What type of hypothyroid?

[nadam]

I just got my labs results and it says

I have a normal T3 and T4

Ft4 - 0.91 (Lab range 0.89 - 1.68)

TSH 9.20

Does it mean I should be treated? And is this subclinical or primary or secondary etc thyroid?

I am kinda' worried. Appreciate any information

[nadam]

And my TPO test has come back negative

[corky21]

Well it seems to my you have hypoT. A high TSH above 5 and now some labs say above 3.0 can be a sign and that low Free T4 of 0.91 is also a sign. From all I have researched the Free T4 should be at the top 1/3 of the range. Also you must think about symptoms. Do you have bothersome low thyroid symptoms: low temperature, sensitivity to cold and heat, cold hands and feet, fatigue, depression, anxiety?

The TSH is not usually reliable and I believe the other tests too can fluctuate so it's good to get the bloodwork for an idea, and to go by symptoms. Someone with your levels may not have one symptom at all and no irregularities on the gland and be fine.

Have you also had a sonogram of the gland? If you have symptoms, I would request that.

[gimel]

I agree with Corky that it appears that you are hypothyroid.   The key to determining this is whether you have hypo symptoms.  Based on your low Free T4 level and high TSH I suspect that you do.  
I suggest that you go to the doctor and insist that they also run tests for free T3 and free T4, along with a full panel of thyroid antibodies tests.  Free T3 is the most active thyroid hormone and correlates with hypo symptoms better than any other thyroid test.  The best approach you can hope for from your doctor is that he will listen to your symptoms and test and adjust your free T3 and free T4 levels as required to alleviate your symptoms.  If your doctor only wants to test and adjust your meds by your TSH level, that usually is not effective for eliminating symptoms.  This is someting you may have to discuss at length and work out with your doctor.  Let us know how things work out.