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