I am a 34 year old female. Three years ago I was referred to an endocrinologist after an episode of blurred vision while driving. I was also experiencing increased thirst and frequent urination. I have suffered with on and off joint pain for many years. While at the endo, my blood sugar was tested as extremely low. I was told based on some results that my blood sugar was low over a long period of time and could indicate a pituitary tumor. I was skeptical but went home with an order for fasting blood word and a glucose meter. I tested over a two week period and never tested as low blood sugar during that time. I did not proceed with the testing and follow up appointment. Fast forward to now... I have experienced lactation (no tumors, no blood in milk, and Prolactin level was only 4 NG/ML) and chronic infections (shingles, UTIs, and yeast infections). I went to a dermatologist for severe acne and melasma on my face (dark discoloration on cheeks and forehead). My blood work results showed elevated testosterone(53 H total and 6.6 H free), elevated ANDROSTENEDIONE (260 NG/DL), low RBC 3.63 L), and SQUAMOUS EPI CELLS (6-10 H). Insulin was 3.1, and I showed positive ANA 1:80 homogenous and speckled. I still have on and off joint pain and feel pressure in my left eye. All my research points to either pituitary or autoimmune issues. Is it possible to have a positive ana with a tumor? Could I have an androgen secreting tumor since all estrogen, progesterone, and thyroid levels are within normal range? Or is there something else I am missing? I am scheduled for an appointment with GP in two weeks, but I cannot stop thinking that something more is going on.