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Prolactin (Serum or Plasma)

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

This test measures the amount of prolactin, a hormone produced by the pituitary gland, in your blood. Prolactin helps regulate breast milk production and affects other bodily functions.

Quick summary

["Prolactin helps control breast milk production and influences reproductive and non-reproductive behaviors."]

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

Key facts at a glance

LOINC
10507-2
Short code
Prolactin Ag Tiss Ql ImStn
Synonyms
Prolactin Ag Tiss Ql ImStn
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
Method
immune-stain
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 Is This Test Done?

Your healthcare provider may order a prolactin test to check for conditions like hyperprolactinemia (too much prolactin), which can affect fertility, menstrual cycles, or cause symptoms like breast tenderness or missed periods. It may also be used to evaluate pituitary gland function or diagnose conditions like tumors or thyroid disorders that can influence hormone levels.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before the blood draw if your test includes a glucose measurement. Wear comfortable clothing and arrange for someone to drive you home if you’ve had alcohol or sedatives recently.

During the Test

A healthcare professional will insert a small needle into a vein in your arm. You may feel a brief pinch, but the procedure is quick. Blood is collected into a tube, and the site is cleaned and bandaged afterward.

Possible Results and Next Steps

Results are typically reported as a concentration of prolactin in nanograms per milliliter (ng/mL). Your provider will compare your result to your clinical picture and may recommend follow-up tests, such as imaging (like an MRI) or additional hormone checks if needed. High or low prolactin levels may prompt further evaluation.

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.

Elevated prolactin levels can indicate conditions like pituitary adenomas (benign tumors), thyroid disorders, kidney problems, or medications that affect hormone production. Low prolactin may suggest pituitary damage, pregnancy, or certain medications. Always discuss results with your provider, as they consider your symptoms, medical history, and other test results for accurate interpretation.

Short name

Prolactin Level

Frequently asked questions

What causes prolactin levels to be abnormally high?
High prolactin can result from pituitary tumors, thyroid issues (like hypothyroidism), kidney problems, certain medications (e.g., antipsychotics, birth control), or stress. Lifestyle factors like caffeine or sleep deprivation may also temporarily raise levels.
What symptoms might prolactin levels affect?
High prolactin often causes infertility, irregular or missed periods, breast tenderness, or galactorrhea (milk leakage). Low prolactin may lead to reduced milk production in breastfeeding mothers or less noticeable reproductive symptoms.
How often should I get this test?
Your provider will determine frequency based on your symptoms, medical history, and test results. Repeat testing may be needed if you have ongoing concerns about hormone imbalances or suspected pituitary issues.
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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