menopause. 2016;23:257.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Fujisawa TX, Nishitani S, Obara T, Shinohara K. Loneliness depends on salivary estradiol levels in adolescent females. Neuro Endocrinol Lett. 2012;33:525–9.

    CAS  PubMed  Google Scholar 

  40. Tackett JL, Reardon KW, Herzhoff K, Page-Gould E, Harden KP, Josephs RA. Estradiol and cortisol interactions in youth externalizing psychopathology. Psychoneuroendocrinology. 2015;55:146–53.

    Article  CAS  PubMed  Google Scholar 

  41. Grant JE, Chamberlain SR. Salivary sex hormones in adolescent females with trichotillomania. Psychiatry Res. 2018;265:221–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Wegerer M, Kerschbaum H, Blechert J, Wilhelm FH. Low levels of estradiol are associated with elevated conditioned responding during fear extinction and with intrusive memories in daily life. Neurobiol Learn Mem. 2014;116:145–54.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Miedl SF, Wegerer M, Kerschbaum H, Blechert J, Wilhelm FH. Neural activity during traumatic film viewing is linked to endogenous estradiol and hormonal contraception. Psychoneuroendocrinology. 2018;87:20–6.

    Article  CAS  PubMed  Google Scholar 

  44. Graham BM, Milad MR. Blockade of estrogen by hormonal contraceptives impairs fear extinction in female rats and women. Biol Psychiatry. 2013;73:371–8.

    Article  CAS  PubMed  Google Scholar 

  45. Lonsdorf TB, Haaker J, Schümann D, et al. Sex differences in conditioned stimulus discrimination during context-dependent fear learning and its retrieval in humans: the role of biological sex, contraceptives and menstrual cycle phases. J Psychiatry Neurosci. 2015;40:368.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Blechert J, Michael T, Vriends N, Margraf J, Wilhelm FH. Fear conditioning in posttraumatic stress disorder: evidence for delayed extinction of autonomic, experiential, and behavioural responses. Behav Res Ther. 2007;45:2019–33.

    Article  PubMed  Google Scholar 

  47. Hermann C, Ziegler S, Birbaumer N, Flor H. Psychophysiological and subjective indicators of aversive Pavlovian conditioning in generalized social phobia. Biol Psychiatry. 2002;52:328–37.

    Article  PubMed  Google Scholar 

  48. Michael T, Blechert J, Vriends N, Margraf J, Wilhelm FH. Fear conditioning in panic disorder: enhanced resistance to extinction. J Abnorm Psychol. 2007;116:612.

    Article  PubMed  Google Scholar 

  49. Milad MR, Furtak SC, Greenberg JL, et al. Deficits in conditioned fear extinction in obsessive-compulsive disorder and neurobiological changes in the fear circuit. JAMA Psychiatry. 2013;70:608–18.

    Article  PubMed  Google Scholar 

  50. Rothbaum BO, Price M, Jovanovic T, et al. A randomized, double-blind evaluation of d-cycloserine or alprazolam combined with virtual reality exposure therapy for posttraumatic stress disorder in Iraq and Afghanistan war veterans. Am J Psychiatry. 2014;171:640–8.

    Article  PubMed  PubMed Central  Google Scholar 

  51. MacGregor EA, Frith A, Ellis J, Aspinall L, Hackshaw A. Incidence of migraine relative to menstrual cycle phases of rising and falling estrogen. Neurology. 2006;67:2154–8.

    Article  CAS  PubMed  Google Scholar 

  52. Matchock RL, Levine ME, Gianaros PJ, Stern RM. Susceptibility to nausea and motion sickness as a function of the menstrual cycle. Womens Health Issues. 2008;18:328–35.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Nedstrand E, Wijma K, Wyon Y, Hammar M. Applied relaxation and oral estradiol treatment of vasomotor symptoms in postmenopausal women. Maturitas. 2005;51:154–62.

    Article  CAS  PubMed  Google Scholar 

  54. Wiklund I, Karlberg J, Mattsson LA. Quality of life of postmenopausal women on a regimen of transdermal estradiol therapy: a double-blind placebo-controlled study. Am J Obstet Gynecol. 1993;168:824–30.

    Article  CAS  PubMed  Google Scholar 

  55. Formby B, Schmidt F. Efficacy of biorhythmic transdermal combined hormone treatment in relieving climacteric symptoms: a pilot study. Int J Gen Med. 2011;4:159.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Hurley RW, Adams MC. Sex, gender, and pain: an overview of a complex field. Anesth Analg. 2008;107:309.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Nikolov V, Petkova M. Pain sensitivity among women with low estrogen levels. Procedia Soc Behav Sci. 2010;5:289–93.

    Article  Google Scholar 

  58. Hellström B, Anderberg UM. Pain perception across the menstrual cycle phases in women with chronic pain. Percept Mot Skills. 2003;96:201–11.

    Article  PubMed  Google Scholar 

  59. Vincent K, Tracey I. Hormones and their interaction with the pain experience. Rev Pain. 2008;2:20–4.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Teepker M, Peters M, Vedder H, Schepelmann K, Lautenbacher S. Menstrual variation in experimental pain: correlation with gonadal hormones. Neuropsychobiology. 2010;61:131–40.

