I didn't start thyroid meds till about 3 months ago but I've had symptoms for years. I am taking supplements called Adapt with ashwagandha, biotin, zinc and what not in it. I have also been tested for rheumatoid arthritis and lupus and I do not have those and I do not have any other ones that I know of.
I'm by no means an expert on adrenal issues, but everything I've read says that adrenals should be repaired before taking thyroid med; however, I don't know how long you've been on thyroid med, so you may not have had an adrenal issue before that.
What supplements are you taking for your adrenals and are they on the advice of your doctor?
Since your TPOab is elevated, I'd say you have Hashi's, and with your positive ANA, I'd say there is probably something else going on - have you been tested for other autoimmune diseases?
i wanted to add...I have tried to get off my birth control before but had to go back on cause my face turned into a pizza and the acne was pretty bad. After I got off I notice that my periods were very heavy and were not on schedule. The pills took care of the heavy periods and my awful cramps.