Anti TPO Test Price in Pakistan: Rs 1,190 at Marham Lab

A thyroid antibody test measures the level of thyroid antibodies in your blood to check for autoimmune thyroid disease. MedlinePlus explains that antibodies are proteins your immune system makes to fight germs, and that sometimes they attack your own healthy tissue by mistake. Those are called autoantibodies. At Marham Lab an anti TPO test costs Rs 1,190, reduced from Rs 1,700.

This Test Comes Second, Not First

Knowing the order saves money, so it belongs at the top.

MedlinePlus states that your provider may use thyroid antibody tests if other tests have shown that you have hypothyroidism or hyperthyroidism. Those first tests look for T3, T4 and TSH. If any of them come back too high or too low, the antibody test is then used to see whether an autoimmune disease is causing the problem.

So the sequence is: [TSH](/labs/tests/tsh-test-price) or a [thyroid panel](/labs/tests/thyroid-test-price) first, antibodies afterwards. Anti TPO answers why your thyroid is misbehaving rather than whether it is.

The Two Diseases This Test Is Looking For

MedlinePlus explains that thyroid antibodies affect your thyroid's ability to make healthy amounts of thyroid hormone, and names the two conditions that result.

Which Antibody Test Points Where

MedlinePlus describes four antibodies, each targeting a different protein involved in making thyroid hormone. Two of them are available on Marham.

MedlinePlus notes your provider decides which tests to use based on your symptoms, the results of other tests, and your medical and family history. Anti TPO is the one most commonly written on prescriptions here.

If You Are Pregnant, Test Early

This is the most important practical section on the page.

MedlinePlus states that if you are pregnant, thyroid disease can harm both you and your fetus, so it is important to get tested as soon as you know you are pregnant. That way, if you do have thyroid disease, it can be treated as soon as possible.

It adds a reassurance that matters, because fear of medicines in pregnancy is common: medicines to treat thyroid disease are safe to take during pregnancy.

MedlinePlus lists being pregnant with thyroid disease or symptoms of thyroid disease among the reasons for antibody testing. If you are pregnant and have ever had an abnormal thyroid result, raise it at your first antenatal visit rather than waiting.

Who Is at Higher Risk

MedlinePlus lists the factors that raise your risk of autoimmune thyroid disease.

• Being female
• Being over the age of 50
• A family history of thyroid disease such as Graves' or Hashimoto's disease
• Having other autoimmune conditions
• Having had thyroid surgery
• Having had radiation treatment to your neck
• Using medicines with a lot of iodine in them

Being female is first on that list, and autoimmune thyroid disease is strikingly common among women in Pakistan. A family history in a mother or sister is worth mentioning to your doctor.

Symptoms That Lead Here

MedlinePlus separates them by disease, and the two lists are near opposites.

Hashimoto's disease, the underactive side: weight gain, fatigue, hair loss, low tolerance for cold temperatures, irregular menstrual periods, constipation, depression, and joint pain.

Graves' disease, the overactive side: weight loss, bulging of the eyes, tremors in the hand, low tolerance for heat, trouble sleeping, anxiety, increased heart rate, and a swollen thyroid known as goitre.

Hair loss with weight gain, feeling cold and irregular periods is the Hashimoto's picture that brings many women to this test. Anxiety with weight loss, tremor and heat intolerance is the Graves' picture.

Reading Your Result

MedlinePlus gives three possible outcomes.

Negative, meaning no thyroid antibodies were found. Your thyroid symptoms are probably not caused by an autoimmune disease.

Positive for TPOAb or TgAb. This may mean you have Hashimoto's disease. MedlinePlus notes most people with Hashimoto's have high levels of one or both of these antibodies.

Positive for TPOAb, TSI or TRAb. This may mean you have Graves' disease or Hashimoto's disease.

MedlinePlus adds that the more thyroid antibodies you have, the more likely it is that you have an autoimmune thyroid disorder. It closes on an encouraging note: if you are diagnosed with Hashimoto's or Graves' disease, there are medicines you can take to manage your condition.

A positive anti TPO is therefore not a frightening result. It is an explanation, and an explanation with a treatment attached.

Another Use Worth Knowing

MedlinePlus notes thyroid antibody testing may also be used if you have had thyroid cancer treatment and your provider wants to see whether the cancer comes back. If that applies to you, the testing schedule is set by the specialist managing your care.

