Prolactin

Also Know as: PRL, Prolactin Hormone Test

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Last Updated 1 November 2024

What is Prolactin Test?

A prolactin test is designed to measure the prolactin levels in your blood. Prolactin is a hormone your pituitary gland produces, located underneath your brain. Prolactin plays several vital roles in the body, most notably for breastfeeding women. During pregnancy, prolactin stimulates the breast to grow and produce milk.

Doctors use the prolactin test to check for prolactinoma, a benign tumor of the pituitary gland that can result in excessive prolactin in the blood. It can also help diagnose conditions related to irregular menstrual periods or unexplained milk discharge (galactorrhea). A prolactin test is a simple procedure that includes taking a blood sample, typically from an arm vein. After that, the blood sample is transported to a lab for examination.

Higher-than-normal levels may mean you have a disorder of the pituitary gland. Results can indicate conditions such as prolactinoma, anorexia nervosa, or polycystic ovary syndrome. Lower-than-normal levels may indicate other conditions, such as hypopituitarism. Numerous variables may impact the outcomes of your prolactin test, including high levels of stress, pregnancy, and certain medications.


When is Prolactin Test Required?

A prolactin test is a type of blood test that quantifies the hormone's level prolactin in your blood. It is most commonly used to check for circumstances that may interfere with the regular operation of the pituitary gland or ovaries in women and testicles in men. Here are a few instances when a prolactin test is required:

  • Reproductive issues: If a woman is having difficulty getting pregnant or is experiencing irregular menstrual periods, a prolactin test may be necessary. High levels of prolactin can inhibit ovarian function, affecting a woman's fertility and menstrual cycle.

  • Milk production: A prolactin test is also required if a woman who is not pregnant or nursing is producing breast milk, a condition known as galactorrhea. Similarly, men who have symptoms like enlarged breasts (gynecomastia) or a milky discharge from the nipples may also need a prolactin test.

  • Pituitary disorders: This test is often used to help identify pituitary tumors or diseases, which can cause an overproduction of prolactin.

  • Other symptoms: Other symptoms that may prompt a prolactin test include headaches and vision problems, as these can be signs of a pituitary tumor.


Who requires Prolactin test?

Prolactin test can benefit a range of individuals, depending on their health conditions and symptoms. Here are the categories of people who might require a prolactin test:

  • Women with reproductive issues: Women who are experiencing irregular menstrual periods or having difficulty getting pregnant may require a prolactin test.

  • Men with reproductive issues: Men who are experiencing symptoms such as erectile dysfunction, loss of sex drive, or infertility may also require a prolactin test.

  • Individuals with pituitary disorders: Those who have been diagnosed with a pituitary disorder or who have symptoms indicating a possible pituitary issue may require a prolactin test.

  • Individuals with symptoms of high prolactin levels: People who have symptoms of high prolactin levels, such as unexplained headaches, vision problems, or unexplained milk production, may also require a prolactin test.


What is Measured in Prolactin Test?

The level of prolactin in the blood is determined by a prolactin test. The pituitary gland, located near the base of the brain, secretes the hormone prolactin. Here are the main things that are measured in a prolactin test:

  • Prolactin levels: The primary function of the test is to measure the amount of prolactin in the blood. Normal prolactin levels vary between individuals, but abnormally high or low levels can indicate a potential health issue.

  • Pituitary gland function: Because the pituitary gland produces prolactin, a prolactin test can provide information about how well this gland is functioning.

  • Response to treatment: A prolactin test can be used to track how well a treatment is working for individuals being treated for conditions affecting prolactin levels.


What is the Methodology of a Prolactin Test?

  • The level of prolactin in the blood is determined by a prolactin test. Prolactin is generated by the pituitary gland at the brain's base.

  • The test involves obtaining a patient's blood sample and delivering it to the lab for analysis.

  • Prolactin levels can be influenced by various factors such as stress, pregnancy, chest trauma, and certain medications. Therefore, the test is often performed under controlled conditions to ensure accurate results.

  • The methodology used in the laboratory for a prolactin test typically involves an immunoassay. This test is biological in nature and determines the amount of prolactin using an antibody-antigen reaction.

