TSH (Thyroid-Stimulating Hormone) Test

Reviewed

A TSH test measures a pituitary hormone that helps regulate thyroid hormone production.

Preparation and collection

Follow the ordering clinician's instructions about timing, biotin-containing supplements, pregnancy, recent illness, and thyroid medicine schedules. Do not stop a medicine or supplement unless instructed.

Understanding this test

Use the reference interval and units printed by the laboratory that performed the test. A result outside that interval is not a diagnosis by itself, and a result inside it does not rule out every condition. Your symptoms, history, medicines, timing, and related tests can change what the result means.

  • Intervals and targets differ in pregnancy, childhood, older age, pituitary disease, and during treatment.
  • Biotin and some medicines can interfere with certain assays.

What to do next

Follow-up may include free T4, free T3, thyroid antibodies, repeat testing, or treatment review depending on the pattern.

Evidence source

U.S. National Library of Medicine: TSH (Thyroid-Stimulating Hormone) Test

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