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Prolactin Serum Concentration (2-Hour Post-TRH Stimulation)

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

This test measures your prolactin hormone level after a specific trigger to help diagnose conditions affecting hormone production or regulation in the pituitary gland.

Quick summary

["Assesses how your body responds to a hormone-stimulating challenge to check for potential pituitary or thyroid issues."]

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

Key facts at a glance

LOINC
47731-5
Short code
Prolactin 2h p TRH IV SerPl-mCnc
Synonyms
Prolactin 2h p TRH IV 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, irregular menstrual periods, high or low hormone levels, or signs of a pituitary tumor. It can also help evaluate conditions like hyperprolactinemia or hypothyroidism.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8 hours before the test. Your blood will be drawn from a vein in your arm after you’ve received a small dose of thyrotropin-releasing hormone (TRH) to stimulate hormone release.

What Happens During the Test

A healthcare provider will insert a small needle into your arm to draw blood at two time points: before and 2 hours after TRH administration. The blood sample is sent to a lab for analysis of prolactin hormone concentration.

What the Results Mean

Results help determine if your prolactin levels are elevated or appropriately stimulated by TRH, which can indicate issues with hormone production, pituitary function, or other endocrine disorders.

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.

Elevated prolactin levels after TRH stimulation may suggest a pituitary tumor, thyroid dysfunction, or other conditions affecting hormone regulation. Low or abnormal responses could indicate pituitary dysfunction or other underlying health concerns that need further evaluation.

Short name

Prolactin Test (TRH-Stimulated)

Frequently asked questions

What causes prolactin levels to be tested?
Prolactin levels may be checked if you have symptoms like infertility, missed periods, weight changes, or unexplained headaches. Doctors also use this test to diagnose conditions like hyperprolactinemia or to monitor pituitary function.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your doctor will discuss them with you during your follow-up visit.
Can I eat or drink before this test?
You may eat normally, but avoid caffeine or alcohol 24 hours before the test. Follow any fasting instructions your doctor provides, as some tests require an 8-hour fast before blood draw.
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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