    Article  CAS  PubMed  Google Scholar 

  61. Smith YR, Stohler CS, Nichols TE, Bueller JA, Koeppe RA, Zubieta JK. Pronociceptive and antinociceptive effects of estradiol through endogenous opioid neurotransmission in women. J Neurosci. 2006;26:5777–85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. de Leeuw R, Albuquerque RJ, Andersen AH, Carlson CR. Influence of estrogen on brain activation during stimulation with painful heat. J Oral Maxillofac Surg. 2006;64:158–66.

    Article  PubMed  Google Scholar 

  63. Rhudy JL, Bartley EJ, Palit S, et al. Do sex hormones influence emotional modulation of pain and nociception in healthy women? Biol Psychol. 2013;94:534–44.

    Article  PubMed  Google Scholar 

  64. Bartels EM, Dreyer L, Jacobsen S, Jespersen A, Bliddal H, Danneskiold-Samsøe B. Fibromyalgia, diagnosis and prevalence. Are gender differences explainable? Ugeskr Laeger. 2009;171:3588–92.

    PubMed  Google Scholar 

  65. Pamuk ÖN, Dönmez S, Çakir N. Increased frequencies of hysterectomy and early menopause in fibromyalgia patients: a comparative study. Clin Rheumatol. 2009;28:561–4.

    Article  PubMed  Google Scholar 

  66. Queiroz LP. Worldwide epidemiology of fibromyalgia. Curr Pain Headache Rep. 2013;17:356.

    Article  PubMed  Google Scholar 

  67. Carranza-Lira S, Hernandez IBV. Prevalence of fibromyalgia in premenopausal and postmenopausal women and its relation to climacteric symptoms. Menopause Rev. 2014;13:169.

    Article  Google Scholar 

  68. Kalichman L. Association between fibromyalgia and sexual dysfunction in women. Clin Rheumatol. 2009;28:365–9.

    Article  PubMed  Google Scholar 

  69. Pamuk ON, Cakir N. The variation in chronic widespread pain and other symptoms in fibromyalgia patients. The effects of menses and menopause. Clin Exp Rheumatol. 2005;23:778 [Hellstrom repeat].

    CAS  PubMed  Google Scholar 

  70. LeResche L, Mancl L, Sherman JJ, Gandara B, Dworkin SF. Changes in temporomandibular pain and other symptoms across the menstrual cycle. Pain. 2003;106:253–61.

    Article  PubMed  Google Scholar 

  71. Straub RH. The complex role of estrogens in inflammation. Endocr Rev. 2007;28:521–74.

    Article  CAS  PubMed  Google Scholar 

  72. Colangelo K, Haig S, Bonner A, Zelenietz C, Pope J. Self-reported flaring varies during the menstrual cycle in systemic lupus erythematosus compared with rheumatoid arthritis and fibromyalgia. Rheumatology. 2010;50:703–8.

    Article  PubMed  Google Scholar 

  73. Yung JA, Fuseini H, Newcomb DC. Hormones, sex, and asthma. Ann Allergy Asthma Immunol. 2018;120:488–94.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  74. Shames RS, Heilbron DC, Janson SL, Kishiyama JL, Au DS, Adelman DC. Clinical differences among women with and without self-reported perimenstrual asthma. Ann Allergy Asthma Immunol. 1998;81:65–72.

    Article  CAS  PubMed  Google Scholar 

  75. Brenner BE, Holmes TM, Mazal B, Camargo CA. Relation between phase of the menstrual cycle and asthma presentations in the emergency department. Thorax. 2005;60:806–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Thornton J, Lewis J, Lebrun CM, Licskai CJ. Clinical characteristics of women with menstrual-linked asthma. Respir Med. 2012;106:1236–43.

    Article  PubMed  Google Scholar 

  77. Roney JR, Simmons ZL. Ovarian hormone fluctuations predict within-cycle shifts in women’s food intake. Horm Behav. 2017;90:8–14.

    Article  CAS  PubMed  Google Scholar 

  78. Klump KL, Keel PK, Culbert KM, Edler C. Ovarian hormones and binge eating: exploring associations in community samples. Psychol Med. 2008;38:1749–57.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  79. Baker FC, de Zambotti M, Colrain IM, Bei B. Sleep problems during the menopausal transition: prevalence, impact, and management challenges. Nat Sci Sleep. 2018;10:73.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Dolsen MR, Deardorff J, Harvey AG. Salivary pubertal hormones, sleep disturbance, and an evening circadian preference in adolescents: risk across health domains. J Adolesc Health. 2019;64:523–9.