  • The test results are usually available within a few days. The normal range for prolactin in non-pregnant women is up to 25 ng/mL; in men, it is up to 20 ng/mL. Higher levels may indicate a condition called hyperprolactinemia.


How to Prepare for a Prolactin Test?

  • Notifying your doctor about any medications or supplements you use is crucial because they can affect prolactin levels.

  • You'll be asked to avoid eating or drinking anything except water for 8 to 12 hours before the test.

  • Stress can affect prolactin levels, so avoiding strenuous physical activity and stress before the test is recommended.

  • Women are often advised to take the test 3 hours after waking up, as prolactin levels are usually highest during sleep and drop after waking up.

  • Since nipple stimulation can increase prolactin levels, it's advisable to avoid this at least one day before the test.


What Happens During a Prolactin Test?

  • During the prolactin test, a healthcare professional cleans an area of your arm and inserts a needle into a vein. This is usually done on the inside of the elbow or the back of the hand.

  • Blood is collected in a small tube attached to the needle, and this process usually takes less than five minutes.

  • You might feel a little sting when the needle goes in or out, but other than that, it's a relatively painless procedure.

  • Following the collection of blood, the medical practitioner will remove the needle and cover the affected area with a cotton ball to stop bleeding. You can usually leave immediately after the test.

  • After being drawn, the blood sample is sent to a lab for examination. The lab technician will measure the level of prolactin in your blood.


What is Prolactin Normal Range?

  • The prolactin test is a blood test designed to measure the levels of prolactin in the bloodstream. Prolactin is a hormone secreted by the pituitary gland that is essential for reproductive health.

  • The normal range for prolactin levels varies depending on a person's gender and other factors. For women, the range is typically between 2 and 29 ng/mL, and for men, it is usually between 2 and 18 ng/mL.

  • It's important to discuss your results with your healthcare provider to understand what they mean in your specific context.


What are Reasons for Abnormal Prolactin Levels?

  • Abnormally high levels of prolactin in the bloodstream can be caused by several factors. These include pituitary disorders, hypothyroidism, liver disease, and kidney disease.

  • Certain medications can also increase prolactin levels, including antidepressants, antipsychotics, and medications for hypertension.

  • Stress and physical exertion can temporarily increase prolactin levels as well.

  • On the other hand, low levels of prolactin are less common but can be caused by pituitary dysfunction, certain medications, and other health conditions.


How to maintain Normal Prolactin Range?

  • Eating a balanced diet and maintaining a healthy weight can help keep your prolactin levels within a normal range. Certain nutrients, including protein and vitamin B6, are particularly important for prolactin production.

  • Hormone regulation can also be aided by regular physical activity.

  • Avoiding excessive stress can help as well, as stress can cause a temporary spike in prolactin levels.

  • If you're taking a medication that affects prolactin production, talk to your healthcare provider about possible alternatives or adjustments to your dosage.


Precautions and Aftercare Tips Post Prolactin Test?

  • After a prolactin test, you should be able to return to your normal activities immediately. However, you should take it easy if you feel dizzy or lightheaded.

  • Keep the bandage on your arm for a few hours to prevent bleeding. If you notice any swelling or continued bleeding, contact your healthcare provider.

  • Consume a lot of liquids to aid in your body's healing from the blood draw.

  • Once you get your test results, discuss them with your healthcare provider to understand what they mean and whether you need to take any further action.


Why Book with Bajaj Finserv Health?

There are several compelling reasons to choose Bajaj Finserv Health for your healthcare needs:

  • Precision: All labs recognized by Bajaj Finserv Health are equipped with advanced technologies to provide you with the most precise results.

  • Cost-effectiveness: Our diagnostic tests and providers are extensive, yet they do not strain your budget.

  • Home-based sample collection: You can collect your samples right from the convenience of your home at a suitable time.

  • Nationwide presence: Our medical test services are accessible no matter where you are located in the country.

  • Convenient payment options: Choose from one of the available payment options, be it cash or digital.

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Note:

This is not medical advice, and this content should only be considered for informational purposes only. Consult with your healthcare provider for individual medical guidance.