Much work has been done in vivo on the effects of sex steroids on the
developing foetus. Many genital anomalies have been reported; defects
of other organ systems have been suggested. Synthetic oestrogens are c
onsidered to be developmental toxicants in vivo, while natural oestrog
ens are thought to present little or no risk. A small selection of hor
mones (17 beta-oestradiol, 17 alpha-ethynyloestradiol, diethylstilboes
trol and progesterone) was tested using the rat whole embryo culture t
echnique to see whether this difference could also be confirmed in vit
ro. Dysmorphogenic embryotoxic effects were evident with both natural
and synthetic oestrogens, but at much higher concentrations than would
be expected to circulate in humans after therapeutic use.