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Prolactin, 15-Hour Post-Midnight Serum Concentration (Quantitative)

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

This test measures the amount of prolactin, a hormone produced by your pituitary gland, in your blood after a 15-hour fast. It helps diagnose conditions related to hormonal imbalances.

Quick summary

["Prolactin levels can affect fertility, milk production, and other hormonal functions."]

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

Key facts at a glance

LOINC
47868-5
Short code
Prolactin 1.5h p MCP SerPl-aCnc
Synonyms
Prolactin 1.5h p MCP SerPl-aCnc
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 irregular menstrual periods, infertility, breast pain, or unusual milk production. It could also be used to evaluate pituitary gland function or rule out conditions like hyperprolactinemia.

What to Expect Before the Test

You’ll need to fast for 15 hours before the test, meaning no food or drink (except water) after midnight the night before. Avoid caffeine and smoking during this period to ensure accurate results.

How the Test Is Performed

A blood sample will be drawn from a vein, usually in your arm, by a healthcare professional. The sample is then sent to a lab for analysis using an immunoassay method to measure prolactin concentration.

What the Results Mean

Results are compared to standard reference ranges for your age and sex. High prolactin levels may suggest issues like a pituitary tumor, while low levels might indicate thyroid problems or other hormonal disorders.

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 disrupt normal hormone function, leading to symptoms like menstrual irregularities, infertility, or galactorrhea (unusual milk secretion). Low levels may indicate thyroid disorders, such as hypothyroidism, or other pituitary or hypothalamic conditions. This test helps diagnose and monitor these conditions for appropriate treatment planning.

Short name

Prolactin Level (15-Hour Post-Midnight)

Frequently asked questions

What causes prolactin levels to be tested?
Prolactin levels are often checked if you experience hormonal symptoms like missed periods, difficulty getting pregnant, breast tenderness, or unexplained milk production. Doctors may also order it to investigate unexplained headaches, vision changes, or signs of a pituitary tumor.
How long does it take to get the results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your healthcare provider will discuss the findings with you during your follow-up visit.
Can I take anything for my prolactin levels?
Avoid caffeine, alcohol, and smoking for 24 hours before the test. Also, do not take medications that affect prolactin levels without consulting your doctor, as this may impact results.
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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