Screening asymptomatic individuals for detection of hyperthyroidism and Graves' disease is not recommended.[74]U.S. Preventive Services Task Force. Final recommendation statement: thyroid dysfunction - screening. Mar 2015 [internet publication].
http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/thyroid-dysfunction-screening
[75]Birtwhistle R, Morissette K, Dickinson JA, et al. Recommendation on screening adults for asymptomatic thyroid dysfunction in primary care. CMAJ. 2019 Nov 18;191(46):E1274-80.
https://www.cmaj.ca/content/191/46/E1274
http://www.ncbi.nlm.nih.gov/pubmed/31740537?tool=bestpractice.com
However, during routine tests for other indications, a number of otherwise asymptomatic individuals may be diagnosed with subclinical hyperthyroidism due to Graves’ disease.
Screening for maternal thyroid dysfunction in pregnancy
US guidelines recommend targeted thyroid-stimulating hormone (TSH) testing for women with increased risk of thyroid disease (e.g., personal or family history of thyroid disease, type 1 diabetes, clinical suspicion of thyroid disease) who are pregnant or are planning pregnancy.[76]Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017 Mar;27(3):315-89.
https://www.liebertpub.com/doi/10.1089/thy.2016.0457
http://www.ncbi.nlm.nih.gov/pubmed/28056690?tool=bestpractice.com
[77]American College of Obstetricians and Gynecologists. Thyroid disease in pregnancy: ACOG practice bulletin, number 223. Obstet Gynecol. 2020 Jun;135(6):e261-74.
http://www.ncbi.nlm.nih.gov/pubmed/32443080?tool=bestpractice.com
Universal screening for thyroid disease in pregnancy is not recommended.[76]Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017 Mar;27(3):315-89.
https://www.liebertpub.com/doi/10.1089/thy.2016.0457
http://www.ncbi.nlm.nih.gov/pubmed/28056690?tool=bestpractice.com
[77]American College of Obstetricians and Gynecologists. Thyroid disease in pregnancy: ACOG practice bulletin, number 223. Obstet Gynecol. 2020 Jun;135(6):e261-74.
http://www.ncbi.nlm.nih.gov/pubmed/32443080?tool=bestpractice.com