Skip to main content

Department

Biochemistry

Preferred Sample Type

Thyrotrophin (TSH)

Suitable Specimen Types

  • Serum
  • EDTA Plasma
  • Li Hep Plasma
1 ml whole blood minimum

Sample Processing in Laboratory

Usual

Sample Preparation

Centrifuge

Turnaround Time

1 day

Sample Stability

Store at 4'C for up to 7 days. Store separated serum/plasma frozen if analysis is to be delayed.

Thyrotrophin (TSH)

General Information

The synthesis and secretion of TSH is stimulated by Thyrotrophin Releasing Hormone (TRH) in response to low levels of circulating thyroid hormones. TSH is formed in specific basophil cells of the anterior pituitary gland and is subject to a circadian secretion sequence. TSH has a stimulating action in all stages of thyroid hormone formation and secretion from the Thyroid gland. Determination of TSH serves as an initial test of thyroid function as levels will change in response to small changes in the concentrations of circulating free thyroid hormone levels.

Patient Preparation

None

Notes

TSH is performed as the first line Thyroid Function Test. FT4 analysis may be reflexed depending on the TSH result.

Trimester-specific reference ranges for thyroid function:

 

Abbott reference range

Trimester 1

Trimester 2

Trimester 3

TSH (mIU/L)

0.4 - 4.9

0.0878-2.8293

0.1998-2.7915

0.3070-2.9028

FT4 (pmol/L)

9 - 19

10.53-18.28

9.53-15.68

8.63-13.61

FT3 (pmol/L)

2.9 – 4.9

3.52-6.22

3.41-5.78

3.33-5.59

Reference Range

TSH - 0.4-4.9 mIU/L

(source: Abbott Diagnostics)

Specifications

  • EQA Scheme?: Yes
  • EQA Status:

    NEQAS