Progesterone Test Price in Pakistan: Rs 1,610 at Marham Lab

Progesterone is a hormone made mainly by the ovaries. MedlinePlus explains that each month it prepares your uterus for pregnancy: in the first half of a normal menstrual cycle estrogen thickens the lining of the uterus, then in the second half an ovary releases an egg and progesterone levels begin to rise, getting the lining ready for a fertilised egg to attach and grow. At Marham Lab a progesterone test costs Rs 1,610, reduced from Rs 2,300.

The Day of Your Cycle Decides What the Number Means

This is the most important thing on the page, and it is why a progesterone result read without a date is almost meaningless.

Progesterone is low in the first half of the cycle and rises only after ovulation. MedlinePlus states plainly that the meaning of your result depends on why you were tested, where you were in your menstrual cycle when your blood sample was taken, and whether or not you are pregnant.

So the same figure can be entirely normal or clearly abnormal depending on the day it was drawn. If your doctor asked for the sample on a specific day, keep to it. Note the first day of your last period before you go, because MedlinePlus says you may need to know it.

MedlinePlus adds that because levels change throughout your cycle and your pregnancy, you may need to be tested several times.

What It Is Used For

MedlinePlus says a progesterone test can help show whether low progesterone is causing female infertility, meaning problems getting pregnant after a year of trying, or problems during pregnancy. It lists the other uses.

• Checking whether fertility treatments are working
• Finding your risk of a miscarriage, the loss of a pregnancy before 20 weeks
• Diagnosing an ectopic pregnancy
• Checking the health of you and your fetus during a high risk pregnancy
• Diagnosing ovarian cancer or problems with the adrenal glands
• Diagnosing the cause of abnormal uterine bleeding

The commonest reason it is ordered here is the first one on MedlinePlus's list of reasons you may need it: trouble getting pregnant. It notes a progesterone test can help your provider see whether your ovaries are releasing eggs normally. That is the question the test answers best.

Cramps or Bleeding in Early Pregnancy Need a Doctor, Not a Lab Booking

Read this part if you are pregnant and something feels wrong.

MedlinePlus describes an ectopic pregnancy as a fertilised egg that tries to grow outside the uterus, states that the egg cannot grow into a fetus when it is in the wrong place, and that it must be removed to avoid damage to your organs. It adds that this can be a medical emergency.

MedlinePlus lists cramps or bleeding as signs of a miscarriage or ectopic pregnancy. If you have those symptoms, contact your doctor or go to hospital rather than waiting on a test result. Progesterone is one of the tests used in that assessment, alongside [beta hCG](/labs/tests/beta-hcg-test-price) and an ultrasound, and it is ordered by the doctor managing you.

Reading Your Result

MedlinePlus separates the findings by pregnancy status.

High progesterone when you are not pregnant may be linked to a cyst on your ovaries, ovarian cancer, or adrenal gland problems including adrenal gland cancer or an inherited disorder called congenital adrenal hyperplasia (CAH). MedlinePlus notes high levels may also be a sign of a molar pregnancy, an abnormal growth of tissue in the uterus that must be removed.

Higher than expected progesterone when you are pregnant may mean you are carrying two or more babies.

Low progesterone when you are not pregnant may be linked to the following.

Low progesterone when you are pregnant may be linked to ectopic pregnancy, miscarriage or a high risk of miscarriage, or pre-eclampsia.

The stress link is worth pausing on, because it is real and often dismissed. If it applies to you, your doctor may also look at [cortisol](/labs/tests/cortisol-test-price).

Symptoms That Prompt the Test

MedlinePlus lists the signs of low progesterone as irregular menstrual periods, hot flushes and trouble sleeping, and the signs of high progesterone as vaginal dryness and bloating.

It also says you may need the test if you are having abnormal bleeding when you are not pregnant, are having fertility treatments, or are pregnant and either receiving progesterone therapy to prevent miscarriage or being monitored because of a higher risk of complications.

What Progesterone Does in Pregnancy

Worth knowing if you have been prescribed progesterone and wondered why.

