Estradiol stearate
[1][2][3][4][5] It occurs in the body as a very long-lasting metabolite and prohormone of estradiol.[7] Thus, the prolongation of effect of short-chain estradiol esters is purely due to their increased lipophilicity and slow release from the injected depot, whereas the prolonged duration of long-chain estradiol esters is due both to this property and to their resistance to metabolism.[7] Estradiol stearate is susceptible to first-pass metabolism in the liver, and hence has much greater potency by subcutaneous injection than by oral administration.[7] In addition to its endogenous role, estradiol stearate was previously available as a pharmaceutical drug for use via depot intramuscular injection.[12] The medication was provided as an oil solution in ampoules containing 15 mg estradiol stearate.