Anyone on here with PCOS, Endo or other women's health conditions?
I've just learned that both endo and PCOS can raise platelet levels.
Tldr; suspect I have one of these but hasn't been diagnosed over 1.5 years with pelvic scans or gynae. I think it has been a driver in my platelet levels. How do you manage PCOS or Endo without the combined pill, or is there a way to convince haematology to let you take it? Progesterone-only makes symptoms worse.
So here's my (35f) story. 3ish years ago, I came off the contraceptive pill. I had a few crazy hormonal symptoms but I also kept getting migraines. I went to the GP, they found my platelets were raised but still below the 450 threshold so I wasn't diagnosed with anything. Eventually, the migraines passed.
Fast forward to last year and out of nowhere, I had a whole bunch of hormonal symptoms again, but worse. I also had another round of migraines. I thought I was in early peri (33yo when this began but my mum apparently went through it early), had blood tests, platelets were higher. I had the genetic testing and was found to be JAK2+ which lead to being put under the care of haematology. I had pelvic scans and a gynae visit but nothing was diagnosed. I begged to try HRT but as no one could diagnose or rule out peri, I wasn't given it. Given the ET diagnoses, I could no longer take the combined contraception pill. Eventually I was put on the mini pill, but this made symptoms such as spots and inability to sleep much worse, so after a month I came back off.
In January of this year, I had acute pelvic pain and bleeding for over two weeks. I had more pelvic scans and blood tests and was put on progesterone again to help. It did help, but no one found a cause again.
It's been nearly a year and a half since the hormone issues got bad and while they eased off a little, everything has changed a lot. Hair, skin, elasticity, sleep quality, mood especially has been hit real bad and I already struggle with CPTSD. My hair is very thin in some places and my body hair is so much more than it was a year and a half ago. My physical appearance went from looking my age or maybe a little younger, to looking like a wrung-out person at least a decade older than I am.
So I put myself on the combined contraceptive pill, because I was sick of it all and my mental state continued to decline rapidly. I do not recommend this to anyone, it is against haemo advice but weighing up my quality of life Vs the risk (as a low-risk patient to begin with), it was a choice I made fully informed. I also checked out which pills has the lowest clot risk profile. A couple of weeks later, I had blood tests in part because I mentioned hair loss and fatigue to my MPN nurse, and she found my ferritin was at 11, but my platelets were the lowest they've been since the first blood tests I had at the start of last year. Low iron sometimes causes an increase in platelets so this was a shock. Now I'm wondering if it's because I do, in fact, have undiagnosed PCOS or Endo, and that has been the main driver behind my high platelets this whole time?
I still have the gene mutation, so I'm aware ET is still very much on the cards. I also know it's somewhat normal for platelets to fluctuate, but they had solidly been in the 500-600 range through every blood test once had since January last year. If low iron can push them up, it seems particularly odd that they would r lower this time. I am getting more bloods in a couple of weeks to check how I'm getting on with iron supplements.
I have felt a lot better since being back on the combi pill. My skin is recovering, my body shape is becoming more "normal" as is my face shape. I look a bit brighter again, I'm sleeping better and the intense mental spin-outs are getting further apart. Things are calmer and life is a little easier. I recognise myself in the mirror. I know that progesterone-only doesn't work for me, and because everything internal has been ultra sensitive since the pain in Jan, the idea of IUD terrifies me. I like the pill. I'm happy with the pill. But my haematologist already said no to it previously. How do women with MPNs and endo or PCOS actually manage it?