question-icon

What Does This High TSH Level Indicate?

default
Posted on Fri, 22 Aug 2014
Question: what would a tsh level of 74 mean
doctor
Answered by Dr. Binu Parameswaran Pillai (8 minutes later)
Brief Answer:
hello

Detailed Answer:
Hello
Good day.
A TSH of 74 could mean few things.

1. Hypothyroidism. Primary hypothyroidism is the commonest condition with this high TSH.

2. If you are on treatment already with tthyroxine, this TSH value indicate that you are under replaced.

3. Rare possibility of TSH producing pituitary lesion.

4. Very very rare Macro thyrotropin. Which means that TSH molecules are just large. Other than that it has no relevance.

To decide further we need to do Free T4 and Anti TPO.
Do you have an enlarged thyroid ?

You may write back to me with these reports
Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does This High TSH Level Indicate?

Brief Answer: hello Detailed Answer: Hello Good day. A TSH of 74 could mean few things. 1. Hypothyroidism. Primary hypothyroidism is the commonest condition with this high TSH. 2. If you are on treatment already with tthyroxine, this TSH value indicate that you are under replaced. 3. Rare possibility of TSH producing pituitary lesion. 4. Very very rare Macro thyrotropin. Which means that TSH molecules are just large. Other than that it has no relevance. To decide further we need to do Free T4 and Anti TPO. Do you have an enlarged thyroid ? You may write back to me with these reports Regards Binu