Q. What happens to the TSH (thyroid-stimulating hormone) blood level in hypothyroidism? Why is there enlargement of the thyroid in the endemic goiter disease?
When there is low T4and T3 secretion by the thyroid the TSH secretion by the hypophysis is very stimulated and the TSH blood level increases This increase in the TSH availability promotes the enlargement of the thyroid gland.
The thyroid swelling is a reaction of a tissue that tries to compensate the functional deficiency by making the gland increases its size.