Subclinical Hypothyroidism or Polycysytic Ovarian Syndrome?

[cando425]

I'm a 34 yo female who is experiencing a myriad of symptoms that my doctors are trying to help me with.  I am 5'8, 212 lbs and have extreme difficulties losing weight.  I did however ose 150 lbs in 1995 and gained back about 50.  I have excess facial hair, and extreme thinning of the hair on my head (esp since I lost all the weight).  I have issues with my metabolism because I will often not feel hungry and will continue to gain weight.  I started an antidepressant 1 mo ago.  I have extremely dry skin, I am always very cold, have issues with constipation & am regularly using laxatives, and I also feel that I have had recent issues with short term memory and hearing.  Other heath issues that I have: hypoglycemic, metabolic syndrome, beta thalassemia, and history of pulmonary embolisms.  

Since I started seeing my family doctor (an MD) it has been determined that I may have polycystic ovarian syndrome based on my symptoms even though the pelvic ultrasound showed no cystic ovaries and even though my menstrual cycle is regular.  They had started treatment with glucophage XR and obviously I could not be treated with BCP because of my history of pulmonary emboli.  

Things changed however when I went to a naturopathic doctor and she discovered by looking at my TSH levels that they were fluctuating from around 4.5 a year ago to about 2.4 two months ago.  Hashimoto's has been ruled out after blood work, so she diagnosed me with subclinical hypothyroidism.  I was taking 30 mg Armour Thyroid and was experiencing insomnia and shakiness.  She instructed me to start taking 15mg, which I started today.  

I am truly concerned of what may be going on with my health.  I am not sure if I should continue to be treated for hypothyroidism by the naturopathic doctor, or should I go to my PCP and further pursue treatment for PCOS?  Any advice would be much appreciated as I feel overwhelmed and extremely concerned.  Thank you for your time.

[1ph]

Just a caution.
Treating with multiple doctors who are each adding and subtracting medications at the same time can make it very difficult to sort out what pertains to what.
Patience is difficult, especially when not feeling well, but, in the long run is usually best.
It is kind of like juggling and trying to keep all the balls in the air at the same time.
Following up with the doc prescribing the glucophage and getting that regulated might be the first step.

[Mark Lupo, M.D.]

PCOS appears to be the primary health issue.  With negative antibodies and a TSH of 2.4, would not see a need for thyroid hormone treatment and it may create a situation of misleading one to believe that the thyroid is the main problem.  Would certainly keep track of thyroid status as hypothyroidism appears to be more common amongst PCOS women.