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Prolaktin

Prolactin · PRL · Luteotrophin

Hormone — ReproduktionsachseZeitabhängig
Einheit:
ng/mL
Abbreviation
PRL

Prolactin test quantifies the level of prolactin hormone in the blood, which is involved in lactation and reproductive functions.

Reference Ranges

Reference
423ng/mL
4
23
LowNormalHigh
Reference
Unit · ng/mL

Levels vary by sex and age; higher in females, especially during pregnancy and lactation.

Overview

Übersicht

Prolactin (PRL), also known as luteotrophin, is a polypeptide hormone primarily synthesized and secreted by lactotroph cells in the anterior pituitary gland. It plays a crucial role in lactation and reproductive functions, but also has diverse effects on metabolism, immune regulation, and behavior. Researchers have found that PRL exists in multiple isoforms, including the full-length 23-kDa PRL and smaller fragments called vasoinhibins, which have distinct biological activities. Clinically, prolactin levels are significant in diagnosing and managing conditions such as hyperprolactinemia, prolactinomas, and metabolic syndrome. Elevated prolactin levels can indicate pituitary disorders, hypothyroidism, or medication effects, while low levels may be associated with hypopituitarism or certain medications. In the context of athletic performance and biohacking, prolactin's role in metabolism and mood regulation is of interest. Researchers have observed that prolactin can influence body composition and energy balance, making it a potential target for optimizing metabolic health and longevity. However, prolactin levels can be influenced by various factors, including stress, sleep, and time of day, with levels typically peaking during sleep. Therefore, consistent timing and conditions for testing are essential for accurate assessment.

Klinische Bedeutung

Elevated prolactin levels can indicate pituitary tumors, hypothyroidism, or medication effects. Reduced levels may suggest hypopituitarism or be a side effect of certain medications.

Dynamics

Trend Interpretation

Rising Values

Progressively rising prolactin levels may suggest pituitary adenoma or hypothyroidism; re-test in 4 weeks if elevated.

Falling Values

Progressively falling levels may indicate effective treatment or pituitary dysfunction.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Pituitary tumors
  • Hypothyroidism
  • Pregnancy
  • Liver disease
  • Kidney disease
  • Medications (e.g., antipsychotics)
Cause

Low Levels

  • Hypopituitarism
  • Dopamine agonist therapy
  • Pituitary apoplexy
  • Certain medications
  • Severe stress
Protocol

How to Optimize

Lever

Lifestyle

  • Manage stress
  • Ensure adequate sleep
  • Regular exercise
Lever

Nutrition

  • Balanced diet
  • Adequate protein intake
  • Omega-3 fatty acids
Lever

Supplementation

  • Vitamin B6
  • Zinc
  • Ashwagandha

Note:

Consult a healthcare provider before starting any supplementation, especially if on medication.

Testing Guidelines

Fasting Not Required
🕐Time-Sensitive

Prolactin levels peak during sleep; morning testing is recommended for consistency.

Testing Frequency

Annually for healthy adults, more frequently if symptomatic or under treatment.

Interfering Factors

  • Recent intense exercise
  • Stress
  • Certain medications
  • Sleep deprivation

Related Peptides & Hormones

Dopamine

May affect

hormone

Open Research Questions

Current research suggests that the relationship between prolactin levels and metabolic syndrome remains debated, particularly regarding reference ranges and the impact of confounding factors such as sex steroids during pregnancy. Researchers have not yet established optimal prolactin targets for different patient subgroups, including those with hyperprolactinemia and metabolic disorders. Additionally, clinical questions regarding the physiological role of low prolactin levels in men and the implications of endometrial prolactin in pregnancy complications remain unanswered.

21 Research Publications

328

Total Citations

3

Human/RCT

1.8

Avg. Influence

2026

Latest

Sort
Filter
#01

Stress-Induced Hyperprolactinemia: Pathophysiology and Clinical Approach.

