Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does A Decreasing Trend Of TSH Indicate?
Question: Hi,first i have a thyroid goiter ,my tsh last year in july was 1.72,in decembre was 0.75 and in january this 2015, 0.5,my endocr.doctor is saying that it is normal and he sent me to do fnb and ultrasound,my question is if those numbers are geting lower i last 6 ,7 months is it logical that my thyroid is not workin as before,o yes the normal value is 0.4 so i am very close to that Thank you very much
Brief Answer:
Thyroid
Detailed Answer:
I understand what you are saying here.
Yes I agree that logically there is a decreasing trend of the TSH.
However please note that there is roughly a 20% variation in TSH even in the same blood sample, each time it is tested. Hormones are complex things to measure and that is why one of the golden rules of endocrinology is to by trends and patterns rather than just a hard number.
Your TSH trend is in the normal range although I agree it is on the lower side.
The vast majority of individuals I see with this type of thyroid blood test result, are normal in terms of thyroid status.
That being said, I like to order a blood test called Free T4 in addition to TSH which gives a better idea regarding the overall thyroid status, especially in circumstances like yours where greater clarity is desired.
Further tests are considered only on the basis of a comprehensive physical examination.
Thyroid
Detailed Answer:
I understand what you are saying here.
Yes I agree that logically there is a decreasing trend of the TSH.
However please note that there is roughly a 20% variation in TSH even in the same blood sample, each time it is tested. Hormones are complex things to measure and that is why one of the golden rules of endocrinology is to by trends and patterns rather than just a hard number.
Your TSH trend is in the normal range although I agree it is on the lower side.
The vast majority of individuals I see with this type of thyroid blood test result, are normal in terms of thyroid status.
That being said, I like to order a blood test called Free T4 in addition to TSH which gives a better idea regarding the overall thyroid status, especially in circumstances like yours where greater clarity is desired.
Further tests are considered only on the basis of a comprehensive physical examination.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much,my thyroide peroxidase antibody is <5.0,andthyroglobolin is 39.4 thyrog. antibody is <0.9,my blood work,is normal,i just do not want to take out thyroide,what my doctor wants to do,Thank you very much
Brief Answer:
Follow up
Detailed Answer:
I have noted your thyroid auto antibody results which are essentially negative.
Whether or not thyroid removal is necessary will depend on a host of factors of which ultrasound and FNA are very useful tests.
Follow up
Detailed Answer:
I have noted your thyroid auto antibody results which are essentially negative.
Whether or not thyroid removal is necessary will depend on a host of factors of which ultrasound and FNA are very useful tests.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
