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Prolactin by High-Performance Liquid Chromatography (HPLC) from Serum/Plasma

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

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

Quick summary

["Prolactin helps regulate breast milk and reproductive health; abnormal levels may signal conditions needing medical evaluation."]

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

Key facts at a glance

LOINC
21381-9
Short code
Prolactin 1.5h p chal SerPl-mCnc
Synonyms
Prolactin 1.5h p chal SerPl-mCnc
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 This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like unexplained breast milk production (galactorrhea), irregular menstrual periods, infertility, headaches, or signs of hormonal imbalances. It could also be part of an evaluation 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 fast for 8–12 hours before the blood draw if instructed. Wear comfortable clothing and plan to rest after the test. Avoid smoking or caffeine before the draw if advised.

What Happens During the Test

A healthcare professional will insert a small needle into a vein in your arm to collect blood. You may feel a brief pinch, but it usually doesn’t cause pain. The blood sample is then sent to a lab for analysis using HPLC to measure prolactin levels accurately.

What the Results Mean

Results are compared to standard reference ranges for your age and sex. High prolactin levels may indicate conditions like pituitary tumors, thyroid issues, or certain medications. Low levels might suggest rare hormonal deficiencies or medical 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 cause hormonal imbalances, affecting fertility, menstrual cycles, and breast tissue. Persistently low levels are less common but may signal underlying health concerns that require further evaluation. Always discuss results with your provider for personalized interpretation.

Short name

Prolactin Level

Frequently asked questions

How often can I expect this test?
This test is typically ordered as needed based on your symptoms or medical concerns. Your provider will determine how often it’s repeated, if at all.
What can affect my prolactin levels?
Certain medications (like antipsychotics or antidepressants), stress, pregnancy, breastfeeding, and smoking can influence prolactin levels. Avoiding these factors before testing may help ensure accurate results.
Do I need to take any special steps after the test?
No special steps are needed after the test, but follow your provider’s advice if you experience unusual symptoms like excessive bleeding or bruising at the draw site. Monitor for signs of infection or discomfort.
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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