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Serum Prolactin Level (15-Minute Post-RH Stimulation)

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

This test measures your prolactin hormone level in your blood after a small dose of recombinant human chorionic gonadotropin (RH). It helps evaluate whether your pituitary gland is functioning normally or if there may be a pituitary tumor or other condition affecting hormone production.

Quick summary

["Assesses pituitary function and potential hormone imbalances after a specific trigger."]

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

Key facts at a glance

LOINC
44928-0
Short code
Prolactin 15M pre TRH IV SerPl-aCnc
Synonyms
Prolactin 15M pre TRH IV 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 Is Done

Your doctor may order this test if you have symptoms like unexplained infertility, irregular menstrual periods, high or low milk production, headaches, or vision changes that could suggest a pituitary issue. It’s also used in cases where other prolactin tests (like baseline levels) show abnormal results but cause isn’t clear.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for a few hours before the blood draw. On the day of the test, avoid caffeine or alcohol, as they can affect hormone levels. Let your doctor know about any medications you’re taking, especially those for mental health or thyroid conditions.

What Happens During the Test

A healthcare provider will draw blood from a vein in your arm. You may feel a slight pinch, but it usually takes only a few minutes. The blood sample will be sent to a lab for analysis after your RH dose (if applicable).

What the Results Mean

Results are compared to standard ranges for your age and sex. High prolactin levels may indicate a pituitary tumor, medication side effects, or other conditions like thyroid issues or kidney problems. Low levels might suggest pituitary damage or other hormonal imbalances.

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.

Clinical Significance: Prolactin’s Role and Abnormal Findings

Short name

Prolactin Test (Post-RH Stim)

Frequently asked questions

Why was this test ordered specifically after RH stimulation?
This test helps identify if your pituitary gland responds normally to a hormone trigger. Normally, RH stimulates prolactin release, so elevated levels post-stimulation can signal a pituitary issue (e.g., prolactinoma). If levels don’t rise as expected, it may indicate pituitary dysfunction or other disorders.
What symptoms might indicate abnormal prolactin levels?
High prolactin can cause infertility, missed periods, galactorrhea (milk production outside breastfeeding), or vision problems. Low prolactin may lead to low libido, irregular periods, or reduced milk production if pregnant. Always discuss symptoms with your doctor—they may relate to prolactin or other conditions.
Can medications affect prolactin levels?
Yes, many medications (e.g., antidepressants, antipsychotics, birth control pills) can raise prolactin. If you’re on any medications, mention them to your doctor before the test—they may adjust timing or interpretation of 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