TSH Test Price in Pakistan: PKR 1,190 at Marham Lab

A TSH test measures thyroid stimulating hormone in your blood. TSH does not come from your thyroid. It comes from the pituitary gland in your brain, and its job is to tell the thyroid how much hormone to produce. That makes it an unusually sensitive early signal, which is why NIDDK notes that doctors usually check TSH first. At Marham Lab a TSH test costs PKR 1,190 and your report is ready the same day.

TSH and Thyroid Stimulating Hormone: The Same Test

Thyroid stimulating hormone is the full name and TSH is the abbreviation, so a TSH test, a serum TSH and an S. TSH on a Pakistani lab form all mean one blood sample. You may also see it called thyrotropin. There is nothing to choose between these names.

What is worth separating is TSH from a thyroid profile. TSH is a single hormone. A thyroid profile measures TSH together with T3 and T4. They cost different amounts and they answer different questions, which the next sections explain.

What the Test Measures

What High and Low TSH Mean

The direction of the result is counterintuitive, so it is worth stating plainly. TSH moves opposite to your thyroid.

We do not print a numeric normal range on this page, and that is deliberate. No health authority publishes a single agreed TSH range, and every laboratory calibrates its own assay, so the interval printed on your own report is the one that applies to your result. Competitor pages often quote a specific band as if it were universal. Use the range on your report instead.

Why TSH Alone May Not Be Enough

This is the part most people are not told before booking. NIDDK states that if your TSH result is not normal, you will need at least one further test to find the cause of the problem.

TSH tells you that something is off. It does not tell you what. An abnormal TSH is followed by T4, sometimes T3, and sometimes thyroid antibody tests to identify whether the cause is Hashimoto's disease, Graves' disease or something else. If your doctor already suspects a thyroid problem rather than screening for one, booking the full [thyroid profile](/labs/tests/thyroid-test-price) at PKR 2,730 in one visit usually saves a second sample and a second wait.

Book TSH on its own when you are screening, checking a known condition, or following a doctor's instruction to monitor. Book the profile when you are investigating symptoms for the first time.

Who Should Get Tested and When

Thyroid problems develop slowly and the early symptoms are easy to attribute to something else. Consider testing if you have any of these.

• Persistent tiredness that rest does not fix
• Unexplained weight gain or weight loss
• Feeling cold when others do not, or unusual heat intolerance
• Hair thinning, dry skin or brittle nails
• A racing or irregular heartbeat
• Low mood, poor concentration or memory changes
• Irregular or heavy periods, or difficulty conceiving
• Swelling or a lump in the front of your neck
• You are pregnant or planning a pregnancy and your doctor has asked for it
• You are on thyroid medicine and due for a monitoring check

How to Prepare

No fasting is needed for a TSH test and you can eat and drink normally. If TSH is being drawn alongside a test that does require fasting, such as a lipid profile, follow the rule for that test and both samples can be taken in one visit.

Tell your doctor and the phlebotomist about any thyroid medicine you take and when you last took it, and mention pregnancy, oral contraceptives or corticosteroids. NIDDK notes that pregnancy and oral contraceptives raise thyroid hormone levels while severe illness and corticosteroids can lower T4, which changes how the whole picture should be read.

What Happens During the Test

A trained phlebotomist draws a small blood sample from a vein in your arm using a fine needle. It takes under five minutes. A brief sting and slight bruising afterwards are normal. In Lahore you can have the sample collected at home rather than travelling to a collection point.

Conditions It Can Help Detect

TSH is the entry point for diagnosing hypothyroidism, where hormone levels are too low, and hyperthyroidism, where they are too high. NIDDK identifies Hashimoto's disease as the most common cause of hypothyroidism and Graves' disease as the most common cause of hyperthyroidism, both of which are autoimmune conditions confirmed with antibody testing rather than TSH alone.

What a TSH test cannot do is examine the thyroid gland itself. Lumps and nodules in the neck are assessed with ultrasound, and sometimes a scan or a needle biopsy, not with a blood test. If you can feel a swelling in the front of your neck, tell your doctor rather than relying on a normal TSH to rule it out.

اردو میں

ٹی ایس ایچ ٹیسٹ خون میں تھائیرائیڈ اسٹیمولیٹنگ ہارمون کی مقدار معلوم کرتا ہے۔ یہ ہارمون تھائیرائیڈ سے نہیں بلکہ دماغ میں موجود پٹیوٹری غدود سے نکلتا ہے اور تھائیرائیڈ کو بتاتا ہے کہ کتنا کام کرنا ہے۔ اسی لیے ڈاکٹر سب سے پہلے یہی ٹیسٹ کرواتے ہیں۔

اس کا نتیجہ الٹا ہوتا ہے، اور یہ بات سمجھنا ضروری ہے۔ اگر ٹی ایس ایچ زیادہ آئے تو عام طور پر اس کا مطلب ہے کہ تھائیرائیڈ سست ہے اور کم ہارمون بنا رہا ہے۔ اگر ٹی ایس ایچ کم آئے تو اس کا مطلب ہے کہ تھائیرائیڈ ضرورت سے زیادہ کام کر رہا ہے۔

ایک اہم بات یہ ہے کہ ٹی ایس ایچ صرف یہ بتاتا ہے کہ کچھ گڑبڑ ہے، یہ نہیں بتاتا کہ وجہ کیا ہے۔ اگر رپورٹ نارمل نہ ہو تو ڈاکٹر مزید ٹیسٹ کرواتے ہیں، جیسے ٹی فور یا ٹی تھری۔ اس لیے اگر علامات پہلی بار محسوس ہو رہی ہوں تو پورا تھائیرائیڈ پروفائل کروانا زیادہ بہتر رہتا ہے۔

اس ٹیسٹ کے لیے بھوکا رہنے کی ضرورت نہیں۔ بازو کی رگ سے خون کا نمونہ لیا جاتا ہے۔ مرہم لیب میں قیمت گیارہ سو نوے روپے ہے اور رپورٹ اسی دن مل جاتی ہے۔ لاہور میں گھر سے نمونہ لینے کی سہولت بھی موجود ہے۔ رپورٹ ہمیشہ ڈاکٹر کو دکھائیں۔

Final Thoughts

TSH is the right first test and the wrong last test. It is sensitive, cheap and quick, and it will tell you whether your thyroid is working harder or less hard than it should. It will not tell you why, and one out of range value on its own diagnoses nothing. Book it for screening or monitoring, book the full profile when you are investigating symptoms, and take either result to a doctor who can read it against how you actually feel.