Despite getting a less than satisfactory PCOS diagnosis, I was convinced the origin behind my recent cascade of symptoms lay elsewhere, and I was right! When in doubt, always trust your gut, I say. Too often, I’ve had to fight for the correct diagnosis and too often I’ve come away with less than satisfying results because the process is long, appointments are hard to come by, and co-pays start to add up. I have a yearly check-up with my endocrinologist (who was the only doctor willing to treat me when I fell into the gap between child and adult at age 15), and I was revved up for a fight despite a relatively good history. Luckily, no fight was needed. I told him how I was feeling (exhausted and ready to nap from the moment I wake up, unable to concentrate, unable to lose weight, bloated all the time, and more); he took one look at my numbers and confirmed what I long suspected: my TSH levels fell off the wagon. My symptoms all point to an underactive thyroid. My PCOS symptoms likely stem from this, rather than a hormonal or insulin imbalance (yeah, TSH is a hormone but you know what I mean).
Am I happy? No, but it is nice to have my suspicions confirmed and my feelings justified. I’m currently on a slightly higher dose of Synthroid, and will be running additional tests to gain more insight. It’s not a process I look forward to, but at least there’s a light at the end of the tunnel, so to speak. My efforts won’t be entirely wasted if my thyroid actually gets the hormones it needs to function properly.
This also means I’m going to document my “journey” (gah, I hate that word). If there’s one thing I can talk about it’s being hypo. It affects every aspect of my life, from my physical to my mental health, daily actions and relationships. If your thyroid isn’t working, nothing works.
I’m working with a new camera. Please excuse learning pains.
marginalia and such 
I’m glad you have a doctor who listens! I wish my doctors could figure out what’s wrong with me, but they usually blame it on my weight, as if I wasn’t 75 lbs lighter less than three years ago. Sigh.