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Serum Prolactin Level (15-Minute Post-Rapid-Acting Thyroid Hormone Stimulation)

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

This test measures your prolactin hormone level after receiving a small dose of thyroid-stimulating hormone (TSH) to check if your pituitary gland is functioning normally. Prolactin is a hormone that helps regulate breast milk production and affects other body functions.

Quick summary

["Assessing how your pituitary responds to TSH stimulation can help diagnose conditions like hyperprolactinemia or pituitary tumors."]

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

Key facts at a glance

LOINC
48120-0
Short code
Prolactin 15M pre TRH IV SerPl-mCnc
Synonyms
Prolactin 15M pre TRH IV 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 Is Done

Your doctor may order this test if they suspect a pituitary disorder, such as a tumor or an overactive pituitary gland, which could be causing high prolactin levels. It can also help evaluate whether your thyroid hormones are affecting prolactin production.

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 smoking or consuming caffeine, as these can affect hormone levels.

What Happens During the Test

A healthcare provider will draw blood from a vein in your arm. You’ll feel a small pinch, but it should only take a few minutes. The blood sample will be sent to a lab for testing after receiving the TSH dose.

What the Results Mean

Results will compare your prolactin level before and after the TSH dose. Abnormal results may indicate issues with your pituitary gland’s ability to regulate prolactin 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 and Pituitary Function

Short name

Prolactin Post-TSH Stim Test

Frequently asked questions

What causes high prolactin levels?
High prolactin levels can be caused by pituitary tumors, medications (like antidepressants or antipsychotics), thyroid disorders, or kidney problems. Low prolactin may suggest pituitary damage or other hormonal imbalances.
How often should I get this test?
This test is typically done once, but your doctor may recommend follow-up testing if initial results are abnormal or if symptoms persist. Frequency depends on your medical history and concerns.
Can I take my medications before the test?
Yes, but always follow your doctor’s instructions. Some medications may affect hormone levels, so they may ask you to stop certain drugs temporarily or adjust your schedule.
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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