Looks like I may have PCOS to go along with the Hypo
I had kind of an epiphany yesterday. I was feeling all cranky about how messed up my periods have gotten. They used to be very light and not at all painful, and since getting them back after Depo-Provera 2 years ago, they are heavy and hurt like hell. They aren't at all regular, and possibly even getting LESS regular, (it was almost 60 days between them this time), but I had chalked it up to being hypo.
Well it occurred to me last night that I had been holding pretty steady at the high end of "normal" (lab normal) on my TSH for all the years that I've been being tested by dumb doctors, and never had menstrual problems before, so why would I have problems now if my thyroid hadn't gotten measurably worse? So I did some searching, and more searching and LOTS of reading and found out that polycystic ovarian syndrome and hypothyroidism can go hand in had in a lot of women, and that weight gain from being hypo can set you up for insulin resistance, which can set off PCOS... which has a lot of symptoms in common with hypo. And that Depo is the DEVIL.
So I asked my endo about it today, and when I emphatically told her that my cycle was almost 60 days last time, and that I still have the same level of acne as when I was a teen (which is not much at all, probably 10 zits a month) she said those are DEFINITELY not normal and that PCOS is a real possibility.
So she started me on Metformin (which, PCOS or not, I know will help since I can't imagine how I wouldn't have insulin resistance!) and I'm going to be getting some labs to check things further in a few weeks.
And a bit o' good(ish) news - my TSH came down from 4.7 to 2.37 on just 50mcg of Levoxyl. I still don't feel much better, but I know I have a way to go yet.