Pituitary & hypothalamus

Safety of Cabergoline for Prolactinoma in Pregnancy: A Systematic Review and Meta‐Analysis

Clin Endocrinol (Oxf)Published Systematic review and meta-analysis

Pooled result · Live birth rateResult — go to the resultRelative risk 0.81 95% CI 0.67–0.98

Authors' conclusion

Cabergoline, when continued during pregnancy, is associated with a lower chance of live birth compared to discontinuation of pregnancy at diagnosis of pregnancy in women with prolactinoma. However, there was no increased risk of incident congenital malformation, preterm birth or low birth weight. The analysis suggests careful consideration of cabergoline use in pregnant women with prolactinoma.

Study context

Population
Pregnant patients with prolactinoma
Participants
1,387 pregnancies12 studies
Comparison
Cabergoline continued during gestation vs discontinuation at pregnancy diagnosis
Outcome
Live birth rate
Methodological detailsPRISMA guidelines, PICO model
  • PRISMA guidelines
  • PICO model

Pooled result

As reported in the abstract

Relative risk

0.81

95% CI 0.67–0.98

P = 0.03

Cabergoline continuedvs Discontinuation
RR 0.81 (95% CI 0.67–0.98); P = 0.03

Further pooled results

Fetal loss and congenital malformations (all pregnancies)

Fetal loss
16.1%
Congenital malformations
4.7%

Safety

OutcomeRR (95% CI)P value
Preterm birth1.00 (0.93–1.07)P = 0.97
Low birth weight1.02 (0.90–1.16)P = 0.71
OutcomeEstimateP value
Congenital malformationsNo difference0.99 (95% CI 0.93–1.07)P = 0.88

Original publication

Safety of Cabergoline for Prolactinoma in Pregnancy: A Systematic Review and Meta‐Analysis. Clin Endocrinol (Oxf). Published 8 July 2025. doi:10.1111/cen.15304

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