The effects of ethynylestradiol on endogenous bile acids, their capacity to conjugate and excrete intra- venously infused cholic acid, the concentrations of biliary cholesterol and lecithin, and the individual molecular species of phosphatidylcholine have been determined in male and female Sprague-Dawley rats. Endogenous biliary bile acids were analyzed by gas-liquid chromatography- mass spectrometry. Eleven bile acids were identified and several minor bile acids, primarily muricholates, could not be completely characterized. After 5 days of treatment with ethynylestradiol (1 mg/kg per day), the percentage of cholic acid decreased and the percentage of GB-hydroxyl- ated bile acids, including several monounsaturated species, increased. Ethynylestradiol caused a decrease in bile acid- independent bile flow. Intravenous infusion of cholic acid at a high concentration caused cholestasis in control ani- mals but, after ethynylestradiol treatment, cholestasis developed during the infusion of a much lower concentra- tion of cholate, indicating a lowered threshhold for bile acid-induced cholestasis. In the treated rats, there was a slight increase in excretion of unconjugated endogenous bile acids, and a striking impairment of conjugation of intravenously administered cholic acid. One of the few sex-related differences observed was an increased con- centration of biliary phospholipids in untreated male rats. Both phospholipid and cholesterol concentrations in the bile were higher in the treated animals. The molar per- centage of cholesterol was always Many investigators have studied the hepatic effects of natural and synthetic estrogens, especially ethynyl- estradiol, a common estrogenic component of contra- ceptive steroids. In the rat, estrogens increase liver size and water content, RNA, DNA, and protein con- tent. They decrease the bile salt-independent frac- tion of bile flow and the maximal transport capacity for bile acids, bilirubin, and bromosulfophthalein (BSP) (1 -6). Ethynylestradiol reduces hepatic cyto- chrome P-450 activity (7) and inhibits microsomal hydroxylation of steroids in vitro (8). It is not known, however, to what extent it affects hydroxylation and conjugation reactions involved in bile acid formation in vivo and whether changes in bile acid metabolism, especially conjugation, are related to the cholestatic effect of ethynylestradiol. In this study, we examined the effect of ethynylestradiol on bile acid metabolism in vivo by analyzing bile acids in bile of both male and female rats given this drug. We also determined the capacity of these rats to conjugate and excrete cholic acid infused intravenously and related the results to the cholestatic effect of ethynylestradiol. Ethynylestradiol, other estrogens, and contracep- tive steroid preparations are also known to alter the composition of biliary lipids in several animal species, including man, so that the bile becomes more saturated with cholesterol (9- 11). This is consistent with the clinically important observation that choles- terol gallstones occur more frequently in women during the childbearing age than in men (12, 13) and that contraceptive steroids cause an increase in