MedlinePlus explains that if you become pregnant, progesterone levels continue to rise to support the pregnancy. High levels cause cells in the uterine lining to produce proteins necessary for the attachment of a fertilised egg, cause the creation of white blood cells that keep your immune system from attacking the fertilised egg, prevent the uterus from contracting and causing pre-term labour, and play a role in the development of the placenta.

It adds that once the placenta is fully formed, it makes much of the progesterone needed for a healthy pregnancy.

How to Prepare

MedlinePlus states you usually do not need any special preparation for a progesterone test. No fasting is required.

Two things to bring. The first day of your last menstrual period, since MedlinePlus notes you may need to know it. And a list of your medicines, because your provider will tell you whether any need stopping. Never stop a medicine unless your provider tells you to.

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.

اردو میں

پروجیسٹیرون ایک ہارمون ہے جو زیادہ تر بیضہ دانیوں میں بنتا ہے۔ ماہواری کے پہلے حصے میں ایسٹروجن بچہ دانی کی جھلی موٹی کرتا ہے، اور دوسرے حصے میں انڈہ خارج ہونے کے بعد پروجیسٹیرون بڑھنے لگتا ہے اور جھلی کو حمل کے لیے تیار کرتا ہے۔

سب سے اہم بات یہ ہے۔ اس ٹیسٹ کا نتیجہ اس بات پر منحصر ہے کہ نمونہ ماہواری کے کس دن لیا گیا۔ پہلے حصے میں یہ ہارمون کم ہوتا ہے اور انڈہ خارج ہونے کے بعد بڑھتا ہے۔ اسی لیے ایک ہی عدد کسی دن بالکل نارمل اور کسی دن غیر معمولی ہو سکتا ہے۔ اگر ڈاکٹر نے کسی مخصوص دن ٹیسٹ کا کہا ہے تو اسی دن کروائیں، اور آخری ماہواری کی پہلی تاریخ ضرور یاد رکھیں۔

یہ ٹیسٹ عام طور پر اس لیے کروایا جاتا ہے کہ معلوم ہو سکے بیضہ دانی سے انڈہ بن رہا ہے یا نہیں۔ اس کے علاوہ یہ حمل میں مسائل، اسقاط حمل کے خطرے، اور بچہ دانی سے غیر معمولی خون آنے کی وجہ جاننے کے لیے بھی استعمال ہوتا ہے۔

ایک بہت ضروری بات۔ اگر حمل کے دوران پیٹ میں مروڑ یا خون آنا شروع ہو جائے تو ٹیسٹ کا انتظار نہ کریں، فوراً ڈاکٹر سے رابطہ کریں یا ہسپتال جائیں۔ یہ اسقاط حمل یا حمل کے بچہ دانی سے باہر ٹھہر جانے کی علامت ہو سکتی ہے، جو ایک ہنگامی حالت ہے۔

پروجیسٹیرون کم ہونے کی وجوہات میں انڈہ نہ بننا، ماہواری بند ہونا، پی سی او ایس، شدید ذہنی دباؤ، اور مینوپاز سے پہلے کا عرصہ شامل ہیں۔ ذہنی دباؤ کا تعلق حقیقی ہے، کیونکہ زیادہ کورٹیسول جسم کی پروجیسٹیرون بنانے کی صلاحیت پر اثر ڈالتا ہے۔

ٹیسٹ سے پہلے بھوکا رہنے کی ضرورت نہیں۔ مرہم لیب میں اس ٹیسٹ کی قیمت سولہ سو دس روپے ہے اور لاہور میں گھر سے نمونہ لینے کی سہولت مفت ہے۔

Final Thoughts

Progesterone is the test that tells your doctor whether you are actually ovulating, and it is the test most often spoiled by timing. Draw it on the day you were asked to, bring the date of your last period, and expect to repeat it, because MedlinePlus is clear that levels move through the cycle and through pregnancy. If you are pregnant and have cramps or bleeding, that is a reason to see a doctor today rather than to book a test.