Prolactin Result Meaning — High Prolactin Explained

Prolactin is the hormone that drives milk production. Outside pregnancy and breastfeeding, a raised level interferes with ovulation and periods in women, and with libido and erectile function in men. It is a common and treatable cause of infertility.

Reference ranges

Women, non-pregnant4 – 23 ng/mL
Men3 – 15 ng/mL
PregnancyMuch higher — expected
Markedly raisedAbove 100 ng/mL warrants imaging

Reference ranges vary between laboratories and methods. Always read your result against the range printed on your own report.

Seek care urgently if

What a high result can mean

Medication

Antipsychotics, some antidepressants and metoclopramide are frequent causes.

Pituitary adenoma (prolactinoma)

A benign pituitary tumour — the reason very high levels are imaged.

Underactive thyroid

Raises prolactin indirectly and is easily excluded.

Stress or recent breast examination

Can raise it modestly — a repeat sample settles it.

PCOS

Mildly raised prolactin is common.

What a low result can mean

Rarely significant

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What happens next

A mildly raised prolactin is repeated before acting, ideally rested and without recent breast stimulation. Thyroid function is checked alongside, and very high levels lead to pituitary imaging.

Prolactin Test Thyroid Function Test Hormonal Assay

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This page explains what a result can mean in general terms. It is not a diagnosis and cannot account for your history, medication or examination. All visits to Mascot Healthcare are by appointment — Mon–Sat, 9AM–5PM, 52 Sholanke Street, Akoka, Yaba, Lagos.