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Serum Prolactin Level Measured by Immunoassay Following a Triple-Bolus Stimulation Protocol

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

This test measures your prolactin hormone levels after a specific stimulation procedure to help diagnose conditions affecting hormone production or function.

Quick summary

["A triple-bolus test helps assess how your body responds to hormone stimulation, useful for conditions like pituitary disorders or hyperprolactinemia."]

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

Key facts at a glance

LOINC
40333-7
Short code
Prolactin 1h p Triple Bolus SerPl-mCnc
Synonyms
Prolactin 1h 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 you have symptoms like unexplained infertility, menstrual irregularities, headaches, or signs of a pituitary tumor. It’s also used to evaluate conditions like hyperprolactinemia or to monitor treatment for hormone-related disorders.

What to Expect Before the Test

You’ll likely be asked to fast for a few hours before the test. Bring any medications you’re currently taking, as some may affect results. Avoid caffeine or smoking before the procedure.

The Testing Process

Blood will be drawn from a vein in your arm after the triple-bolus injection of a stimulating agent. You may feel slight discomfort, but it’s usually brief. The blood samples are processed to measure prolactin levels at different time points.

What the Results Mean

Results help determine if your prolactin levels are elevated or appropriately suppressed after stimulation. Abnormal results may indicate issues with your pituitary gland or other hormonal imbalances.

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.

High prolactin levels can cause infertility, menstrual problems, or galactorrhea (milk production outside of pregnancy). Low levels may suggest pituitary dysfunction or other endocrine disorders. This test helps guide treatment options, such as medication or surgery, if needed.

Short name

Prolactin (Triple-Bolus Stimulation)

Frequently asked questions

How long does the triple-bolus test take to complete?
The test itself takes about 30–60 minutes, but the full evaluation may require multiple blood draws over a few hours, depending on your doctor’s protocol.
What should I do if I miss any doses of my medications before the test?
Notify your healthcare provider immediately if you miss any doses. They may adjust your testing plan to ensure accurate results.
Can I drink water before the blood draw?
Yes, you can drink water, but avoid caffeine or alcohol before the test to prevent potential interference with 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