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
| Band | What it may mean |
|---|---|
| Below typical range | A 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 range | This 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 range | A 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 range | A 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.