Thyroid Stimulating Hormone
Does this test have other names?
TSH, thyrotropin test
What is this test?
This is a blood test that measures your level of thyroid stimulating hormone (TSH).
Healthcare providers use this test to diagnose problems affecting the thyroid.
Your thyroid is a butterfly-shaped gland near the base of your throat above your collarbones.
The thyroid makes two hormones, T3 and T4, that affect your energy levels, mood, weight,
and other important parts of your health.
The pituitary gland in your brain makes a chemical called TSH, which triggers your
thyroid to make T3 and T4. When your pituitary gland makes too much or too little
TSH, this can cause your thyroid to be overactive (hyperthyroidism) or underactive
Why do I need this test?
You may need this test if you have symptoms of thyroid problems.
Symptoms of hyperthyroidism include:
Anxiety and mood swings
Weakness in the arms and legs
Low tolerance for heat
Unexplained weight loss
More frequent bowel movements than usual
Eye irritation or bulging eyes, which are symptoms of Graves disease, a common cause
Enlarged breasts and erectile dysfunction in men
Symptoms of hypothyroidism include:
Healthcare providers may also check TSH levels when diagnosing depression and dementia.
What other tests might I have along with this test?
In addition to T4, you may have other tests of thyroid-related substances, including:
Thyroglobulin, which helps produce and store thyroid hormones
TSH receptor-stimulator antibodies, which is used to diagnose Graves disease
Thyroid antiperoxidase antibodies and thyroglobulin antibodies. These are used to
diagnose a condition called Hashimoto's thyroiditis.
What do my test results mean?
Many things may affect your lab test results. These include the method each lab uses
to do the test. Even if your test results are different from the normal value, you
may not have a problem. To learn what the results mean for you, talk with your healthcare
Low TSH may mean you have hyperthyroidism, and high TSH can mean hypothyroidism. The
results of other thyroid tests can help to find the cause.
How is this test done?
The test requires a blood sample, which is drawn through a needle from a vein in your
Does this test pose any risks?
Taking a blood sample with a needle carries risks that include bleeding, infection,
bruising, or feeling dizzy. When the needle pricks your arm, you may feel a slight
stinging sensation or pain. Afterward, the site may be slightly sore.
What might affect my test results?
Some medicines keep the pituitary gland from releasing TSH. These include:
Other medicines that can affect thyroid tests include:
How do I get ready for this test?
Tell your healthcare provider if you're taking medicine. Certain medicines can affect
thyroid test results.
Be sure your provider knows about all medicines, herbs, vitamins, and supplements
you are taking. This includes medicines that don't need a prescription and any illicit
drugs you may use.