
Laboratory test
Anti-TPO Antibody Test (Thyroid Peroxidase Antibodies)
Anti-TPO Antibodies (Anti-Thyroid Peroxidase): 1 parameter from a blood sample, no fasting.
Also known as
Anti-TPO Test · Anti-Thyroid Peroxidase Antibodies · TPO Antibodies · Thyroid Antibody Test · Anti-TPO Ab · Antimicrosomal Antibody · Anti TPO · TPO antibody · Thyroid peroxidase antibody test
- Sample
- Blood
- Fasting
- Not required
- Expected report time
- Same day / 24 hours
- Parameters
- 1
Anti-TPO Test: quick answers
- Anti-TPO Test full form
- Anti-Thyroid Peroxidase Antibodies
- Anti-TPO Test price
- ₹979, home sample collection
- Normal range (adults)
- Negative: below the laboratory's cut-off, commonly about 34–35 IU/mL on widely used assays
- Done for
- Finding the cause of a high TSH or an underactive thyroid; Deciding whether mild (subclinical) hypothyroidism is likely to progress; Pregnancy planning, recurrent miscarriage or infertility workup
- Fasting
- Not required
- Report
- Same day / 24 hours
What is the Anti-TPO Test?
The anti-TPO test looks for antibodies against thyroid peroxidase, an enzyme the thyroid needs to make hormones. Their presence suggests the immune system is attacking the thyroid, which is the commonest cause of an underactive thyroid.
Anti-TPO Test normal range
| Measurement | Typical adult value |
|---|---|
| Negative | below the laboratory's cut-off, commonly about 34–35 IU/mL on widely used assays |
The cut-off varies by assay, so compare your value with the limit on your report.
Ranges differ between laboratories and methods. The reference range printed on your own report is the one to read your result against.
What your Anti-TPO Test result means
- Positive
- Suggests autoimmune thyroid disease, most often Hashimoto's thyroiditis; it is also found in many people with Graves' disease. With a high TSH, it supports an autoimmune cause and a higher chance of lasting hypothyroidism.
- Positive with normal thyroid levels
- Found in roughly 1 in 10 adults, more often women. It does not need treatment on its own, but TSH is usually checked periodically, and more closely in pregnancy.
- Negative
- Autoimmune thyroid disease is less likely, though a small number of people with Hashimoto's test negative.
One result is not a diagnosis. A doctor reads it with your symptoms, history, medicines and other tests.
Why is the Anti-TPO Test done?
- Finding the cause of a high TSH or an underactive thyroid
- Deciding whether mild (subclinical) hypothyroidism is likely to progress
- Pregnancy planning, recurrent miscarriage or infertility workup
- A goitre or suspected thyroiditis
What does the Anti-TPO Antibody Test (Thyroid Peroxidase Antibodies) measure?
1 parameter. Expand a group to see the measurements, units and available method details.
Other measurements1 parameter
| Parameter | Unit | LOINC |
|---|---|---|
| Anti-TPO (Thyroid Peroxidase Antibody) | IU/mL | 8099-4 |
The reference interval printed on your actual laboratory report governs interpretation. Intervals can vary by laboratory, method, age, sex and pregnancy. Methods can also vary by processing laboratory.
Anti-TPO Test: sample & preparation
Sample: Blood. Fasting: Not required.
- You do not need to fast for this test.
Frequently asked questions
What does a high anti-TPO level mean?
Does a positive anti-TPO test mean I need medicine?
Why is anti-TPO checked in pregnancy?
Is fasting needed for the anti-TPO test?
How much does the Anti-TPO Antibodies (Anti-Thyroid Peroxidase) cost?
Can I book this test for home collection?
When is the report expected?
Can I book this with other tests?
Sources: Alexander EK et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid 2017; Hollowell JG et al. Serum TSH, T4, and thyroid antibodies in the United States population (NHANES III). J Clin Endocrinol Metab 2002. General information, not medical advice.
Book the Anti-TPO Antibody Test (Thyroid Peroxidase Antibodies)
1 parameter · No fasting required · Report time: Same day / 24 hours
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