Hypothyroidism can be diagnosed with a simple blood test called a TSH test.
TSH stands for "Thyroid Stimulating Hormone" – a hormone normally found in everyone's blood.
When you have hypothyroidism, your TSH level is high because your thyroid gland isn't making enough of the thyroid hormones called T3 and T4. This causes your pituitary gland to produce more TSH so it can tell your thyroid to work harder.
Following a TSH test, your doctor may also want to test your T4 hormone levels. Another test that looks at something called thyroid autoantibodies can also help confirm a diagnosis. Finally, if the shape of the thyroid gland appears abnormal to your doctor, he or she may perform a thyroid scan or ultrasound.8