How to Prepare

MedlinePlus states there are no special preparations necessary for a thyroid antibodies blood test. No fasting is required.

Bring your previous thyroid reports. Since this test is read against your TSH, T3 and T4 results, the earlier numbers are what give the antibody result its meaning. Mention any family history of thyroid disease, any other autoimmune condition, and any iodine containing medicine you take.

What Happens During the Test

A trained phlebotomist takes a small blood sample from a vein in your arm using a small needle. MedlinePlus notes it usually takes less than five minutes and that you may feel a little sting as the needle goes in or out. There is very little risk beyond slight pain or bruising, which settles quickly. In Lahore the sample can be collected at your home at no extra cost. The report is ready the next day.

اردو میں

اینٹی ٹی پی او ٹیسٹ خون میں تھائیرائیڈ کے خلاف بننے والی اینٹی باڈیز معلوم کرتا ہے۔ عام طور پر اینٹی باڈیز جراثیم سے لڑتی ہیں، لیکن بعض اوقات یہ غلطی سے جسم کے اپنے اعضا پر حملہ کر دیتی ہیں۔ تھائیرائیڈ کی صورت میں یہی خودکار مدافعتی بیماری کا سبب بنتی ہیں۔

ایک ضروری بات ترتیب کے بارے میں۔ یہ ٹیسٹ پہلے نہیں کروایا جاتا۔ پہلے ٹی ایس ایچ، ٹی تھری اور ٹی فور دیکھے جاتے ہیں۔ اگر ان میں سے کوئی کم یا زیادہ آئے تو پھر اینٹی باڈی ٹیسٹ سے یہ معلوم کیا جاتا ہے کہ وجہ خودکار مدافعتی بیماری ہے یا نہیں۔ یعنی یہ ٹیسٹ بتاتا ہے کہ تھائیرائیڈ خراب کیوں ہے۔

دو بیماریاں اس ٹیسٹ سے جڑی ہیں۔ ہاشی موٹو بیماری، جو تھائیرائیڈ کے کم کام کرنے کی سب سے عام وجہ ہے، اور گریوز بیماری، جو زیادہ کام کرنے کی سب سے عام وجہ ہے۔

ہاشی موٹو کی علامات میں وزن بڑھنا، تھکن، بال گرنا، سردی برداشت نہ ہونا، ماہواری بے قاعدہ ہونا، قبض، ذہنی دباؤ اور جوڑوں کا درد شامل ہیں۔ گریوز کی علامات تقریباً اس کے الٹ ہیں، جیسے وزن کم ہونا، آنکھیں ابھرنا، ہاتھ کانپنا، گرمی برداشت نہ ہونا، نیند نہ آنا، بے چینی، دل کی دھڑکن تیز ہونا، اور گلے میں سوجن۔

حاملہ خواتین کے لیے سب سے اہم بات۔ عالمی طبی معلومات کے مطابق حمل میں تھائیرائیڈ کی بیماری ماں اور بچے دونوں کے لیے نقصان دہ ہو سکتی ہے، اس لیے حمل کا علم ہوتے ہی ٹیسٹ کروانا ضروری ہے۔ اور یہ بات یاد رکھیں کہ تھائیرائیڈ کی دوائیں حمل کے دوران لینا محفوظ ہے۔

رپورٹ پازیٹو آنے سے گھبرائیں نہیں۔ اس کا مطلب صرف یہ ہے کہ وجہ معلوم ہو گئی ہے، اور ہاشی موٹو اور گریوز دونوں کا علاج دواؤں سے ممکن ہے۔ ٹیسٹ سے پہلے بھوکا رہنے کی ضرورت نہیں۔ اپنی پرانی تھائیرائیڈ رپورٹیں ساتھ لے جائیں۔ مرہم لیب میں اس ٹیسٹ کی قیمت گیارہ سو نوے روپے ہے اور لاہور میں گھر سے نمونہ لینے کی سہولت مفت ہے۔

Final Thoughts

Anti TPO is the test that turns an abnormal thyroid number into a named condition. It belongs after TSH and the thyroid panel rather than before them, it is most often positive in Hashimoto's disease, and a positive result comes with treatment rather than without it. If you are pregnant, or planning to be, the timing matters more than anything else on this page: test early, because MedlinePlus is clear that thyroid disease in pregnancy can affect both mother and baby and that the medicines used to treat it are safe.