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Thyroid-stimulating hormone (TSH) concentration in serum/plasma

Published: August 9, 2026Updated: August 16, 2026

This test measures the level of thyroid-stimulating hormone in your blood, which helps your thyroid gland produce hormones that regulate metabolism, energy, and growth.

Quick summary

["TSH helps diagnose thyroid disorders and monitor treatment for conditions like hypothyroidism or hyperthyroidism."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
90301-3
Short code
T gondii Amn Ql Cult
Synonyms
T gondii Amn Ql Cult
Category
chemistry
Sample
fluid
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
organism-specific-culture
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your doctor may order a TSH test to check for thyroid problems, such as underactive (hypothyroidism) or overactive (hyperthyroidism) thyroid function. It’s often the first test used to screen for these conditions, especially if you have symptoms like fatigue, weight changes, or sensitivity to heat/cold.

When Might You Need This Test?

You might need this test if you have symptoms like unexplained weight changes, fatigue, depression, or changes in your menstrual cycle. It’s also used during pregnancy, to monitor thyroid hormone replacement therapy, or if you have a family history of thyroid disease.

What to Expect Before the Test

No special preparation is usually needed, but your doctor might ask you to stop certain medications (like thyroid hormone replacement) for a short time before testing. Drink plenty of water the day of the test to help with blood flow.

What Happens During the Test?

A healthcare provider will draw blood from a vein in your arm. The blood sample is sent to a lab for analysis. The process takes about 15 minutes, and you may feel slight discomfort, but it’s generally quick and painless.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A TSH test is critical for diagnosing thyroid disorders. Low TSH levels often indicate hypothyroidism (underactive thyroid), while high TSH levels may suggest hyperthyroidism (overactive thyroid) or other conditions like pituitary problems. It’s also useful for monitoring thyroid hormone replacement therapy to ensure levels are stable and effective.

Short name

TSH (Serum/Plasma)

Frequently asked questions

How long does it take to get my TSH test results?
Results are typically available within 1–3 business days, depending on your lab and insurance. Your doctor will contact you to discuss the results once they’re ready.
Can I eat or drink anything before my TSH test?
You can eat and drink normally before the test unless your doctor advises otherwise. Some labs may ask you to fast for a specific test (like a free T4 test), but a TSH test does not require fasting.
What are common symptoms of thyroid problems that might lead to a TSH test?
Common symptoms include fatigue, unexplained weight changes (gain or loss), sensitivity to heat or cold, depression, irregular menstrual periods, or hair loss. If you experience these symptoms, talk to your doctor about whether a TSH test is needed.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy