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Test Code LAB531 Prolactin, Plasma or Serum

Reporting Title

Prolactin

Methodology

Roche Diagnostics, Elecsys®/Electrochemiluminescence Immunoassay

Useful as an aid in diagnosis and treatment of hypothalamic-pituitary disorders.

Performing Laboratory

OhioHealth Laboratory Services - RMH and MH Core Laboratories

Specimen Requirements

Collection Instructions:

1. Serum and Plasma gel tubes should be centrifuged within 2 hours of collection.

2. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.

 

Submit only 1 of the following specimens:

 

Preferred:

Serum

Draw blood in a gold-top serum gel tube(s). Spin down and send 1 mL of serum refrigerated.
Note:  1. When determining prolactin, it should be noted that measured concentration is dependent upon when blood specimen is drawn, since secretion of prolactin occurs in episodes and is also subject to a 24-hour cycle. Prolactin levels are lowest a few hours after waking. Draw blood in a.m., assuming normal waking hours. Prolactin is a stress hormone, and stressors may cause a transient rise.

2. A speckled-top serum gel tube (s) or a plain, red-top tube(s) is also acceptable.

3. Heterophile antibodies may interfere with this assay.

4. Indicate serum on request form.

5. Label specimen appropriately (serum).

 

Alternate: 

Plasma

Draw blood in a mint green-top (heparin) gel tube(s). Spin down and send 1 mL of heparinized plasma refrigerated.

Note:  1. When determining prolactin, it should be noted that measured concentration is dependent upon when blood specimen is drawn, since secretion of prolactin occurs in episodes and is also subject to a 24-hour cycle. Prolactin levels are lowest a few hours after waking. Draw blood in a.m., assuming normal waking hours. Prolactin is a stress hormone, and stressors may cause a transient rise.

2. Heterophile antibodies may interfere with this assay.

3. Indicate plasma on request form.

4. Label specimen appropriately (plasma).

Specimen Stability Information

Specimen Type Temperature Time
Serum or plasma Refrigerated 14 days
  Ambient  5 days
  Frozen  6 months

 

Specimen Transport Temperature

Refrigerate: OK

Frozen: OK

Ambient: OK

Reference Values

Roche Diagnostics

Males:  1.6-18.8 ng/mL

Females:  1.4-24.2 ng/mL

There is no high-dose hook effect at prolactin concentrations up to 12,690 ng/mL.

Implausible high prolactin values:  macroprolactin testing should be considered if, in the presence of elevated prolactin levels, signs and symptoms of hyperprolactinemia are absent, or pituitary imaging studies are not informative. See #87843 “Macroprolactin, Serum” performed at Mayo Medical Laboratories at an additional charge.

Note:  Estrogen treatment or oral contraceptives may produce elevated levels.

Day(s) Test Set Up

Monday through Sunday; Continuously

Test Classification and CPT Coding

84146