Discover everything about the prolactin blood test—normal levels, causes of high prolactin, symptoms, treatment, and its role in fertility, PCOS, and weight gain. Read now!

What is a Prolactin Blood Test?
A prolactin blood test measures the level of prolactin, which is a hormone produced by the pituitary gland. This hormone plays a key role in milk production in women and affects reproductive health in both men and women.
What is a Prolactin Test For?
A prolactin test is done to diagnose conditions like hormonal imbalances, fertility problems, irregular menstrual cycles, or unexplained milk production (galactorrhea). It is also used to check for pituitary gland disorders.
Prolactin Blood Test Fasting
Doctors often recommend fasting for 8-12 hours before the test for accurate results.
Prolactin Blood Test Preparation
- Get the test done in the morning.
- Avoid stress and exercise before the test.
- Wear a loose top if breastfeeding.
What is a Normal Prolactin Level?
Normal prolactin levels vary based on gender and pregnancy status:
- Non-pregnant females: 2 – 29 ng/mL
- Pregnant females: 10 – 209 ng/mL
- Males: 2 – 18 ng/mL
What if Prolactin is High in Females?
High prolactin levels for women lead to irregular periods, infertility, and milk discharge from the breasts even when not pregnant or breastfeeding.
What is a High Prolactin Level Test?
A high prolactin level test result shows an excess of prolactin in the bloodstream. This could be the result of a pituitary tumour, hypothyroidism, stress, or certain drugs.
Is a Prolactin Test Painful?
No, the test is a simple blood draw, which may cause slight discomfort like any other blood test.
Why is Prolactin Checked in PCOS?
Some women with Polycystic Ovarian Syndrome (PCOS) may have increased prolactin levels. This can contribute to irregular periods and infertility.
What is the Cost of a Prolactin Test?
The cost varies by location and laboratory, but it typically ranges between $10 to $50.
Can I Get Pregnant with High Prolactin?
High prolactin can interfere with ovulation, making it difficult to get pregnant. However, treatment can help restore fertility.
Does Prolactin Cause Weight Gain?
Yes, high prolactin levels may slow metabolism and lead to weight gain.
Can Prolactin Detect Pregnancy?
Prolactin levels rise in pregnancy, but it is not a reliable pregnancy test.
When is Prolactin Highest?
Prolactin levels are highest during sleep, early morning, and after breastfeeding.
What are the Symptoms of Low Prolactin?
Low prolactin is rare but may cause reduced milk production in new mothers.
Is Prolactin Good or Bad?
Prolactin is essential for the body but can cause health issues when too high or too low.
Why is Prolactin High in Females?
High prolactin levels may result from pregnancy, breastfeeding, stress, pituitary tumors, or certain medications.
How to Reduce Prolactin in Females?
Treatment depends on the cause. Lifestyle changes, stress management, and medications like dopamine agonists can help.
What Foods Lower Prolactin Levels?
Foods rich in zinc and vitamin B6, like eggs, chicken, fish, and bananas, may help lower prolactin.
Can Garlic Reduce High Prolactin?
Some studies suggest garlic may help regulate hormone levels, but more research is needed.
What are the Symptoms of High Prolactin Levels?
- Irregular periods
- Infertility
- Breast discharge
- Headaches
- Vision problems
- Low libido
Does High Prolactin Mean Infertility?
High prolactin can disrupt ovulation, leading to temporary infertility.
Can Food Cause High Prolactin?
Yes, excessive intake of soy products and processed foods may raise prolactin levels.
Does Prolactin Make You Sleepy?
Yes, prolactin has a calming effect and may cause drowsiness.
What is the Fastest Way to Reduce Prolactin?
Medications like cabergoline and bromocriptine are the quickest ways to reduce prolactin.
Is High Prolactin Harmful?
Long-term high prolactin levels can cause infertility, menstrual irregularities, and bone loss.
Can High Prolactin Cause Hair Loss?
Yes, high prolactin can contribute to hair thinning in some individuals.
Can PCOS Cause High Prolactin?
Some women with PCOS have elevated prolactin levels, though it is not always the case.
Is Prolactin High During Periods?
Prolactin levels can fluctuate during the menstrual cycle but usually remain within normal limits.
Can High Prolactin Be Temporary?
Yes, stress, lack of sleep, and some medications can cause temporary increases in prolactin.
Can I Get Pregnant with High Prolactin?
It is possible but more challenging. Treatment can improve chances.
Does High Prolactin Affect Sleep?
Yes, it can lead to sleep disturbances in some individuals.
Can High Prolactin Be Serious?
In rare cases, high prolactin is caused by pituitary tumors, which may require treatment.
What is the Best Treatment for High Prolactin?
Dopamine agonists like cabergoline and bromocriptine are commonly used.
Can High Prolactin Cause Breast Pain?
Yes, high prolactin can lead to breast tenderness and swelling.
Normal Prolactin Levels by Age
Prolactin levels are usually lower in children and increase after puberty.
Prolactin Test for Males
Males may need a prolactin test if they experience low testosterone, infertility, or erectile dysfunction.
What Happens When Prolactin Levels are High?
High prolactin can cause hormonal imbalances, affecting fertility and overall health.
Is High Prolactin a Sign of Cancer?
In rare cases, very high prolactin levels can be linked to pituitary tumors, but most cases are not cancer-related.
Conclusion
The prolactin blood test is a simple yet important test to diagnose hormonal imbalances, fertility issues, and pituitary disorders. If you have concerns about your prolactin levels, consult a doctor for the best course of action.
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Sources:
Greenspacelife’s articles are supported by high-quality sources, including peer-reviewed studies, to keep our content accurate, reliable, and trustworthy.
- Prolactin blood test. https://www.ucsfhealth.org/medical-tests/prolactin-blood-test
- Prolactin (https://www.ncbi.nlm.nih.gov/books/NBK507829/).
- National Library of Medicine (U.S.). Prolactin Blood Test (https://medlineplus.gov/ency/article/003718.htm).
- National Library of Medicine (U.S.). Prolactin Levels (https://medlineplus.gov/lab-tests/prolactin-levels/).
- National Institute of Diabetes and Digestive and Kidney Diseases (U.S.). Prolactinoma (https://www.niddk.nih.gov/health-information/endocrine-diseases/prolactinoma).