Cabergoline for fertility issues - long-term effect on lactation

[arvense]

Dr. Dr. Hale and team,
A woman that I counsel has been prescribed Cabergoline for fertility. She is 31 years old. She has had one measurement of her prolactine levels on day 2 after her period stopped and the prolactine was 1289 mlU/l (reference ranges: 125-635). Would taking Cabergoline for lowering her prolactine levels now before getting pregnant have any effect on the development of the breast glandular tissue later and on lactation?
Thank you in advance for any information that you might have.

[admin]

Arvense:

It is well known that highly elevated levels of prolactin may suppress onset of pregnancy. Cabergoline is commonly used in hyperprolactinemia women to induce pregnancy.

After pregnancy is induced, the cabergoline is generally withdrawn for the remaining of the pregnancy. Because it is withdrawn, cabergoline would not have any effect on pregnancy, or induction of breast alveolar structure.

During lactation, if the mother is asymptomatic from hyperprolactinemic problems, then she can easily breastfeed thereafter.


Tom Hale Ph.D.
Professor

[arvense]

Thank you so much for this prompt reply, Prof. Hale.

Kind Regards,
Bilyana