Re: New to all this
My mom's cardiologist found my hypothyroidism. I had seen somebody for the fatigue, somebody else for the headaches, somebody else for the bone pain - each doctor had an opinion, a prescription, and a plan for me to go see another specialist. I was a walking poster child for hypothyroidism, but not one of those doctors looked at the big picture, added up the symptoms, or even ran a BLOOD TEST !! (that still amazes me.) Well, anyway, after a couple years of feeling worse by the day, my blood pressure and heartbeat sort of dropped down to one notch above 'corpse' and I went to the cardio. He ran the blood test that caught the hypothyroidism. Finally. He got me on the initial dose of 25 mcg, three weeks later he upped it to 50, and then he booted me out the door. He was not a thyroid guy, he was a heart guy. He sent me to the thyroid guy, after he got me started on the Synthroid.
This is all that's happening to you now. Your gyno COULD run the TSH's and read the numbers and up the Synthroid dose accordingly - but she wants you to have the best and most qualified doctor for your problem - and so she is sending you to the specialist. The endocrynologist treats glandular disorders exclusively, the gyno....well, you know what she does exclusively.
When you meet him, he'll talk to you a bit about how you feel. About fatigue and menstrual problems and mood swings and sleeping too much. He will be interested in your family history of thyroid disease. He'll listen to your lungs and heart, have you say "aaaahhhh", and he'll palpitate your throat pretty thoroughly to see whether your thyroid is enlarged.
He may order another blood test right away to see how your TSH is responding to the 50 mcg, or he may wait a month or six weeks. The first few months, your bloodwork will be pretty frequent and he will very gradually raise your Synthroid strength as he lowers your TSH. This is a period of fine tuning, and your dose may go up or down just a little, a few times.
Between six months and a year, your TSH will stabilize between .3 and 3.0 and after that, it's just maintenance. He'll want bloodwork every four to six months to make sure the TSH is staying put, he'll want to see you annually so that he can feel your thyroid and give you a quick once-over, nothing invasive. You will start feeling better soon - probably about the next time he raises the Synthroid dose.
Tell him you feel like you've been trying to communicate in Greek with your gyno - he'll explain exactly what's happening and why. Here's a bonus: when he gets you up to speed, you'll lose weight!
I hope I've helped ease your mind a little. Feel better =^..^= PatsyCatsy