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Prolactin Test

Prolactin Test

January 21, 2026
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Do I need a Prolactin test?

Struggling with irregular periods, unexpected milk production, low libido, or fertility challenges? Could your prolactin levels be playing a role?

Prolactin is a hormone that regulates reproduction, lactation, and sexual function. When levels are too high or too low, it can disrupt your menstrual cycle, affect your fertility, and dampen your sex drive.

Testing your prolactin gives you a quick snapshot of your hormonal balance, helping pinpoint whether elevated or low levels are behind your symptoms. It's the essential first step to personalizing your treatment plan and reclaiming your reproductive health.

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If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of Prolactin testing

  • Measures the hormone that controls milk production and reproductive function.
  • Spots pituitary gland problems that may cause irregular periods or infertility.
  • Explains unexpected breast milk production when you're not pregnant or nursing.
  • Flags medication side effects that raise prolactin and disrupt hormone balance.
  • Guides treatment for prolactinomas, the most common hormone-secreting pituitary tumors.
  • Tracks whether therapy is lowering prolactin levels back to normal range.
  • Clarifies causes of low sex drive, erectile issues, or bone loss.
  • Best interpreted with thyroid tests and symptoms, since stress temporarily elevates results.

What is Prolactin?

Prolactin is a hormone produced and released by the pituitary gland, a pea-sized structure at the base of your brain. It belongs to a family of signaling molecules that communicate between your brain and distant tissues. While both men and women make prolactin throughout life, its levels and effects vary widely depending on reproductive status and other factors.

Best known for milk production

Prolactin's primary claim to fame is triggering and sustaining milk production (lactation) in the breasts after childbirth. The hormone prepares mammary tissue during pregnancy and keeps milk flowing as long as nursing continues.

A hormone with many roles beyond breastfeeding

Prolactin also influences reproductive function, immune responses, metabolism, and behavior. It helps regulate the menstrual cycle, affects fertility in both sexes, and plays a role in stress adaptation. Because prolactin interacts with so many systems, measuring it in blood offers a window into pituitary health, reproductive status, and certain hormonal imbalances.

Why is Prolactin important?

Prolactin is a hormone made by the pituitary gland that primarily drives milk production after childbirth, but it also influences reproductive function, metabolism, and immune regulation in both sexes. Normal levels typically range from around 2 to 25 ng/mL in non-pregnant adults, with optimal values sitting in the lower half of that range outside of pregnancy and breastfeeding. When prolactin rises or falls inappropriately, it disrupts the delicate hormonal conversation between the brain, ovaries, and testes.

When prolactin drops too low

Low prolactin is uncommon and usually signals pituitary damage or dysfunction. It rarely causes symptoms on its own but may appear alongside other pituitary hormone deficiencies. In breastfeeding women, insufficient prolactin can impair milk supply.

When prolactin climbs too high

Elevated prolactin, called hyperprolactinemia, is far more common and consequential. In women, it suppresses ovulation, leading to irregular or absent periods, infertility, and sometimes unexpected breast milk production. In men, high prolactin lowers testosterone, causing low libido, erectile dysfunction, and reduced muscle mass. Both sexes may experience bone thinning over time due to sex hormone suppression.

The bigger hormonal picture

Prolactin sits at the crossroads of reproduction, stress response, and metabolic health. Chronic elevation can signal a pituitary tumor, medication effect, or thyroid disorder. Left unchecked, it quietly erodes fertility, bone density, and quality of life, making it a key marker in evaluating unexplained reproductive or sexual symptoms.

What do my Prolactin results mean?

Low prolactin levels

Low values usually reflect normal baseline function in most adults outside of pregnancy and breastfeeding. Prolactin naturally runs low when the hypothalamus and pituitary are not being stimulated to produce it. Very low or undetectable levels can occasionally signal pituitary damage or underactivity, particularly after head trauma, surgery, or certain autoimmune conditions affecting the gland. In these cases, other pituitary hormones are often affected as well.

Optimal prolactin levels

Being in range suggests balanced regulation between the hypothalamus, which controls prolactin release, and the pituitary gland, which produces it. For non-pregnant, non-lactating adults, optimal values typically sit in the lower half of the reference range. Prolactin is naturally pulsatile and rises with sleep, stress, and nipple stimulation, so stable low-normal levels reflect appropriate tonic inhibition by dopamine.

High prolactin levels

High values usually reflect increased pituitary secretion, often due to a benign prolactin-secreting tumor called a prolactinoma, or loss of dopamine's inhibitory control. Elevated prolactin can suppress reproductive hormones, leading to irregular cycles, low libido, and infertility in both sexes, and sometimes milk production outside of pregnancy. Mild elevations are common with stress, certain medications, hypothyroidism, and kidney disease.

Factors that influence prolactin

Prolactin rises during pregnancy and breastfeeding, with sleep, after meals, and during stress or venipuncture. Antipsychotics, antidepressants, and blood pressure medications can elevate levels. Repeat testing after rest is often needed to confirm true elevation.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
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Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about Prolactin Test

What is prolactin and what does the prolactin hormone do in the body?

