Galactorrhoea · Prolactinoma · Infertility · Lagos

Prolactin Level Test in Lagos

High prolactin (hyperprolactinaemia) is one of the most common — and most treatable — hormonal causes of infertility and irregular periods in Lagos women. A morning blood test identifies the problem, opening the door to simple, effective treatment.

MorningSample Required
SameDay Results
TreatableWhen Found Early
Prolactin Level
Prolactin (8 AM) 87 ng/mL Elevated
Female reference 2–29 ng/mL 3× ULN
Interpretation Significant hyperprolactinaemia Repeat & MRI
Action Pituitary scan indicated Refer

Galactorrhoea, Prolactinoma, and Lagos Infertility

Prolactin is the "milk hormone" — essential during breastfeeding, but a problem when elevated outside pregnancy. High prolactin is one of the most actionable hormonal findings in Lagos women presenting with infertility or menstrual disruption.

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Galactorrhoea

Spontaneous milk discharge from the nipple outside pregnancy or breastfeeding is called galactorrhoea — it is driven by high prolactin. In Lagos women, this is frequently the first noticed symptom of an underlying prolactinoma. It affects both women and, less commonly, men (in whom it signals significant hormonal disruption).

  • Milk without pregnancy = hyperprolactinaemia
  • May be unilateral or bilateral
  • Accompanied by amenorrhoea or oligomenorrhoea
  • Responds well to dopamine agonist treatment
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Prolactinoma — Pituitary Adenoma

Prolactinoma is the most common pituitary tumour — benign and highly treatable with cabergoline or bromocriptine. Prolactin >200 ng/mL in a Lagos patient without another explanation usually indicates a prolactinoma requiring pituitary MRI. Treatment shrinks the tumour and restores fertility in over 90% of Lagos women.

  • Most common pituitary tumour type
  • 30–100 ng/mL: repeat before escalating
  • >200 ng/mL: pituitary scan indicated
  • Cabergoline: 90%+ tumour shrinkage
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Drug-Induced Hyperprolactinaemia

Many Lagos medications raise prolactin as a side effect — antipsychotics (haloperidol, risperidone, chlorpromazine), metoclopramide (Maxolon), domperidone (Motilium), and some antihypertensives. Drug-induced elevation typically remains below 200 ng/mL and resolves when the medication is changed.

  • Antipsychotics: most common cause in Lagos
  • Metoclopramide/domperidone: GI drug elevation
  • Usually <200 ng/mL (unlike prolactinoma)
  • Tell us all medications before testing

Who Needs a Prolactin Test in Lagos?

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Galactorrhoea (nipple discharge) Any Lagos woman with spontaneous milk or fluid discharge from the nipple outside pregnancy warrants a prolactin level. This is the most specific indication for prolactin testing.
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Irregular or absent periods High prolactin suppresses GnRH → LH → ovulation, causing oligomenorrhoea or amenorrhoea. Lagos women with cycle disruption not explained by PCOS or thyroid disease should have prolactin checked.
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Unexplained infertility in Lagos Prolactin is routinely checked in the Lagos infertility workup — a highly treatable cause of failure to conceive that is completely curable in most cases without surgery.
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Lagos men: low libido, ED, low testosterone High prolactin in Lagos men suppresses testosterone production and libido. Men with unexplained low testosterone alongside normal LH/FSH should have prolactin checked.
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Monitoring prolactinoma treatment in Lagos Lagos patients on cabergoline or bromocriptine for prolactinoma require regular prolactin monitoring to confirm the drug is working and guide dose adjustments.
Prolactin Interpretation Guide
Normal: Women 2–29 ng/mL / Men 2–18 ng/mL Prolactin is not the cause of symptoms. Investigate other hormones.
Mildly elevated: 30–100 ng/mL Stress, sex, recent breast examination can cause mild elevation. Repeat morning sample after 30-minute rest. Check medications.
Significantly elevated: 100–200 ng/mL Likely prolactinoma (microadenoma) or drug-induced. Pituitary MRI and endocrinology referral appropriate.
Very high: >200 ng/mL Macroprolactinoma likely. Urgent pituitary MRI. Treatment with cabergoline almost always effective without surgery.

Morning Rest Protocol for Accurate Lagos Results

1

Morning Sample + Rest 30 Minutes

Prolactin is highest in the morning after sleep and rises acutely with stress, food, exercise, and breast stimulation. Arrive at our Lagos laboratory before 10 AM, sit quietly for 30 minutes before your blood is taken. This eliminates acute stress-elevation that could produce a false-positive result.

2

List All Medications

Write down all medications, especially antipsychotics (haloperidol, risperidone, olanzapine), metoclopramide (Maxolon), domperidone (Motilium), and any antidepressants or antihypertensives. Drug-induced elevation is very common in Lagos and completely changes the clinical interpretation.

3

Avoid Breast Stimulation 24 Hours Before

Avoid breast/nipple stimulation for 24 hours before testing — it acutely releases prolactin. Also avoid intense exercise the evening before. Sexual activity 24 hours prior can also transiently raise levels. These simple steps ensure your Lagos prolactin result reflects true baseline.

Lagos's Prolactin Testing Expert

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CLIA immunoassay — clinical precision

Our chemiluminescent immunoassay measures prolactin to the same standard used in Lagos teaching hospitals — essential for accurately identifying the 30–200 ng/mL range where clinical decision-making is most sensitive.

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Interpretation with sex-specific norms

Our reports include sex-specific reference ranges and interpretive comments — flagging when repeat sampling is advisable versus when clinical escalation (pituitary scan) is indicated for Lagos patients.

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30-minute pre-sampling waiting room

We accommodate the resting protocol that makes prolactin results meaningful. Lagos patients arrive, sit in our waiting area, and are sampled after 30 minutes — not rushed to a chair immediately on arrival.

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Accessible from all Lagos areas

52 Sholanke Street, Akoka — accessible from Lagos Island, Lekki, Yaba, and Ikeja. Open Mon – Sat 9 AM – 5 PM. WhatsApp booking recommended for early morning resting slots.

"Had galactorrhoea for eight months — two Lagos clinics dismissed it. Mascot ran a prolactin: 340 ng/mL. MRI confirmed a microadenoma. Started cabergoline. Six months later: prolactin normal, periods back."

RE
R.E.Lagos Island
✓ Morning rest protocol respected
✓ Same-day Lagos results
✓ Clinical interpretation included
Book Your Prolactin Test in Lagos

High Prolactin? Find Out in Lagos

Walk in or book ahead. Located at 52 Sholanke Street, Off Chemist Junction, Akoka, Lagos.

Monday – Saturday  ·  9:00 AM – 5:00 PM  ·  Closed Sundays & Public Holidays

Morning sample required  ·  Rest 30 min before sample  ·  Walk-ins welcome Mon – Sat