Template:Tissue-specific estrogenic and antiestrogenic activity of SERMs

Tissue-specific estrogenic and antiestrogenic activity of SERMs
MedicationBreastBoneLiverUterusVaginaBrain
LipidsCoagulationSHBGTooltip Sex hormone-binding globulinIGF-1Tooltip Insulin-like growth factor 1Hot flashesGonadotropins
Estradiol++++++++++
"Ideal SERM"–++±±±–++±
Bazedoxifene–++++?–±–?
Clomifene–++?++–?–±
Lasofoxifene–+++??±±–?
Ospemifene–+++++±±–±
Raloxifene–+++++±––±
Tamoxifen–++++++––±
Toremifene–++++++––±
Effect: + = Estrogenic / agonistic. ± = Mixed or neutral. – = Antiestrogenic / antagonistic. Note: SERMs generally increase gonadotropin levels in hypogonadal and eugonadal men as well as premenopausal women (antiestrogenic) but decrease gonadotropin levels in postmenopausal women (estrogenic). Sources: [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]