TPHA Test Price in Pakistan: PKR 1,260 at Marham Lab
Also called
TPHA testSyphilis testSyphilis antibody testTreponema pallidum testTPPAA TPHA test costs PKR 1,260 at Marham Lab, down from PKR 1,800. It is a blood test that looks for antibodies made only against the bacterium that causes syphilis, so doctors use it to confirm a positive VDRL result. No fasting is needed. Home sample collection is available in Lahore.
Labs offering the TPHA (Treponema pallidum Haemagglutination) test
| Lab | Price | Book |
|---|---|---|
Marham LabOur lab TPHA Home sample · Lahore | Rs. 1,260 Rs. 1,800 | |
Serum Treponema pallidum Antibodies(Syphilis) Home sample | Rs. 1,440 Rs. 1,800 |
How booking works
1. Tap Book
TPHA (Treponema pallidum Haemagglutination) is added to your booking for you.
2. Pick a time
Give your address in Lahore and choose a collection day and time.
3. Sample at home
A phlebotomist comes to your address and takes the sample.
4. Get your report
Your report is ready in the time shown above, and you can see it in your Marham account.
What is the TPHA (Treponema pallidum Haemagglutination) test?
TPHA, TPPA and Syphilis Antibody Test: The Same Idea
TPHA stands for Treponema pallidum haemagglutination assay. TPPA and MHA TP are close versions of the same test, and your report may use any of these names. MedlinePlus lists TPHA and TP PA among the names for syphilis blood tests (MedlinePlus). All of them answer the same question: has your body ever made antibodies against the syphilis bacterium?
What the Test Measures
| Test | What it looks for | Main use |
|---|---|---|
| VDRL or RPR | General antibodies that can rise with syphilis and with some other conditions | First screening test |
| TPHA or TPPA | Antibodies made only against the syphilis bacterium | Confirming a positive screen |
Syphilis testing is usually done in two steps. A screening test such as VDRL comes first. If it is positive, a confirmation test such as TPHA follows, because screening tests can also react to antibodies from some autoimmune diseases and other infections (MedlinePlus). The CDC says a presumptive diagnosis of syphilis needs two laboratory blood tests (CDC).
What Your Result Means
| VDRL | TPHA | What it usually points to |
|---|---|---|
| Positive | Positive | Syphilis, either current or treated in the past |
| Negative | Positive | A past treated infection, very early infection, or late infection. A doctor needs to decide |
| Positive | Negative | Often a false positive screening result |
| Negative | Negative | Syphilis is unlikely, unless the exposure was very recent |
The TPHA result is reported as reactive (positive) or non reactive (negative). A negative result soon after exposure does not fully rule syphilis out, because antibodies can take a couple of weeks to appear, and MedlinePlus advises a repeat test after a recent exposure (MedlinePlus).
These patterns are a guide, not a diagnosis. Show your report to a doctor, who will read it alongside your history and any symptoms.
Why TPHA Stays Positive After Treatment
This is the point most often misunderstood. The CDC notes that most people who have a reactive treponemal test, such as TPHA, stay reactive for the rest of their lives, even after full treatment (CDC). A positive TPHA years after treatment does not mean the infection has come back.
To check whether treatment worked, doctors use the VDRL or RPR level instead, because it tends to fall after successful treatment (CDC).
Who Should Get Tested and When
- You have a sore, rash or other symptom your doctor thinks could be syphilis
- A sexual partner has been diagnosed with syphilis
- Your VDRL or RPR screening test came back positive
- You are pregnant. The CDC recommends syphilis testing at the first antenatal visit (MedlinePlus)
- You have another sexually transmitted infection, or you are being screened before surgery, a procedure or marriage
Syphilis can cause no symptoms for long periods, which is why testing is based on risk rather than on how you feel.
How to Prepare
No fasting or special preparation is needed for a syphilis blood test (MedlinePlus). Eat and drink as usual. Tell your doctor if you have been treated for syphilis before, because it changes how the result is read.
What Happens During the Test
Conditions It Can Help Confirm
TPHA is used to confirm syphilis, including in pregnancy, where untreated infection can pass to the baby. Doctors often order it alongside other infection tests such as an HIV test, a hepatitis B test and a hepatitis C test, because the same risks apply. Syphilis is treatable, usually with penicillin (MedlinePlus). You can read more about the condition on our syphilis page.
Final Thoughts
Common questions
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