Is TSH Schilddrüse useful for Wechseljahre?

Yes, measuring TSH (thyroid-stimulating hormone) can be useful during menopause because hormonal shifts can affect thyroid function. Symptoms like fatigue, weight gain, and mood changes overlap with menopause, making thyroid dysfunction easy to miss. A TSH test helps rule out or confirm hypo- or hyperthyroidism. However, TSH alone is insufficient; additional markers like fT3, fT4, and antibodies (TPO, Tg) provide a more complete picture. The evidence is based on clinical practice and guidelines, not on large RCTs specifically for menopause. Caveat: a normal TSH does not exclude subclinical thyroid disease; if symptoms persist, further testing is warranted.