Ms. NIKHAT BURUD Reference: DR.
RASHIDA BAPAI VID: 240138501188547
.. Sample Collected At: Registered On:
Mustafa Bapai Dr.
25/02/2025 12:04 PM
70, Mohamedali Road, Mohamedi Manzil,
PID NO: P43824541320895 5th Floor, Ro. No.66/68 . MumbaiZone: C- Collected On:
Age: 32 Year(s) Sex: Female 04a(30) 25/02/2025 12:03PM
Processing Location:-Metropolis Reported On:
Healthcare Ltd,Shree Niketan,8,KN
Marg,Gamdevi.GrantRoad W Mumbai 25/02/2025 01:59 PM
400007
Investigation Observed Value Unit Biological Reference Interval
Prolactin 13.70 ng/mL 4.79-23.3
(Serum,Electrochemiluminescence immunoassay First Trimester : 9.95 - 101
(ECLIA)) Second Trimester : 17.2 - 270
Third Trimester : 67.9 - 419
Interpretation:
• High level of prolactin is normal during pregnancy and after childbirth while the mother is nursing.
• High levels may also be seen in Prolactinoma, anorexia nervosa, hypothalamus disorders, hypothyroidism, Kidney disease,
Liver disease, polycystic ovary syndrome and other pituitary diseases and tumors.
• Low levels may indicate hypopituitarism but usually doesn’t require treatment.
Following is a suggested approach to Hyperprolactinaemia in females –
Serum Prolactin levels Interpretation Remarks
4.79 to 23.3 ng/ml Normal “Biological Reference Interval "
23.4 to 50 ng/ml Mild prolactin excess Often seen with physiological
conditions like: Physical/emotional
stress Exercise Pregnancy Lactation
This may not be associated with
clinical hyperprolactinaemia & needs
review after a month.""
51 to 75 ng/ml Moderate prolactin excess Often associated with: Clinical
hyperprolactinaemia (short luteal
phase,oligomennorrhea)
Hypothyroidism (often subclinical)
Macroprolactinaemia ""
Above 100 ng/ml Marked prolactin excess Often associated with:
Hyperprolactinaemia- hypogonadism
Amenorrhea Galactorrhoea
Hypothyroidism (often subclinical)
Macroprolactinaemia ""
Above 200 ng/ml Marked prolactin excess Often associated with Pituitary
adenoma requiring further workup High
levels may be repeated with tripooled
sample
Dr. ANISH BHATT
M.D. PATHOLOGY
MMC Reg no. 2014/04/1630
Page 1 of 4
Ms. NIKHAT BURUD Reference: DR.RASHIDA BAPAI VID: 240138501188547
.. Sample Collected At: Registered On:
Mustafa Bapai Dr.
25/02/2025 12:04 PM
70, Mohamedali Road, Mohamedi Manzil,
PID NO: P43824541320895 5th Floor, Ro. No.66/68 . MumbaiZone: C- Collected On:
Age: 32 Year(s) Sex: Female 04a(30) 25/02/2025 12:03PM
Processing Location:-Metropolis Reported On:
Healthcare Ltd,Shree Niketan,8,KN
Marg,Gamdevi.GrantRoad W Mumbai 25/02/2025 01:59 PM
400007
Clinical Utility:
• An adjunct in the evaluation of menstrual irregularities.
• Helps in evaluation of pituitary tumors, amenorrhea, galactorrhea, infertility, and hypogonadism.
• Monitoring therapy of prolactin-producing tumors.
Note:
• Prolactin secretion from pituitary shows significant diurnal, episodic and cyclical variations and thus clinical evaluations may
require determinations in pooled multiple serial samples.
• Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose Biotin
(more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended.
Associated Tests:
• Prolactin (Tripooled Sample) serum (P1009)
References :
• Kit Insert.
• Arch Pathol Lab Med—Vol 141, November 2017.
