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A health practitioner may order a TSH test when someone has symptoms of hyperthyroidism or hypothyroidism and/or when a person has an enlarged thyroid gland (goiter). The eyes may be affected: puffiness around the eyes, dryness, irritation, and, in some cases, bulging of the eyes.
But by using the sensitive TSH test, doctors are able to diagnose thyroid disorders much earlier â often before you experience symptoms. Because the TSH test is the best screening test, your doctor will likely check TSH first and follow with a thyroid hormone test if needed. TSH tests also play an important role in managing hypothyroidism. They help your doctor determine the right dosage of medication, both initially and over time.