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PRL; Galactorrhea - prolactin test; Infertility - prolactin test; Amenorrhea - prolactin test; Breast leakage - prolactin test; Prolactinoma - prolactin test; Pituitary tumor - prolactin test DefinitionProlactin is a hormone released by the pituitary gland. The prolactin test measures the amount of prolactin in the blood. How the Test is PerformedA fasting blood sample is needed. How to Prepare for the TestNo special preparation is necessary. How the Test will FeelWhen the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or a slight bruise. This soon goes away. Why the Test is PerformedProlactin is a hormone released by the pituitary gland. The pituitary is a small gland at the base of the brain. It regulates the body's balance of many hormones. Prolactin stimulates breast development and milk production in women. There is no known normal function for prolactin in men. Prolactin is usually measured when checking for pituitary tumors and the cause of:
Normal ResultsThe normal values for prolactin are:
Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your doctor about the meaning of your specific test results. What Abnormal Results MeanPeople with the following conditions may have high prolactin levels:
Certain medicines can also raise prolactin level, including:
Marijuana products can also raise prolactin level. If your prolactin level is high, the test may be repeated in the early morning after an 8-hour fast. The following can temporarily increase prolactin levels:
Interpretation of an abnormally high prolactin blood test is complicated. In most case, your provider will need to refer you to an endocrinologist, a doctor who specializes in hormone problems. RisksThere is little risk in having your blood taken. Veins and arteries vary in size from one person to another and from one side of the body to the other. Taking blood from some people may be more difficult than from others. Other risks associated with having blood drawn are slight, but may include:
ReferencesChernecky CC, Berger BJ. Prolactin (human prolactin, HPRL) - serum. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures. 6th ed. Philadelphia, PA: Elsevier Saunders; 2013:910-911. Guber HA, Oprea M, Rusell YX. Evaluation of endocrine function. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 25. Kaiser U, Ho K. Pituitary physiology and diagnostic evaluation. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 8. | |
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Review Date: 8/12/2022 Reviewed By: Sandeep K. Dhaliwal, MD, board-certified in Diabetes, Endocrinology, and Metabolism, Springfield, VA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited. | |