What TSH measures

TSH is made by the pituitary gland to tell the thyroid how much thyroid hormone to release. It's the first-line screen for thyroid function.

Why the test is done

To check for an underactive thyroid (hypothyroidism) or overactive thyroid (hyperthyroidism), or to monitor thyroid treatment.

Typical reference ranges

Typical adult reference bands for TSH (mIU/L)
BandWhat it may mean
Below typical rangeA low TSH can point toward an overactive thyroid (hyperthyroidism), where the pituitary dials back its signal. It can also occur early in treatment. It needs interpretation alongside free T4/T3 by a clinician.
Within typical rangeThis is the commonly used adult reference range for TSH. Within it, thyroid function is usually considered normal — though 'normal' targets can differ in pregnancy and during treatment.
Mildly above rangeA mildly high TSH can suggest subclinical or early hypothyroidism (an underactive thyroid). Clinicians often repeat the test and check thyroid antibodies before deciding anything.
Above typical rangeA higher TSH suggests the thyroid may be underactive (hypothyroidism), so the pituitary is pushing harder. This is interpreted with free T4 and your symptoms by a clinician.

Ranges shown are typical adult values from American Thyroid Association; your own lab's printed range applies to you. View source.

Frequently asked questions

What is a normal TSH level?

A commonly used adult reference range is about 0.4 to 4.0 mIU/L, but the exact range on your lab report is the one that applies to you, and targets differ in pregnancy and during thyroid treatment.

Does a high TSH mean I have hypothyroidism?

Not by itself. A high TSH can suggest an underactive thyroid, but clinicians confirm it with a free T4 test, sometimes thyroid antibodies, a repeat test, and your symptoms before making a diagnosis.