Perky PA was right on two fronts--I really needed antibiotics (my god, how quickly they worked and how much better I feel), and my thyroid was whacked out. Fortunately, it does not appear to be cancerous--the good lady who performed the ultrasound said that, while she's not a doctor, it looked typical for someone with Hashimoto's, and though it's a little lumpy on the left, she would not be concerned. Apparently, having a "long, skinny neck" makes the lumps seem more pronounced, at least to the inexperienced. She correctly predicted that my blood work would come back with high TSH, which it did--7.4--while the PA had incorrectly assumed hyper. Score two for the tech.
Last year at this time, I was hyperthyroid at .024. On a dose lowered by less than 50 mcg per week, how did I get to 7.4? It is a mystery, and one that all parties agreed cannot be explained by a very short-lived pregnancy.
On the other hand, a few things do
start to make sense: the long, brown strands of hair that I leave like a breadcrumb trail wherever I go; the increase in melancholy and decrease in anxiety; the reduced appetite.
I am oddly loath to fix it, though. I actually feel better
when I'm hypo than when I'm hyper--I sleep better, I do not have heart palpitations, I do not torment myself as often with pointless worrying, and--in a sop to my vanity--I lose weight. (I know this seems odd, and for most people goes the other direction, but my weight is tied almost entirely to my appetite--when I'm hyper, I can't seem to eat enough; when I'm hypo, I have to remind myself to eat. The increased metabolism of hyper is apparently not enough to counteract the fact that I have no willpower and can't stop eating when I'm hungry.) And while I may be a little down, I'll take that over anxious any day.
I will, like a good girl, try to get back towoard the higher end of the "optimal" .5 to 2.5 range (which always felt a little hyper to me), and I'll see my endocrinologist as scheduled, but I'm starting to wonder if being slightly hypo is really what's best for me. With reproduction no longer a real consideration, is there much of a downside?
p.s. Still no bleeding. Getting very sick of waiting.