Dr. ANISH BHATT
M.D. PATHOLOGY
MMC Reg no. 2014/04/1630
Page 2 of 4
Ms. NIKHAT BURUD Reference: DR.RASHIDA BAPAI VID: 240138501188547
.. Sample Collected At: Registered On:
Mustafa Bapai Dr. 25/02/2025 12:04 PM
PID NO: P43824541320895 70, Mohamedali Road, Mohamedi Manzil, Collected On:
5th Floor, Ro. No.66/68 . MumbaiZone: C-
Age: 32 Year(s) Sex: Female 25/02/2025 12:03PM
04a(30)
Processing Location:-Metropolis Reported On:
Healthcare Ltd,Shree Niketan,8,KN 25/02/2025 01:59 PM
Marg,Gamdevi.GrantRoad W Mumbai
400007
Investigation Observed Value Unit Biological Reference Interval
Thyroid Profile - 1
(Serum,Electrochemiluminescence immunoassay (ECLIA))
T3 (Total Triiodothyronine) 101.00 ng/dL 84.6-201.8
First Trimester : 104.8 - 229.8
Second Trimester : 128.9 -
262.3
Third trimesters : 135.4 - 261.7
T4 (Total Thyroxine) 7.24 µg/dL 5.1-14.1
First Trimester : 7.33 - 14.8
Second Trimester : 7.93 - 16.1
Third Trimester : 6.95 - 15.7
TSH (Thyroid Stimulating Hormone) - 0.730 µIU/mL 0.54-5.3
Ultrasensitive, Serum First Trimester : 0.33-4.59
Second Trimester : 0.35-4.10
Third trimester : 0.21-3.15
INTERPRETATION
Dr. Anish Bhatt
M.D. PATHOLOGY
MMC Reg no. 2014/04/1630
Page 3 of 4
Ms. NIKHAT BURUD Reference: DR.RASHIDA BAPAI VID: 240138501188547
.. Sample Collected At: Registered On:
Mustafa Bapai Dr. 25/02/2025 12:04 PM
PID NO: P43824541320895 70, Mohamedali Road, Mohamedi Manzil, Collected On:
5th Floor, Ro. No.66/68 . MumbaiZone: C-
Age: 32 Year(s) Sex: Female 25/02/2025 12:03PM
04a(30)
Processing Location:-Metropolis Reported On:
Healthcare Ltd,Shree Niketan,8,KN 25/02/2025 01:59 PM
Marg,Gamdevi.GrantRoad W Mumbai
400007
TSH T3 / FT3 T4 / FT4 Suggested Interpretation for the Thyroid Function Tests Pattern
Within Range Decreased Within Range • Isolated Low T3-often seen in elderly & associated Non-Thyroidal illness. In
elderly the drop in T3 level can be upto 25%.
Raised Within Range Within Range •Isolated High TSHespecially in the range of 4.7 to 15 mIU/ml is commonly
associated with Physiological & Biological TSH Variability.
•Subclinical Autoimmune Hypothyroidism
•Intermittent T4 therapy for hypothyroidism
•Recovery phase after Non-Thyroidal illness"
Raised Decreased Decreased •Chronic Autoimmune Thyroiditis
•Post thyroidectomy,Post radioiodine
•Hypothyroid phase of transient thyroiditis"
Raised or within Raised Raised or within •Interfering antibodies to thyroid hormones (anti-TPO antibodies)
Range Range •Intermittent T4 therapy or T4 overdose
•Drug interference- Amiodarone, Heparin,Beta blockers,steroids,
anti-epileptics"
Decreased Raised or within Raised or within •Isolated Low TSH -especially in the range of 0.1 to 0.4 often seen in elderly &
Range Range associated with Non-Thyroidal illness
•Subclinical Hyperthyroidism
•Thyroxine ingestion"
Decreased Decreased Decreased •Central Hypothyroidism
•Non-Thyroidal illness
•Recent treatment for Hyperthyroidism (TSH remains suppressed)"
Decreased Raised Raised •Primary Hyperthyroidism (Graves’ disease),Multinodular goitre,
Toxic nodule
•Transient thyroiditis:Postpartum, Silent (lymphocytic), Postviral
(granulomatous,subacute, DeQuervain’s),Gestational
thyrotoxicosis with hyperemesis gravidarum"
Decreased or Raised Within Range •T3 toxicosis
within Range •Non-Thyroidal illness
References: 1. Interpretation of thyroid function tests. Dayan et al. THE LANCET • Vol 357 • February 24, 2001
2. Laboratory Evaluation of Thyroid Function, Indian Thyroid Guidelines, JAPI, January 2011,vol. 59
-- End of Report --
Dr. Anish Bhatt
M.D. PATHOLOGY
MMC Reg no. 2014/04/1630
Page 4 of 4
