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Choose collection locationEndocrinology · Individual laboratory test
TSH is the pituitary gland's signal to the thyroid. It is often the first blood test used to investigate changes in thyroid function.
Clinical authorDr Nirupama SabhapathySpecialist Clinical Pathology
Understanding the test
Also called Thyroid Function Screen
TSH may help investigate symptoms of altered thyroid function or monitor prescribed thyroid treatment. It reflects communication between the pituitary and thyroid glands.
TSH measures the pituitary signal that tells the thyroid to produce hormone.
Measurements taken under similar conditions can help your prescriber assess change over time.
Before your sample
No fast is usually required. For follow-up, use a similar time of day. Confirm the timing of your thyroid medication with your prescriber and disclose biotin, which can interfere with some assays.
A clinician takes a small sample of blood from a vein. The laboratory uses serum, the liquid separated from the blood after it clots.
Smart Report
24 hoursLaboratory turnaround
A high or low signal has to be read with thyroid hormones and the clinical setting. Pituitary conditions and pregnancy can alter the usual interpretation.
From sample to follow-up

Choose your location, add the test to your care bag and select a time. If you are booking for someone else, assign the test to them in checkout.
Choose collection locationLook for Thyroid Stimulating Hormone (TSH) in your report. Use the sample type and collection time when comparing it with an earlier report.
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When TSH differs from an earlier result, review treatment timing, recent illness and any free T4 measurement taken with it.
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Patient questions
TSH shows the signal to the thyroid, while free T4 shows a circulating thyroid hormone. Reading both helps explain a change in the signal.
TSH is the instruction, not the product. When the thyroid is not producing enough hormone, the pituitary detects the shortfall and sends a stronger signal, so the TSH number goes up even though thyroid activity is down.
The pituitary takes weeks to re-equilibrate after thyroid hormone levels shift. Testing too soon shows the old state rather than the effect of the new dose.
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Written by Dr Nirupama Sabhapathy, Specialist Clinical Pathology. Medically reviewed by Dr Joyce Jose, Specialist Clinical Pathology, on .
Catalogue information and AED price checked on 2 November 2026. Clinical suitability, preparation, collection arrangements and turnaround are confirmed for your selected test.