Hi everyone, hope you're all doing well!
I went to my GP for the following symptoms:
- ovarian cysts
- unexplained weight gain
- rhinitis and swollen turbinates
- irregular periods/bleeding (before this, very painful/heavy periods)
- low libido
- get extremely breathless, especially if I try to exercise, since 2020
- wake up gasping for air
- insomnia (waking up at 4am every night)
- swollen / scalloped tongue
- extremely dry eyes, especially in the morning
- blurry vision
- eyelashes falling out
- dry skin and hair
- frequent migraines
- dry mouth
- dizzy, shaky, and lightheaded
The first GP I saw said to come off the mini pill (Cerelle - been on it since 2014) as this may be causing my symptoms. Before I had the chance to come off of it, I saw another GP about my blood test results, who said to stay ON the mini pill and go on levothyroxine instead (TSH 6.3 (range 0.3 - 5), free T4 17.3 (range 12-22)). The second GP I saw left, so I went back to the first GP to ask whether I should now come off the mini pill or keep trying out levothyroxine on a higher dose (I started on 25mcg), and she said 'I don't know, it's up to you'. My TSH was 4.94.
I feel completely confused, and unsure where to go next. One of the most intrusive symptoms for me is rhinitis (a completely blocked nose, can't sleep or eat properly) and I'm on a waiting list for a very risky turbinate reduction surgery. But I saw that rhinitis came up as a side effect of both contraceptive pills and hypothyroidism, and I'd love to see if I could treat it without surgery.
I posted previously (two weeks ago) and have been working out my finances so I can afford some more in-depth blood tests - I'm going to get the Medichecks advanced thyroid test and the cortisol test (thank you for your suggestions before!).
But I feel like all my other symptoms could be related to hypothyroidism or the mini pill and I don't know what steps I should take next after the blood tests - should I come off the pill or go up on levothyroxine? I'm nervous about doing both at the same time as I won't know what's helping... I can't test female hormones as being on the mini pill makes the tests invalid. Does anyone have any advice for me, on what I should do first? I don't think I can afford to see an endocrinologist privately... I also read somewhere that contraceptive pills can cause hypothyroidism (I don't know if it's really true or not) but everything is just an absolute minefield!