ReviewInfluence4.0
97
This study explored the diverse physiological functions of prolactin, particularly its secretion in response to stress. Researchers found that stress is a significant physiological cause of hyperprolactinemia, indicating its complex role in human health.
View on PubMed
#02

The Interplay Between Prolactin and Reproductive System: Focus on Uterine Pathophysiology.

ReviewInfluence3.0
47
Researchers focused on the role of prolactin in uterine pathophysiology, particularly in relation to cancers. The study found that elevated prolactin levels are associated with various uterine diseases, suggesting its potential as a biomarker for diagnosis and treatment.
View on PubMed
#03

Laboratory and clinical significance of macroprolactinemia in women with hyperprolactinemia.

ReviewInfluence3.0
32
Researchers examined the clinical significance of macroprolactinemia in women with hyperprolactinemia, noting that it can lead to misleading diagnoses. The study found that macroprolactinemia is often benign but can sometimes be associated with true hyperprolactinemic symptoms.
View on PubMed
#04

The clinical significance of endometrial prolactin.

Review
26
This study highlighted that prolactin is produced by the endometrium and has significant roles during pregnancy. Researchers found that endometrial prolactin may influence amniotic fluid levels and labor processes, suggesting its importance in reproductive health.
View on PubMed
#05

Metabolic Syndrome in Hyperprolactinemia.

Review
21
Researchers found that hyperprolactinemia is linked to metabolic syndrome, particularly during pregnancy. The study observed that dopamine-D2-agonist therapy can improve metabolic syndrome in patients with prolactinomas. Additionally, prolactin levels may inversely correlate with metabolic risk markers in healthy populations.
View on PubMed
#06

Pituitary hyperplasia.

ReviewInfluence1.0
21
This study examined various forms of pituitary hyperplasia, highlighting that prolactin cells are most prone to non-neoplastic proliferation, especially during pregnancy and lactation. Researchers found that hyperprolactinemia often accompanies severe thyrotroph hyperplasia, which can mimic adenomas. The study also noted that idiopathic lactotroph hyperplasia is rare.
View on PubMed
#07

Prolactin in Polycystic Ovary Syndrome: Metabolic Effects and Therapeutic Prospects.

ReviewInfluence1.0
21
Researchers examined the role of prolactin in polycystic ovary syndrome (PCOS), noting its influence on metabolic health. The study highlighted the need for further research on the relationship between prolactin levels and metabolic outcomes in PCOS patients.
View on PubMed
#08

Polymers of prolactin and their clinical significance.

Review
16
Researchers examined the presence of polymeric forms of prolactin in women with sustained hyperprolactinemia. The study found that these polymeric forms, while immunoreactive, have lower biological activity compared to monomeric prolactin.
View on PubMed
#09

Hyperprolactinemia following chronic alcohol administration.

AnimalInfluence1.0
14
This study observed that chronic alcohol consumption is associated with elevated prolactin levels. Researchers found that alcohol-induced hyperprolactinemia may result from interactions with hormonal signaling pathways in the pituitary.
View on PubMed
#10

The role of prolactin/vasoinhibins in cardiovascular diseases.

ReviewInfluence1.0
9
This study examined the role of prolactin and its fragments, vasoinhibins, in cardiovascular diseases. Researchers found that these molecules can have different effects on vascular function and may play a significant role in the pathology of cardiovascular conditions.
View on PubMed

Publication Trend

Research publications about Prolaktin over time

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This page is for informational and research purposes only. All information is based on published scientific literature and does not constitute medical advice, diagnosis, or treatment recommendations. Many substances listed may not be approved for human use and may be subject to drug regulation laws (e.g., AMG in Germany, FDA in the US). PepStack does not encourage the use of any substance on humans. Always consult a qualified healthcare professional before making any health-related decisions. Use of this information is entirely at your own risk. PepStack assumes no liability for the accuracy, completeness, or timeliness of the content provided. Full disclaimer