Skip to content

Prolactin, Serum

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

This test measures the amount of prolactin, a hormone produced by the pituitary gland, in your blood. It helps evaluate conditions related to hormone imbalance, reproductive health, or potential pituitary disorders.

Quick summary

["Prolactin levels can indicate hormonal imbalances or health issues affecting your reproductive system or pituitary function."]

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

Key facts at a glance

LOINC
20568-2
Short code
Prolactin SerPl IA-mCnc
Synonyms
Prolactin SerPl IA-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
Method
ia
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 diagnose or monitor conditions such as infertility, irregular menstrual cycles, breast pain or discharge, high blood pressure, or symptoms of a pituitary tumor. It may also be used to check for hormonal imbalances or to assess the effectiveness of treatments for conditions like hyperprolactinemia.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if your blood is drawn early in the morning, as prolactin levels can fluctuate throughout the day. Avoid smoking or strenuous activity before the test.

What Happens During the Test?

A healthcare professional will draw blood from a vein in your arm using a small needle. You may feel a brief pinch, but the procedure is quick and typically painless. The blood sample is then sent to a lab for analysis.

What Are Possible Results?

Results are interpreted based on your age, sex, and overall health. High prolactin levels may suggest conditions like a pituitary tumor, thyroid issues, or certain medications affecting hormone production. Low levels might indicate pituitary damage or other hormonal deficiencies.

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 cause symptoms such as missed periods, infertility, galactorrhea (milk production in non-nursing individuals), or reproductive problems. Low levels may lead to hormonal imbalances, affecting growth, metabolism, or sexual function. Regular monitoring is important if you have a history of pituitary disorders or take medications that influence prolactin.

Short name

Prolactin Level

Frequently asked questions

What Causes High Prolactin Levels?
High prolactin levels can be caused by pituitary tumors, thyroid disorders (such as hypothyroidism), certain medications (like antipsychotics or antidepressants), kidney disease, or stress. Lifestyle factors, such as smoking or excessive caffeine, may also temporarily increase prolactin levels.
What Causes Low Prolactin Levels?
Low prolactin levels are less common but may result from pituitary damage, surgery, radiation treatment, or certain genetic conditions. Rarely, it can occur due to hormonal imbalances or medications that suppress prolactin production.
How Often Should I Get This Test?
Your healthcare provider will determine the frequency of testing based on your symptoms, medical history, and treatment plan. Follow-up tests may be scheduled if you have ongoing concerns about hormone levels or reproductive health.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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