The purpose of screening is early diagnosis and treatment. Screening tests are given to people who do not have current symptoms, but who may be at high risk for certain diseases or conditions.
The US Preventive Services Task Force found insufficient evidence to recommend for or against routine screening of adults for thyroid disease. The American Thyroid Association recommends screening adults every 5 years starting at age 35 years. Other organizations may have different recommendations. Talk to your doctor about whether or not you should have screening tests.
Screening may be needed in special high-risk groups such as: All newborn infants (required in many states)Pregnant women with or without goiter
A strong family history of thyroid diseaseA personal history of thyroid problems
An autoimmune disease, such as
type 1 diabetes
Mental health disorders, especially those that use
for treatmentElevated blood cholesterol or triglyceride levelsA thyroid noduleDown syndrome
A physical exam by your doctor may reveal signs of hypothyroidism. These signs may include dry skin, a slow pulse, or slowed reflexes. A thorough history may reveal symptoms of weight gain, fatigue, and constipation.
The best screening test is a blood test that measures thyroid-stimulating hormone (TSH). A high level of TSH suggests hypothyroidism. If this is high, then your doctor may order a free thyroxine (FT4).
American Academy of Pediatrics, Rose SR, Section on Endocrinology and Committee on Genetics, et al. Update of newborn screening and therapy for congenital hypothyroidism.
American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, Cooper DS.
Hypothyroidism (underactive thyroid). National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/endocrine-diseases/hypothyroidism. Updated August 2016. Accessed February 20, 2017.
Ladenson P, Singer P, Ain KB, et al. American Thyroid Association guidelines for detection of thyroid dysfunction.
Arch Intern Med. 2000;160(11):1573-1575.
Surks MI, Ortiz E, Daniels GH, et al. Subclinical thyroid disease: scientific review and guidelines for diagnosis and management.
US Preventive Services Task Force. Screening for thyroid disease: recommendation statement.
Ann Intern Med. 2004;140(2):125-127.
Last reviewed February 2017 by James P. Cornell, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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