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Prolactin with 15-minute triple bolus measurement (serum/plasma)

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

This test measures your prolactin hormone levels after receiving three rapid doses of a medication to help assess how your body responds to sudden hormone spikes.

Quick summary

["A triple bolus test helps doctors check how prolactin behaves under stress."]

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

Key facts at a glance

LOINC
40330-3
Short code
Prolactin 15M p Triple Bolus SerPl-mCnc
Synonyms
Prolactin 15M p Triple Bolus SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
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 conditions like pituitary tumors, hyperprolactinemia (high prolactin), or other hormonal imbalances. The triple bolus method helps evaluate how prolactin levels change in response to rapid hormone stimulation, which can indicate underlying issues affecting hormone regulation.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for a few hours before the test. Bring any medications you’re currently taking, as they could affect results. Avoid smoking or consuming caffeine for 24 hours before the test.

How the Test Is Performed

A blood sample will be drawn from a vein in your arm. The test involves receiving three rapid doses of a synthetic hormone (usually TRH or other stimulant) over a short period, followed by blood samples taken at 15-minute intervals to measure prolactin levels.

What the Results Mean

Results help determine if your prolactin levels spike abnormally after hormone stimulation. Elevated or inconsistent responses may signal conditions like pituitary adenomas, thyroid disorders, or other hormonal imbalances. Your doctor will interpret results in the context of your symptoms and medical history.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Prolactin Triple Bolus Test

Frequently asked questions

What causes prolactin levels to rise quickly after a bolus dose?
Rapid prolactin spikes after a triple bolus test can be caused by pituitary tumors, medications (like antipsychotics or antidepressants), thyroid disorders, or kidney disease. It may also reflect how your body naturally regulates hormones. Your doctor will review your results alongside other tests and symptoms to diagnose potential issues.
How often should I get this test?
Your doctor will decide how often you need this test based on your symptoms, medical history, and test results. Follow-up tests may be scheduled if your prolactin levels are abnormal or if you’re being monitored for conditions like hyperprolactinemia or pituitary tumors.
Can I take my usual medications before the test?
Yes, but inform your doctor about all medications, including over-the-counter drugs and supplements. Some medications (like those for mental health or thyroid conditions) can affect prolactin levels and may need to be adjusted or temporarily paused before testing.
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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