Because coumestrol is an estrogen mimic, it is an
endocrine disruptor with the potential to affect all organ systems that are regulated hormonally via estrogens.
Nervous system Coumestrol and other phytoestrogens have been shown to have an effect on sexual behavior in rats by antagonizing the action of estrogen within the brain; male rats that nursed from females with coumestrol in their diets were both less likely to mount a female rat and less likely to ejaculate, despite producing normal levels of
testosterone. Exposure produced similar decreases of sexual behavior in female rats, as a result of the disruption of estrogen dependent gene expression in the brain. Effects were seen in three areas of the
hypothalamus, the
ventromedial nucleus, the
paraventricular nucleus, and the
medial preoptic area, all of which play a role in sexual behavior and sexual activity. Female rats that were exposed to coumestrol
neonatally did not adopt the
lordosis position as much as those that were not exposed to coumestrol.
Reproductive system Coumestrol has been shown to accelerate the onset of puberty in mice. A high coumestrol diet has also been shown to induce early development of the
vulva and
udder of female lambs. In addition to these anatomical abnormalities, exposure to coumestrol has also been shown to alter the
estrus cycle of a number of animals, including cows and sheep, resulting in lower rates of fertility.
Metabolism Studies have shown that coumestrol has beneficial properties on carbohydrate metabolism in
ovariectomized rats, decreasing glycogen levels in skeletal muscle. There is also data indicating that coumestrol lowers plasma cholesterol levels in chicks. These results point to a possibility of coumestrol having a positive role to play against human obesity and diabetes in the future.
Menopause Coumestrol and other phytoestrogens are sometimes used as a substitute for hormone therapy in the treatment of
menopausal symptoms such as hot flashes and night sweats. However, studies have indicated that phytoestrogen-enriched foods and supplements are not necessarily effective against these symptoms. In addition, studies indicate that coumestrol and other phytoestrogens have an antiestrogenic effect in the brain and, as a result, do not produce the mental health benefits which are seen in estrogen replacement therapy. Researchers at
Georgetown University Medical Center have investigated this matter and concluded that phytoestrogens may be used as an effective treatment for breast cancer because of their
apoptotic properties, but that it is only safe to do so after menopause, when women have a much lower level of estrogen in their bodies, or when used conjunctively with anti-estrogen therapies. ==Current and future research==