Thyroid Test Price in Pakistan 2026 — TSH, T3, T4 (Lahore, Karachi, Islamabad)

Thyroid test (TSH) price in Pakistan starts from Rs. 700. A full thyroid panel (TSH + Free T3 + Free T4) costs Rs. 1,800–3,500 depending on the lab. Chughtai Lab charges Rs. 800 for TSH alone. This guide covers all thyroid test prices in Lahore, Karachi, and Islamabad — plus what TSH, T3, and T4 results actually mean.

Thyroid Test Prices in Pakistan 2026 — TSH, T3, T4 and Full Panel

Thyroid testing in Pakistan can mean anything from a single TSH screen to a comprehensive panel including TSH, Free T3, Free T4, Anti-TPO antibodies, and Anti-thyroglobulin. Prices vary widely depending on how many markers are included.

Individual Thyroid Test Prices in Lahore

Full Thyroid Panel Price Comparison

Most doctors dealing with thyroid symptoms order a combined panel. Here is the total cost of the most common thyroid panel combinations:

Prices verified May 2026. Confirm with lab before booking — panels are sometimes available at a discount compared to individual tests.

TSH, T3, T4 — Which Thyroid Test Do You Actually Need?

This is one of the most commonly misunderstood areas of diagnostic testing in Pakistan. Here is a plain-language breakdown of what each test measures and when your doctor will order it.

TSH — The First Test Ordered

TSH (Thyroid Stimulating Hormone) is produced by the pituitary gland in the brain — not the thyroid itself. Its job is to signal the thyroid to produce more or less hormone. TSH is the single most sensitive indicator of thyroid status:

• High TSH means the pituitary is shouting at the thyroid to produce more — usually because the thyroid is underperforming (hypothyroidism)
• Low TSH means the pituitary has backed off because there is already too much thyroid hormone in the blood (hyperthyroidism)

TSH alone is sufficient for initial screening and most monitoring of treated thyroid disease. If TSH is normal, no further testing is usually needed.

Free T3 and Free T4 — Ordered When TSH Is Abnormal

T4 (thyroxine) and T3 (triiodothyronine) are the actual hormones the thyroid produces. "Free" T3 and T4 refers to the portion not bound to carrier proteins — the biologically active fraction.

• Your doctor adds FT3 and FT4 to assess the severity of a TSH abnormality
• FT4 helps distinguish primary hypothyroidism (thyroid problem) from secondary hypothyroidism (pituitary problem)
• FT3 is especially useful in hyperthyroidism and when monitoring patients on T3 replacement therapy

Anti-TPO — The Autoimmune Test

Anti-TPO (anti-thyroid peroxidase) antibodies indicate whether the immune system is attacking the thyroid. This is the marker for Hashimoto's thyroiditis — the most common cause of hypothyroidism in Pakistan, especially in women of reproductive age. Anti-TPO is ordered when TSH is high and your doctor wants to confirm the cause.

Thyroid Normal Ranges Used in Pakistan

When Should You Get a Thyroid Test in Pakistan?

Thyroid dysfunction is extremely common in Pakistan — especially among women. Hashimoto's hypothyroidism and iodine-deficiency hypothyroidism affect millions. The symptoms are insidious and frequently attributed to other causes:

Symptoms of Hypothyroidism (underactive thyroid — high TSH)

• Unexplained fatigue and sluggishness that sleep does not resolve
• Weight gain despite no change in diet or activity
• Feeling cold when others are not
• Hair loss and thinning — including loss of the outer third of the eyebrow
• Dry skin and brittle nails
• Constipation
• Depression, slow thinking, memory problems ("brain fog")
• Irregular or heavy menstrual periods
• Muscle aches and stiffness
• A swollen neck (goitre) in some cases

Symptoms of Hyperthyroidism (overactive thyroid — low TSH)

• Unexplained weight loss despite eating normally
• Rapid heartbeat or palpitations
• Nervousness, anxiety, and irritability
• Tremor in the hands
• Increased sweating and heat sensitivity
• Frequent bowel movements
• Difficulty sleeping despite being tired
• Bulging eyes (in Graves' disease specifically)

Hypothyroidism vs Hyperthyroidism: How the Lab Results Differ

Frequently Asked Questions — Thyroid Test Pakistan

Is fasting required for thyroid test (TSH, T3, T4)?

Fasting is not required for TSH, Free T3, or Free T4 testing. However, many doctors recommend morning testing (before 10 AM) because TSH has a natural diurnal variation — it is slightly higher in the morning. For the most consistent results, test at the same time of day on each occasion.

What is the price of TSH test at Chughtai Lab?

Chughtai Lab charges Rs. 800 for TSH test in Lahore as of May 2026. A combined panel of TSH + Free T3 + Free T4 costs approximately Rs. 2,200. Home collection is available for an additional Rs. 200.

What is TSH normal range in Pakistan?

The normal TSH range in Pakistan (same as international standard) is 0.4 to 4.0 mIU/L for non-pregnant adults. A TSH above 4.0 indicates possible hypothyroidism (underactive thyroid). A TSH below 0.4 indicates possible hyperthyroidism (overactive thyroid). Pregnant women have different ranges — see the table above.

What is thyroid test called in Urdu?

Thyroid test is called تھائرائیڈ ٹیسٹ in Urdu. TSH is written as TSH or تھائرائیڈ اسٹیمولیٹنگ ہارمون. In Roman Urdu it is called "thyroid ka test" or "thyroid hormones test." Many patients call it "gale ki granthi ka test" (test of the neck gland).

Can thyroid disease cause hair loss in Pakistan?

Yes. Hypothyroidism — the most common thyroid condition in Pakistan — is a well-established cause of diffuse hair loss (telogen effluvium). The hair loss typically affects the entire scalp rather than a specific pattern, and is often accompanied by other hypothyroid symptoms like fatigue, weight gain, and cold sensitivity. Hair loss that coincides with these other symptoms is a strong reason to get a TSH test.

How often should thyroid be tested?

For a healthy adult with no symptoms or family history, once every 3–5 years as a routine screen is reasonable. For patients on thyroid medication (levothyroxine / Euthyrox), retesting is typically done 6–8 weeks after any dose change, then every 6–12 months once stable. Pregnant women should have TSH tested at the first antenatal visit and then each trimester.

The Bottom Line

Thyroid dysfunction — especially hypothyroidism — is among the most under-diagnosed conditions in Pakistan, affecting an estimated 5–10% of the population, with women disproportionately affected. A single TSH test costing Rs. 700–800 can identify the problem before it causes significant health consequences.

For initial screening, a TSH at Excel Lab (Rs. 700) or Chughtai Lab (Rs. 800) is clinically sufficient. If your TSH is abnormal, your doctor will order Free T3, Free T4, and possibly Anti-TPO. Use MedNexus to compare today's panel prices before booking — bundles are often cheaper than ordering tests individually.