Test Code PROL Prolactin
Additional Codes
EPIC | LAB5281 |
Clinical Significance
The primary physiological function of PRL is to stimulate and maintain lactation in women. In normal females, serum PRL levels generally range from 1-25 ng/mL (ug/L) while normal male levels typically range from 1-20 ng/mL (ug/L). Normal PRL secretions varies with time which results in serum PRL levels 2-3 times higher at night than during the day. The biological half-life of PRL is approximately 20-50 minutes. Serum PRL levels during the menstrual cycle are variable and commonly exhibit slight elevations during the mid-cycle. Prolactin levels in normal individuals tend to rise in response to physiological stimuli including: sleep, exercise, nipple stimulation, sexual intercouse, hypoglycemia, pregnancy, and surgical stress.
Prolactin is secreted by the anterior pituitary gland and is required for normal breast development and lactation in women. Elevated PRL levels may be detected during the eighth week of pregnancy with levels continuing to rise throughout gestation. In the absence of breast feeding, PRL levels return to normal within three weeks after birth. Abnormally high levels of PRL are often associated with female infertility, impotence and infertility in men, primary hypothyroidism, and pituitary tumors.
Source: Access Prolactin IFU #33530, 12/16/16
Methodology
One-step immunoenzymatic (Sandwich) assay (Beckman Coulter UniCel DxI)
Sample Type
Preferred Sample Type | |
---|---|
Yellow top - Serum |
Acceptable Sample Type(s) | |
---|---|
Light green top - Plamsa | |
Red top - Serum |
Centrifuge: Yes
Specimen Minimum Volume
0.5 mL
Specimen Stability
Temperature | Time |
---|---|
Ambient (18-25°C) | 8 hours |
Refrigerated (2-8°C) (store) | 48 hours |
Frozen (<-20°C) | 7 days* |
Separate plasma or serum from cells within 2 hours.
*Thaw only once.
Reference Ranges
Normal Range | ||
---|---|---|
Males | 2.64 - 13.13 ng/mL | |
Females | Pre-menopausal (<50) | 3.34 - 26.72 ng/mL |
Post-Menopausal | 2.74 - 19.64 ng/mL |
Technical Range |
---|
0.25 - 200 ng/mL |
Rejection Criteria
Hemolysis | N/A |
---|---|
Icterus | N/A |
Lipemia | N/A |
Availability
Performed | STAT |
---|---|
24/7 | Yes |
Performing Laboratory
MultiCare Yakima Memorial Hospital Laboratory
Lab Department
Chemistry
CPT Code
84146
LOINC
20568-2 Prolactin IA [Mass/Vol]