estrogen defi ciency can cause bone loss in postmenopausal women. Estrogens in women are biosynthesized in the ovaries and metabolized primarily through the NADPH-dependent hydroxylation ( 7 ).Although the biological functions of estrogen metabolism in the target tissues or cells are unclear, its metabolic changes are associated with a range of cancers and in modulating bone density ( 1-6 ). The hydroxylation of estrogens on either the A-ring or D-ring is catalyzed by various cytochrome P450 enzyme isoforms and results in the formation of hydroxy and keto metabolites. Hydroxylation on the A-ring occurs predominately at the C2 position and, to a lesser extent, at the C4 position ( 8 ). The 2-and 4-hydroxy derivatives are further converted to 2-, 3-, and 4-methoxy estrogens by catechol-O -methyltransferase ( 9 ). Hydroxylation at the 16 ␣ position of the D-ring produces 16 ␣ -hydroxyestrone, which can be metabolized further to estriol, 17-epiestriol, 16-ketoestradiol, and 16-epiestriol ( 10 ). According to the carcinogenic effect of breast cancer ( 1,11,12 ), catechol estrogens form quinones that react with DNA and form both stable and depurinating DNA adducts. Other metabolic pathways are also involved for the mitogenic and antiaptotic effects of estrone, estradiol, and some of their hydroxylated metabolites.In contrast to many cancer studies ( 1-4 ), it is diffi cult to measure the concentrations of estrogen metabolites in postmenopausal women with osteoporosis to provide accurate quantifi cation using conventional gas chromatography-mass Abstract Estrogen metabolites play important roles in the development of female-related disorders and homeostasis of the bone. To improve detectability, a validated gas chromatography-mass spectrometry (GC-MS) method was conducted with two-phase extractive ethoxycarbonlyation (EOC) and subsequent pentafl uoropropionyl (PFP) derivatization was introduced. The resulting samples were separated through a high-temperature MXT-1 column within an 8 min run and were detected in the selected ion monitoring (SIM) mode. The optimized analytical conditions led to good separation with a symmetric peak shape for 19 estrogens as their EOC-PFP derivatives. The limit of quantifi cation (LOQ) was from 0.02 to ف 0.1 ng/ml for most estrogens analyzed, except for 2-hydroxyestriol (0.5 ng/ml). The devised method was found to be linear ( r 2 > 0.995) in the range from the LOQ to 40 ng/ml, whereas the precision (% CV) and accuracy (% bias) ranged from Endogenous estrogens play an important role in the development of human cancers, such as breast, endometrial, ovary, thyroid, and prostate cancer, as well as in bone homeostasis ( 1-6 ). In general, higher levels of estrogens are associated with an increased risk of breast cancer, but an