AMH Test Price in Pakistan: PKR 4,550 at Marham Lab

An AMH test is a blood test that measures anti Mullerian hormone. In women, this hormone is made by the follicles in the ovaries, the small sacs that hold immature eggs, so the amount in your blood reflects how many eggs you have left.

That supply is called your ovarian reserve. MedlinePlus explains that higher AMH means a larger supply of eggs, that the number falls naturally with age, and that at menopause no eggs remain and AMH drops to zero.

AMH, Anti Mullerian Hormone and the Ovarian Reserve Test: The Same Test

If your slip says AMH, serum AMH, anti Mullerian hormone or ovarian reserve test, it is one test. MedlinePlus also lists Mullerian inhibiting hormone, MIH, Mullerian inhibiting factor and MIS as other names for it, though you are unlikely to see those on a Pakistani lab report.

Doctors usually order it as part of a fertility workup rather than on its own, alongside hormones like FSH, LH, prolactin and estradiol.

What the Test Measures

What Your AMH Result Means

Reference ranges differ by laboratory, by testing method and by your age, so read the range printed on your own report and discuss it with your doctor rather than comparing against a number found online.

What an AMH Test Cannot Tell You

This matters as much as what it can tell you, and it is where the test is most often misread.

• It cannot tell you the quality or health of your eggs, only roughly how many remain
• It cannot predict whether you will be able to get pregnant
• It cannot predict when you will reach menopause, only that your reserve is falling. MedlinePlus notes the average age of menopause is 52
• It cannot diagnose polycystic ovary syndrome on its own. Your doctor has to weigh it with your symptoms, your history and other results

A low result is not a verdict, and a high result is not a guarantee. Both are one input into a conversation with a doctor.

Who Should Get Tested

Ask your doctor about an AMH test if you are having trouble conceiving, if you are planning or undergoing IVF, or if you have symptoms that point to polycystic ovary syndrome. MedlinePlus lists those symptoms as irregular periods or no periods at all, acne, extra hair on the face, chest, stomach or thighs, hair loss on the head, weight gain and dark patches of skin.

It is also used to look into early menopause before 45 or premature menopause before 40, to monitor treatment for certain ovarian cancers, and in women diagnosed with hepatitis C, since studies have shown it can reduce ovarian reserve earlier in life.

How to Prepare

• No fasting is needed. MedlinePlus states that no special preparation is required for an AMH test
• You can give the sample on any day of your menstrual cycle, unlike some other fertility hormones
• Take your regular medicines as normal
• Tell your doctor if you are on hormonal contraception or fertility medicine, since your result is read alongside those
• Bring any earlier fertility reports so your doctor can compare

What Happens During the Test

• A trained phlebotomist draws a small blood sample from a vein in your arm
• The draw takes under a minute
• You may feel a brief sting and see a small bruise afterwards
• You can eat and drink normally before and after
• Your Marham Lab report is ready the same day and reaches you online

Conditions It Can Help Detect

AMH is used mainly in fertility care rather than as a general screening test. It helps a doctor judge ovarian reserve before treatment, choose the right dose of fertility medicine for IVF, look into early or premature menopause, and support a picture that may point to polycystic ovary syndrome.

If your doctor is investigating fertility, AMH rarely travels alone. FSH is PKR 1,540 at Marham Lab, LH is PKR 1,470, prolactin is PKR 1,750 and estradiol is PKR 1,610, and a thyroid panel is often added because thyroid problems affect periods and fertility too.

اردو میں

اے ایم ایچ خون کا وہ ٹیسٹ ہے جس سے اندازہ ہوتا ہے کہ بیضہ دانی میں انڈوں کا ذخیرہ کتنا باقی ہے۔ اسے اووریئن ریزرو ٹیسٹ بھی کہا جاتا ہے۔

یہ ہارمون بیضہ دانی کے ننھے تھیلوں سے بنتا ہے جن میں انڈے ہوتے ہیں۔ عمر بڑھنے کے ساتھ انڈوں کی تعداد کم ہوتی ہے، اس لیے اے ایم ایچ بھی کم ہوتا جاتا ہے۔

ڈاکٹر یہ ٹیسٹ اس وقت تجویز کرتے ہیں جب حمل ٹھہرنے میں مشکل ہو، آئی وی ایف کا منصوبہ ہو، یا پی سی او ایس کی علامات ہوں جیسے ماہواری کا بے قاعدہ ہونا، چہرے اور جسم پر غیر معمولی بال، کیل مہاسے یا وزن کا بڑھنا۔

ایک بات صاف رہنی چاہیے۔ یہ ٹیسٹ انڈوں کی تعداد کا اندازہ دیتا ہے، ان کی کوالٹی کا نہیں، اور یہ نہیں بتا سکتا کہ حمل ٹھہرے گا یا نہیں۔ کم نتیجہ آنے کا مطلب ہرگز یہ نہیں کہ امید ختم ہو گئی۔

اس ٹیسٹ کے لیے فاقہ ضروری نہیں اور ماہواری کے کسی بھی دن نمونہ دیا جا سکتا ہے۔ مرہم لیب میں اس کی قیمت 4,550 روپے ہے، جو 6,500 روپے سے کم ہے۔ لاہور میں نمونہ گھر سے لینے کی سہولت موجود ہے۔

رپورٹ ہمیشہ اپنے ڈاکٹر کو دکھائیں اور خود نتیجہ اخذ نہ کریں۔

Final Thoughts

An AMH result can feel heavier than most lab numbers because of what people believe it says about having children. It says less than that. It estimates how many eggs are left, nothing about their quality, and nothing about whether a pregnancy will happen. Take the report to a gynaecologist or fertility specialist who can read it next to your age, your cycle and the rest of your results, and who can tell you what it actually changes about your options.