Pituitary & hypothalamus

Evaluation of endothelial dysfunction in women with prolactinoma

PituitaryPublished Prospective case-control study

Authors' conclusion

Patients with prolactinoma exhibit increased glucose intolerance and impaired endothelial function in the absence of overt global cardiac dysfunction. These alterations appear to be reversible following treatment.

Study context

Population
Women with prolactinoma; patients' mean age 26.9 ± 7.4 years, BMI 25.1 ± 5.6 kg/m²
Participants
15 vs 20
Comparison
Prolactinoma vs healthy controls; patients before vs after 6 months of cabergoline
  • Controlsn = 15reference
  • Patientsn = 20
Outcome
Flow-mediated dilation (FMD)
Follow-up
Baseline
Methodological detailsbefore-after treatment comparison
  • Before-after treatment comparison

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

120-min glucose during OGTT · baseline

P = 0.015

OutcomePatientsControlsP value
FMD in patients after cabergoline therapy · after 6 months of treatmentPatients after cabergoline vs Patients at baseline13.18 (SD 5.78) %— not stated in the abstractP = 0.003

— not stated in the abstract

120-min glucose and glucose AUC in patients after treatment vs baseline · after 6 months of treatment

120-min glucose significantly reduced after treatment
P = 0.045
Glucose AUC significantly reduced after treatment
P = 0.005

Echocardiographic parameters (systolic and diastolic function) and carotid intima-media thickness (CIMT)

Similar between groups and unchanged after treatment

Original publication

Evaluation of endothelial dysfunction in women with prolactinoma. Pituitary. Published 22 August 2026. doi:10.1007/s11102-026-01754-x

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