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Prolactin (Serum) by Immunoassay

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 other hormones in your body."]

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

Key facts at a glance

LOINC
19251-8
Short code
Prolactin p chal SerPl-mCnc
Synonyms
Prolactin p chal 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 Is This Test Done?

Your doctor may order a prolactin test to check for conditions like hyperprolactinemia (too much prolactin), which can cause issues such as infertility, irregular menstrual periods, or problems with milk production. It may also be used to evaluate symptoms like headaches, vision changes, or signs of hormonal imbalances. Sometimes, it’s part of a broader evaluation for pituitary gland disorders or to monitor treatment for conditions like acromegaly or prolactinoma (a benign tumor affecting prolactin levels).

What to Expect Before the Test

No special preparation is needed for this blood test. You may be asked to fast for a few hours before your blood is drawn, but your doctor will let you know if that applies. Avoid smoking or drinking alcohol for at least 30 minutes before the test if instructed. If you’re taking certain medications that affect prolactin levels, your doctor should be aware beforehand.

During the Test

A healthcare provider will insert a small needle into a vein in your arm or hand to collect a blood sample. You may feel a slight pinch or discomfort, but it usually lasts only a few seconds. The blood is then sent to a lab for testing. The process typically takes a few minutes.

What the Results Mean

Results are interpreted by your doctor based on your overall health, symptoms, and medical history. High prolactin levels may suggest conditions like pituitary tumors, kidney problems, or certain medications affecting hormone balance. Low levels might indicate issues like thyroid problems or pregnancy. Your doctor will discuss the results with you and explain what they mean for your health.

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

Short name

Prolactin Level

Frequently asked questions

What Are Common Causes of Abnormal Results?
High prolactin levels can be caused by pituitary tumors, kidney disease, certain medications (like antipsychotics or birth control), stress, or thyroid disorders. Low prolactin levels may result from thyroid issues, pregnancy, or conditions affecting the hypothalamus or pituitary gland. Always discuss symptoms and potential causes with your healthcare provider.
How Often Should I Get This Test?
The frequency of this test depends on your health condition and treatment plan. If you have a known pituitary disorder or are taking medications that affect prolactin, your doctor may recommend regular monitoring. Otherwise, it’s usually done only when symptoms or concerns suggest it’s needed.
Can Diet or Lifestyle Affect Prolactin Levels?
While diet and lifestyle factors like stress, exercise, and certain medications can influence hormone levels, they don’t typically cause significant fluctuations in prolactin on their own. Always follow your doctor’s advice regarding lifestyle changes that may impact your test 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