    Article  PubMed  Google Scholar 

  81. Strine TW, Chapman DP. Associations of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Med. 2005;6:23–7.

    Article  PubMed  Google Scholar 

  82. Sakai H, Ohashi K. Association of menstrual phase with smoking behavior, mood and menstrual phase-associated symptoms among young Japanese women smokers. BMC Womens Health. 2013;13:10.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Allen SS, Allen AM, Lunos S, Hatsukami DK. Patterns of self-selected smoking cessation attempts and relapse by menstrual phase. Addict Behav. 2009;34:928–31.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Schiller CE, Saladin ME, Gray KM, Hartwell KJ, Carpenter MJ. Association between ovarian hormones and smoking behavior in women. Transl Issues Psychol Sci. 2014;1:47–57.

    Article  Google Scholar 

  85. Frank P, Morris J, Hazell M, Linehan M, Frank T. Smoking, respiratory symptoms and likely asthma in young people: evidence from postal questionnaire surveys in the Wythenshawe Community Asthma Project (WYCAP). BMC Pulm Med. 2006;6:10.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Munk AJ, Zoeller AC, Hennig J. Fluctuations of estradiol during women’s menstrual cycle: influences on reactivity towards erotic stimuli in the late positive potential. Psychoneuroendocrinology. 2018;91:11–9.

    Article  CAS  PubMed  Google Scholar 

  87. Roney JR, Simmons ZL. Hormonal predictors of sexual motivation in natural menstrual cycles. Horm Behav. 2013;63:636–45.

    Article  CAS  PubMed  Google Scholar 

  88. Blake KR, Bastian B, O’Dean SM, Denson TF. High estradiol and low progesterone are associated with high assertiveness in women. Psychoneuroendocrinology. 2017;75:91–9.

    Article  CAS  PubMed  Google Scholar 

  89. Edelstein RS, Stanton SJ, Henderson MM, Sanders MR. Endogenous estradiol levels are associated with attachment avoidance and implicit intimacy motivation. Horm Behav. 2010;57:230–6.

    Article  CAS  PubMed  Google Scholar 

  90. Hampson E, Morley EE. Estradiol concentrations and working memory performance in women of reproductive age. Psychoneuroendocrinology. 2013;38:2897–904.

    Article  CAS  PubMed  Google Scholar 

  91. Smith CT, Sierra Y, Oppler SH, Boettiger CA. Ovarian cycle effects on immediate reward selection bias in humans: a role for estradiol. J Neurosci. 2014;34:5468–76.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  92. Roberts B, Eisenlohr-Moul T, Martel MM. Reproductive steroids and ADHD symptoms across the menstrual cycle. Psychoneuroendocrinology. 2018;88:105–14.

    Article  CAS  PubMed  Google Scholar 

  93. Furberg AS, Jasienska G, Bjurstam N, et al. Metabolic and hormonal profiles: HDL cholesterol as a plausible biomarker of breast cancer risk. The Norwegian EBBA Study. Cancer Epidemiol Prev Biomark. 2005;14:33–40.

    CAS  Google Scholar 

  94. Celec P, Ostatnikova D, Skoknova M, Hodosy J, Putz Z, Kudela M. Salivary sex hormones during the menstrual cycle. Endocr J. 2009;56:521.

    Article  CAS  PubMed  Google Scholar 

  95. Bao AM, Liu RY, Van Someren EJ, Hofman MA, Cao YX, Zhou JN. Diurnal rhythm of free estradiol during the menstrual cycle. Eur J Endocrinol. 2003;148:227–32.

    Article  CAS  PubMed  Google Scholar 

  96. Kivlighan KT, Granger DA, Schwartz EB. Blood contamination and the measurement of salivary progesterone and estradiol. Horm Behav. 2005;47:367–70.

    Article  CAS  PubMed  Google Scholar 

  97. Celec P, Ostatníková D. Saliva collection devices affect sex steroid concentrations. Clin Chim Acta. 2012;413:1625–8.

    Article  CAS  PubMed  Google Scholar 

  98. Shirtcliff EA, Granger DA, Schwartz E, Curran MJ. Use of salivary biomarkers in biobehavioral research: cotton-based sample collection methods can interfere with salivary immunoassay results. Psychoneuroendocrinology. 2001;26:165–73.

    Article  CAS  PubMed  Google Scholar 

  99. Toone RJ, Peacock OJ, Smith AA, Thompson D, Drawer S, Cook C, et al. Measurement of steroid hormones in saliva: effects of sample storage condition. Scand J Clin Lab Invest. 2013;73:615–21.

    Article  CAS  PubMed  Google Scholar 

  100. Fehring RJ, Schneider M, Raviele K. Variability in the phases of the menstrual cycle. J Obstet Gynecol Neonatal Nurs. 2006;35:376–84.

    Article  PubMed  Google Scholar 

  101. Blascovich J, Tomaka J. The biopsychosocial model of arousal regulation. Adv Exp Soc Psychol. 1996;28:1–51.

    Article  Google Scholar 

  102. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York, NY: Springer Publishing; 1984.

    Google Scholar 

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Rieder, J.K., Darabos, K. & Weierich, M.R. Estradiol and Women’s Health: Considering the Role of Estradiol as a Marker in Behavioral Medicine. Int.J. Behav. Med. 27, 294–304 (2020). https://doi.org/10.1007/s12529-019-09820-4

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