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Also reported in: mIU/L, mcg/L
Your prolactin is within the normal reference range. Normal prolactin does not suppress ovulation and does not interfere with fertility.
Your prolactin is undetectable. Very low prolactin may indicate pituitary dysfunction affecting lactotroph cells. In the fertility context, this is less of a concern than elevated prolactin.
Discuss with your hormone specialist. Pituitary function assessment may be appropriate.
Prolactin undetectable — pituitary lactotroph insufficiencyYour prolactin is below the reference range but is generally not associated with fertility problems. Low prolactin is not a recognized cause of infertility.
No specific action required for fertility purposes. Discuss with your doctor if other pituitary concerns are present.
Prolactin below reference range — generally not a fertility concernYour prolactin is in the low-normal range. This is a reassuring result from a fertility perspective.
No action needed.
Prolactin: low-normal — no fertility concernYour prolactin is within the normal reference range. Normal prolactin does not suppress ovulation and does not interfere with fertility.
No specific action required.
Prolactin within normal reference range — no hyperprolactinemiaYour prolactin is in the optimal range, indicating excellent balance of this reproductive hormone.
No action needed.
Prolactin in optimal range — excellent reproductive hormone balanceYour prolactin is mildly above the reference range. Mild prolactin elevation is very common and is often caused by stress at the time of blood draw, recent sexual activity, hypothyroidism, or certain medications (antipsychotics, antidepressants, metoclopramide, domperidone). Pituitary adenoma (prolactinoma) should be excluded if consistently elevated.
Repeat fasting, early morning prolactin (most accurate). If consistently elevated, thyroid function and pituitary MRI should be arranged. Discontinue medications that raise prolactin if possible.
Prolactin 25–50 ng/mL — borderline elevated; hyperprolactinemia possible; stress-related elevation commonYour prolactin is noticeably elevated. Hyperprolactinemia suppresses the hypothalamic-pituitary-ovarian axis, causing irregular or absent periods, anovulation, and infertility. It also may contribute to galactorrhea (inappropriate milk production). Prolactinoma (pituitary adenoma) is the most common cause.
Seek endocrinology referral. Pituitary MRI should be arranged. Dopamine agonist treatment (cabergoline) is highly effective at normalizing prolactin and restoring ovulation.
Prolactin >50 ng/mL — elevated; hyperprolactinemia confirmed; ovulation suppression riskYour prolactin is very high, strongly suggesting a macroprolactinoma (large prolactin-secreting pituitary adenoma). Very high prolactin completely suppresses ovulation and menstrual cycles. Macroprolactinomas can cause visual field defects and headaches from pituitary tumor mass effect.
Seek urgent endocrinology evaluation. Pituitary MRI with contrast and visual field testing are urgently required. Dopamine agonist therapy (cabergoline) is the primary treatment.
Prolactin >200 ng/mL — very high; large prolactinoma (macroprolactinoma) likelyUpload your lab report and get your actual values interpreted in plain English — instantly, with no medical training required.