Differential prolactin response to oral metoclopramide in nulliparous versus parous women throughout the menstrual cycle
Non-randomised trial
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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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References (10)
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Cited by (1)
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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
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