Which pathway, when dopamine is low, leads to increased prolactin levels?

Prepare for the PMHNP Certification Exam with targeted questions and expert explanations. Master the topics with insights into the exam format and key strategies to succeed.

Multiple Choice

Which pathway, when dopamine is low, leads to increased prolactin levels?

Explanation:
Dopamine normally inhibits prolactin release from pituitary lactotrophs via the tuberoinfundibular pathway. When dopamine levels fall—or when D2 receptors in this pathway are blocked—this inhibition is lifted, leading to increased prolactin secretion. The extra prolactin can cause symptoms like galactorrhea and amenorrhea. The other pathways—nigrostriatal, mesolimbic, and mesocortical—are not major regulators of prolactin.

Dopamine normally inhibits prolactin release from pituitary lactotrophs via the tuberoinfundibular pathway. When dopamine levels fall—or when D2 receptors in this pathway are blocked—this inhibition is lifted, leading to increased prolactin secretion. The extra prolactin can cause symptoms like galactorrhea and amenorrhea. The other pathways—nigrostriatal, mesolimbic, and mesocortical—are not major regulators of prolactin.

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