RT Journal Article SR Electronic T1 Effect of ovarian hormones and oral contraceptives on tryptophan metabolism JF Journal of Clinical Pathology JO J Clin Pathol FD BMJ Publishing Group Ltd and Association of Clinical Pathologists SP 37 OP 42 DO 10.1136/jcp.s1-3.1.37 VO s1-3 IS 1 A1 D. P. Rose YR 1969 UL http://jcp.bmj.com/content/s1-3/1/37.abstract AB Women using oral contraceptives of the combined oestrogen-progestogen type excrete elevated levels of a number of metabolites of the tryptophan-nicotinic acid ribonucleotide metabolic pathway in urine collected after an oral dose of the amino acid. Increased excretions of N1-methylnicotinamide reflect an enhanced capacity for the conversion of L-tryptophan to nicotinic acid derivatives, although an additional factor responsible for the abnormal excretion of tryptophan metabolites may be interference with the coenzymic function of vitamin B6. Similar changes in tryptophan metabolism are observed in human subjects treated with oestrogens alone. The possible mechanisms for this disturbance of amino acid metabolism, and its clinical significance are discussed.