Feel Sharp · Women’s health
Irregular Periods Check
Is your period late again?
Is your period late again? Has it come twice in one month? Or is the bleeding so heavy that you plan your day around it?
When your cycle changes, it can be hard to know whether to wait or get it checked. This package looks at your thyroid, blood and iron levels, vitamin D, and two hormones linked to your cycle. An online consultation with a Marham gynaecologist is included. The doctor reviews your results along with your period dates and symptoms, then tells you if you need any further checks.
These blood tests cannot explain every change in your period or diagnose PCOS on their own. If your period is late and pregnancy is possible, take a pregnancy test first; it is not included in this package.
Get a clearer idea of what to do next. Feel sharp. Stay sharp.
کیا پیریڈ دوبارہ لیٹ ہو گیا ہے؟ ایک ہی مہینے میں دو بار آیا ہے؟ یا بلیڈنگ اتنی زیادہ ہوتی ہے کہ دن کے کام اس کے حساب سے پلان کرنے پڑتے ہیں؟
جب سائیکل بدل جائے تو سمجھ نہیں آتا کہ انتظار کریں یا چیک کروائیں۔ اس پیکج میں تھائیرائیڈ، خون اور آئرن، وٹامن ڈی اور سائیکل سے متعلق دو ہارمونز دیکھے جاتے ہیں۔ مرہم کی گائناکالوجسٹ آن لائن آپ کی رپورٹ اور پیریڈز کی تاریخیں دیکھ کر بتاتی ہیں کہ آگے کسی اور چیک کی ضرورت ہے یا نہیں۔
اگر پیریڈ لیٹ ہے اور حمل کا امکان ہے تو پہلے حمل کا ٹیسٹ کریں؛ وہ اس پیکج میں شامل نہیں۔
Updated 28 September 2026
What’s tested, and why
25-OH Vitamin - D3
Hb (Hemoglobin)
About this testSerum Ferritin
About this test
Gynaecologist consultation, included — Online Video Consultation
Our team calls to arrange it once your reports are ready.
Six tests from one blood sample, plus the Gynaecologist who reads them together.
- TSH (Thyroid Stimulating Hormone): the first test of thyroid function and the single most useful one on this list. An underactive thyroid can make periods heavier, longer or more frequent and can eventually stop them; an overactive one usually makes them lighter or makes them disappear. It is treatable, and treating it often settles the cycle by itself.
- Hb (Haemoglobin): whether heavy or frequent bleeding has left you anaemic. This is very often the real reason behind breathlessness on stairs and the tiredness that gets written off as weakness.
- Serum Ferritin: your iron stores. Ferritin falls months before haemoglobin does, so a normal Hb sitting next to a low ferritin is a common and important result: the iron is running out and the anaemia simply has not arrived yet.
- 25-OH Vitamin D3: deficiency affects roughly four in five women of reproductive age in Pakistan and is a frequent contributor to the fatigue, low mood and body aches that turn up alongside cycle problems.
- LH (Luteinising Hormone) and FSH (Follicle Stimulating Hormone): the two pituitary hormones that drive ovulation. Read together, and against the day of your cycle, they show whether the ovaries are being signalled properly. They point towards the group of conditions that includes PCOS, and a high FSH points somewhere different again, towards ovaries that are running out of reserve earlier than expected.
- Gynaecologist consultation, included: a Marham Gynaecologist reads all six against your cycle history and tells you the likely cause and what to do next. This consultation is online only, which for most women is the point, since you can take it from home. It is part of the package, not an add on.
What this package cannot do. It cannot confirm PCOS on its own. That diagnosis needs your symptoms and usually an ultrasound as well, and your doctor will arrange those if they are warranted. There is no pregnancy test, no ultrasound and no internal examination anywhere in this package.
If something needs following up, your doctor orders only what is needed, charged separately: prolactin, testosterone, a fasting insulin or HbA1c, a full blood count if the anaemia needs typing, or a pelvic ultrasound.
Feel Sharp. Stay Sharp.