Prolactin is a hormone made and released by the pituitary gland, a pea-sized structure at the base of the brain. It’s best known for triggering and maintaining milk production (lactation) after childbirth. Beyond breastfeeding, prolactin influences reproductive function, fertility, immune responses, metabolism, and behavior. Because it interacts with many body systems, a blood prolactin test can provide useful insight into pituitary health and hormone balance in both women and men.

Why would my doctor order a prolactin blood test for irregular periods or infertility?

Prolactin testing is commonly used to evaluate irregular menstrual cycles, missed periods, and infertility because high prolactin can suppress ovulation and disrupt reproductive hormones. The test can also help “spot pituitary gland problems,” including prolactin-secreting pituitary tumors (prolactinomas), and identify other drivers like hypothyroidism or medication effects. Results are best interpreted alongside symptoms and related hormone labs, especially thyroid testing, to clarify the underlying cause.

What are the key benefits of prolactin testing for pituitary and reproductive health?

A prolactin test helps measure a hormone that affects milk production and reproductive function and can flag hormone imbalance that impacts fertility, libido, and bone health. It can explain unexpected breast milk production when not pregnant or nursing, identify medication side effects that raise prolactin, and guide evaluation for prolactinomas (common hormone-secreting pituitary tumors). Testing is also used to monitor whether treatment is lowering prolactin back toward a normal range over time.

What is considered a normal prolactin level for non-pregnant adults, and what is “optimal”?

In non-pregnant adults, prolactin typically falls around 2 to 25 ng/mL, though reference ranges vary by lab. Outside pregnancy and breastfeeding, “optimal” values are often described as being in the lower half of the reference range, reflecting balanced dopamine regulation and normal pituitary signaling. Prolactin naturally rises during pregnancy and breastfeeding. A single value should be interpreted with symptoms and related labs, particularly thyroid testing.

What causes high prolactin (hyperprolactinemia) and what symptoms can it trigger?

High prolactin is often caused by a prolactinoma (a prolactin-secreting pituitary tumor), medications that block dopamine, or hypothyroidism; kidney disease can also contribute. In women, elevated prolactin can suppress ovulation, leading to irregular periods, infertility, and sometimes unwanted breast milk production. In men, it can lower testosterone, causing low libido, erectile dysfunction, reduced muscle mass, and sometimes breast tissue growth. Long-term elevation may contribute to bone thinning.

Can stress, sleep, meals, or nipple stimulation cause a temporary prolactin spike?

Yes. Prolactin can rise physiologically with sleep, stress, and after eating, and nipple stimulation can also increase levels. These short-term elevations may lead to mildly higher test results that don’t reflect chronic hyperprolactinemia. Because stress can temporarily elevate prolactin, results are best interpreted in context and ideally measured when you’re at rest; many clinicians prefer a fasting sample to reduce confounding factors.

Which medications are most likely to raise prolactin levels and disrupt hormone balance?

Medications that reduce dopamine signaling can raise prolactin, especially many psychiatric drugs (notably antipsychotics) and some gastrointestinal medications. The page context also notes certain blood pressure drugs as common contributors. Medication-related hyperprolactinemia can disrupt reproductive hormones, contributing to irregular cycles, infertility, low libido, or sexual dysfunction. Because drug effects can mimic pituitary disease, reviewing medications is a key step when evaluating an elevated prolactin result.

What does low prolactin mean, and should I worry about a low prolactin result?

Low prolactin is uncommon and is usually linked to reduced pituitary output or suppression from dopamine-active medications. In many healthy adults, prolactin naturally sits at the low end of the reference range without causing symptoms. Very low or undetectable prolactin may suggest pituitary damage, underdevelopment, or broader pituitary dysfunction - especially if other pituitary hormones are abnormal. In breastfeeding women, insufficient prolactin can impair milk supply.

How can high prolactin affect men, including testosterone, libido, and erectile function?

In men, elevated prolactin can lower testosterone by suppressing normal reproductive hormone signaling. This may lead to low sex drive, erectile dysfunction, reduced muscle mass, and sometimes breast tissue growth. Chronic high prolactin can also contribute to bone thinning over time. Because high prolactin may stem from prolactinomas, medications, or thyroid disorders, results should be interpreted alongside symptoms and related labs (including thyroid testing) to target the underlying cause.

How are prolactinomas monitored and how does prolactin testing track treatment response?

Prolactinomas are the most common hormone-secreting pituitary tumors and often cause persistently elevated prolactin. Prolactin blood testing helps guide treatment decisions and is used to track whether therapy is lowering prolactin levels back toward the normal range. Monitoring is especially important when symptoms involve infertility, menstrual irregularities, sexual dysfunction, or unexpected milk production. Because thyroid disorders and medications can also raise prolactin, evaluation often considers the broader pituitary–thyroid axis.

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