Differential prolactin response to oral metoclopramide in nulliparous versus parous women throughout the menstrual cycle

Non-randomised trial OA: closed CC0 ⤵ 1 in-corpus citation
⚙ AI-generated summary by qwen3.7-flash, 2026-10-05 ⓘ

This study found that parous women exhibit a diminished prolactin response to oral metoclopramide compared to nulliparous women, indicating distinct dopaminergic tone levels between these groups throughout the menstrual cycle.

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Abstract

OBJECTIVE: To analyze if serum prolactin (PRL) changed throughout the menstrual cycle and if parous women have lower PRL than nulliparous women. DESIGN: A prospective study of PRL was performed in basal conditions and during oral metoclopramide stimulation on days 7, 14, and 21 of menstrual cycle. SETTING: Instituto Nacional de Perinatología, third level medical institution. PATIENTS: Four parous (group A) and seven nulliparous (group B) healthy volunteer women entered and finished the study. INTERVENTIONS: Women were studied each day before and every 30 minutes during 2 hours after oral metoclopramide (10 mg). MAIN OUTCOME MEASURE: Duplicate PRL determinations were performed by radioimmunoanalysis. Hypothesis was formulated before data collection. RESULTS: Group A and B had similar basal PRL levels and no within group differences existed in response to metoclopramide, regardless of the day studied. Group A had lower PRL increments than group B from 60 to 120 minutes on days 14 and 21 (P less than 0.05); the peak increments also were lower on days 7, 14, and 21 (P less than 0.05). CONCLUSIONS: Parous women had a diminished PRL response. Although the dopaminergic tone was similar throughout the menstrual cycle within each group, two distinct levels of dopaminergic tone existed in parous and nulliparous women.

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MeSH descriptors

Menstrual Cycle Metoclopramide Parity Prolactin Adult Female Humans Menstrual Cycle Metoclopramide Metoclopramide Progesterone Progesterone Prolactin

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openalex
last seen: 2026-05-14T06:18:11.163272+00:00
pubmed
last seen: 2026-10-08T21:07:19.155540+00:00
unpaywall
last seen: 2026-09-17T06:32:46.214484+00:00
License: CC0 · commercial use OK