The doctor tells you which result explains how you feel, what to take, and when to test again so you know the treatment has worked.
If everything is normal, that is useful too: it rules out the commonest causes and moves the conversation to the next question, such as sleep, blood sugar or mood.
Not just a report. An answer.
Before your test
- Timing is critical. LH and FSH should be taken on day 2, 3, 4 or 5 of your cycle, counting the first day of proper bleeding as day 1. Taken at another point they are still a real measurement, but there is no reference range to read them against and the report becomes far harder to interpret. Book your sample for those days.
- If your periods have stopped altogether, do not wait for one in order to test. Say so when you book, give the sample whenever suits you, and your doctor will read the result knowing there was no cycle to time it to.
- Rule out pregnancy first. A missed period is far more often a pregnancy than a hormone problem. A home urine pregnancy test costs very little and should come before this package if there is any possibility at all.
- Fasting is not required. Eat and drink normally before the sample.
- Skip iron tablets and iron rich supplements for 24 hours before the sample. A dose taken that morning can lift the ferritin reading and hide a deficiency that is really there.
- Tell the doctor about every hormone tablet you take or have recently taken, including contraceptive pills and anything the pharmacy gave you to bring on or delay a period. They change LH, FSH and the whole shape of the report, and how recently you took them matters.
- Ferritin also rises during any infection or fever, so postpone the sample if you are unwell. A result taken during illness can look normal while your stores are actually low.
- Have your dates ready for the consultation: when the last period started, how long your cycles usually run, how many days you bleed and whether you pass clots. These matter as much as the numbers do.
- Not for under 18s. For a daughter under 18 with the same problem, book a consultation first rather than a panel, because the reference ranges and the likely reasons are different in teenagers.
- Bleeding that soaks a pad an hour, bleeding with severe pain or dizziness, or any bleeding after menopause is not something to test and wait on. Get seen the same day.
Questions people ask
پیریڈز لانے یا روکنے والی گولی کھا لینے سے مسئلہ حل ہو جاتا ہے؟
کیا ان ٹیسٹوں سے پتہ چل جائے گا کہ مجھے PCOS ہے؟
پوری طرح نہیں۔ PCOS کی تشخیص صرف خون کے ٹیسٹ سے نہیں ہوتی۔ اس کے لیے تین باتوں میں سے کم از کم دو کا ہونا ضروری ہے: پیریڈز کا بے قاعدہ ہونا، مردانہ ہارمون کی زیادتی کی علامات جیسے چہرے پر بال یا کیل مہاسے، اور الٹراساؤنڈ میں بیضہ دانی کی مخصوص حالت۔ LH اور FSH کا تناسب بہت سی متاثرہ خواتین میں بدلا ہوا ملتا ہے، مگر یہ اکیلا ثبوت نہیں اور کئی خواتین میں بالکل نارمل بھی آتا ہے۔ اس چیک اپ کا اصل فائدہ یہ ہے کہ تھائیرائیڈ، خون کی کمی اور وٹامن ڈی جیسی قابلِ علاج وجوہات پہلے واضح ہو جاتی ہیں، اور گائناکالوجسٹ سے بات کر کے معلوم ہو جاتا ہے کہ آگے الٹراساؤنڈ یا مزید ٹیسٹ کی ضرورت ہے یا نہیں۔ مزید پڑھیں: PCOS
I am not married. Can I still have these tests done?
Can a thyroid problem really stop my periods?
Yes, and it is one of the more common reasons. The thyroid sets the pace of the body's metabolism, and the hormones that run the menstrual cycle are sensitive to it. An underactive thyroid typically makes periods heavier, longer or more frequent and can eventually stop them; an overactive one usually makes them lighter or makes them disappear. What makes it easy to miss is that the other symptoms all have innocent explanations: tiredness, weight that moves without a change in diet, feeling cold, hair fall, low mood. TSH is a single blood test, which is why it sits first in this package. Where it is abnormal, treatment is usually one tablet a day and the cycle generally settles once the level is corrected. More on thyroid conditions.
Can I just book a TSH on its own for less?
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