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Serum Prolactin Level by Immunoassay (Confirmatory)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of prolactin, a hormone produced by your pituitary gland, in your blood. Prolactin helps regulate breast milk production and affects other body functions.

Quick summary

Prolactin levels can signal potential hormonal imbalances or conditions affecting your reproductive or thyroid health.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
33908-5
Short code
Prolactin 1.5h p 200ug TRH IV SerPl-sCnc
Synonyms
Prolactin 1.5h p 200ug TRH IV SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
2
Ref high
18
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84146
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test to check for conditions like hyperprolactinemia (high prolactin levels), which can cause issues with fertility, menstrual irregularities, or other symptoms. It may also be used to monitor treatment for conditions like pituitary tumors or thyroid disorders.

What to Expect Before the Test

No special preparation is needed, but you may be asked to avoid certain medications (like certain antidepressants or antipsychotics) that could affect results. If you’re breastfeeding, let your provider know, as prolactin levels may be measured for monitoring milk production.

During the Test

A blood sample will be taken from a vein in your arm. You may feel a slight pinch, but it usually doesn’t cause significant discomfort. The sample is then sent to a lab for analysis using an immunoassay method to detect prolactin.

What the Results Mean

Results are compared to a reference range, but since ranges can vary by lab, your provider will interpret them in the context of your symptoms and medical history. High levels may indicate pituitary issues, while low levels could suggest hypothyroidism or other conditions.

Reference range

Adult males: 2-18 ng/mL; Females: 2-29 ng/mLN/A

Specimen: serum

For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated prolactin levels can lead to symptoms like missed periods, reduced fertility, or galactorrhea (milk production outside breastfeeding). Low levels may signal thyroid dysfunction or other hormonal imbalances. Always discuss results with your doctor for personalized guidance.

Short name

Prolactin

Frequently asked questions

Will this test affect my medications?
Some medications, like dopamine agonists (e.g., cabergoline) or certain antidepressants, can influence prolactin levels. If you’re on these, your provider may adjust your treatment based on test results.
Can I still breastfeed if my prolactin level is high?
High prolactin levels can sometimes interfere with breastfeeding, but your doctor may recommend treatments (like dopamine agonists) to normalize levels while supporting your milk supply.
How often will I need this test?
Frequency depends on your condition. If you have a known pituitary tumor or thyroid disorder, your provider may schedule follow-up tests every few months or as needed to monitor changes.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy