Prolactin Assay: Purpose, Procedure, and What to Expect

What Is a Prolactin Assay?

A prolactin assay is a simple blood test. It measures the amount of prolactin in your blood. Prolactin is a hormone made by the pituitary gland. This gland sits at the base of your brain. Doctors often use the prolactin assay to check for hormone problems. For example, it helps find out why someone has unusual symptoms like breast milk production or missed periods.

Why Is a Prolactin Assay Ordered?

Doctors order a prolactin assay for many reasons. Sometimes, it helps find the cause of certain symptoms. Other times, it checks for health conditions linked to hormone changes. For instance, if you have headaches or vision problems, your doctor may suggest this test. In addition, the prolactin blood test can help diagnose pituitary gland issues.

Symptoms and Conditions That May Require a Prolactin Assay

There are several signs and conditions that may lead your doctor to order a prolactin assay. These include:

  • Unexplained breast milk production (even if not pregnant or breastfeeding)
  • Missed or irregular periods in women
  • Infertility in both men and women
  • Low sex drive
  • Erectile problems in men
  • Headaches or vision changes
  • Often, these symptoms can point to a problem with the pituitary gland. Therefore, a prolactin assay can help find the cause.

    How Is the Prolactin Assay Performed?

    The prolactin test procedure is quick and easy. First, a healthcare worker will clean your arm. Next, they will use a small needle to take a blood sample from a vein. The whole process takes only a few minutes. You may feel a small pinch, but it is not very painful.

    Before the test, your doctor may ask you to:

  • Avoid eating for several hours
  • Rest and avoid stress before the test
  • Tell them about any medicines you take
  • Sometimes, stress or certain medicines can affect your prolactin levels. Because of this, it is important to follow your doctor’s advice before the test.

    Understanding Prolactin Assay Results

    After the test, your doctor will review your prolactin levels. The prolactin normal range can vary by lab, but it is usually:

  • Women (not pregnant): 4 to 23 ng/mL
  • Pregnant women: 34 to 386 ng/mL
  • Men: 3 to 15 ng/mL
  • If your results are outside these ranges, your doctor will explain what it means. Sometimes, a single high result may not mean a problem. For example, stress or recent exercise can raise prolactin for a short time. Therefore, your doctor may repeat the test if needed.

    Common Causes of Abnormal Prolactin Levels

    High prolactin levels causes can include:

  • Pituitary gland tumors (prolactinomas)
  • Thyroid problems
  • Pregnancy or breastfeeding
  • Certain medicines (like antidepressants or blood pressure drugs)
  • Stress or chest injury
  • On the other hand, low prolactin levels are rare. They may happen if the pituitary gland is not working well. If your levels are abnormal, your doctor will look for the cause. Sometimes, more tests are needed.

    Next Steps and When to Consult a Doctor

    If your prolactin assay shows abnormal results, do not worry right away. Many things can affect your levels. Your doctor will talk with you about what the results mean. In some cases, you may need more tests or a visit to a specialist. If you have symptoms like vision changes, severe headaches, or breast discharge, see your doctor soon. Early care can help prevent problems.

    Prevention and Lifestyle Considerations

    While you cannot always prevent hormone changes, some steps may help. For example:

  • Manage stress with relaxation techniques
  • Follow your doctor’s advice about medicines
  • Keep regular check-ups, especially if you have symptoms
  • Although lifestyle changes may not fix all causes, they can support your overall health.

    Conclusion

    To sum up, a prolactin assay is a simple blood test that checks hormone levels. It can help find the cause of many symptoms. If you have questions about your prolactin blood test or results, consult a healthcare provider at Cure Pathology for personalized advice.