u/sof-sadgirl

I swear it was one of the worst things I’ve ever experienced in my 28 years of living.
Thank God my husband was there to hold my hand bc the pressure and pain deep inside my throat was super intense and uncomfortable.
Plus, my husband said on all times (8 times) the only thing the came from the needle was a clear fluid. No blood. Is it a good sign?
One nodule was 1,8cm trad5 and the other 1,4cm trad4

Hi everyone,
I’m a 28-year-old female and I just found out yesterday that I have multiple thyroid nodules in my left lobe. I am honestly terrified because one of them is highly suspicious, and my follow-up appointment with my doctor is tomorrow. Thyroid hormones are perfect tho, besides my family history of hypothyroidism.
Here are the exact Ultrasound Findings:
Right Lobe & Isthmus: Completely normal in size and appearance (homogeneous echogenicity, normal color flow).
Nodule 1 (Left Lower): 1.8 x 1.4 x 1.7 cm. Solid, hypoechoic, lobulated/irregular margins, with macrocalcifications and punctate echogenic foci. ACR TI-RADS Category: TR5 (10 points).
Nodule 2 (Left Mid): 1.6 x 1.4 x 1.4 cm. Solid, hypoechoic, smooth margins, no echogenic foci. ACR TI-RADS Category: TR4 (4 points).
My Medical History & Context:
I have PCOS and was diagnosed earlier this year with severe Insumin Resistance. My fasting insulin was clocked at 37 µUI/mL (normal should ideally be under 10).
I have been taking 1000mg of Metformin for about a month now, and thankfully I am tolerating it very well.
Timeline Clue: About 1.5 to 2 years ago, I used to feel sudden, random, sharp poking sensations, right in my thyroid area. They stopped, and I don't have any systemic or compressive symptoms right now.
My Fears & Anxiety:
Seeing "TR5" and "Maximum Risk Category" has driven my anxiety through the roof. I am terrified of the word cancer, even though I know thyroid issues are highly treatable. I keep wondering how I could have "ancient" calcified or scarred nodules at only 28 years old. I am desperately trying to find out if there are cases with features like mine that turned out to be completely benign.
The Insulin Connection Hypothesis:
I’ve been reading up on how high fasting insulin (like my 37) acts as a massive growth factor for thyroid cells, forcing them to over-multiply into dense, solid, dark (hypoechoic) clumps. I suspect that the random poking sensations I felt 2 years ago were benign growth spurts that eventually left behind microscopic scar tissue (fibrosis) and calcifications—which the ultrasound is now flagging as highly suspicious TR5 features, even though it might just be the "dust" left behind by an insulin-driven process.

Have any of you with PCOS and high insulin had a TR5 nodule turn out to be completely benign?
Did your nodules shrink or stabilize once you got your fasting insulin down with Metformin or lifestyle changes?
What should I expect from the FNA biopsy process?
I’m seeing my doctor tomorrow to discuss the biopsy, but my heart is racing tonight. Any reassurance, shared experiences, or success stories would mean the world to me right now. Thank you!

Hi everyone,
I’m a 28-year-old female and I just found out yesterday that I have multiple thyroid nodules in my left lobe. I am honestly terrified because one of them is highly suspicious, and my follow-up appointment with my doctor is tomorrow. Thyroid hormones are perfect tho, besides my family history of hypothyroidism.
Here are the exact Ultrasound Findings:
Right Lobe & Isthmus: Completely normal in size and appearance (homogeneous echogenicity, normal color flow).
Nodule 1 (Left Lower): 1.8 x 1.4 x 1.7 cm. Solid, hypoechoic, lobulated/irregular margins, with macrocalcifications and punctate echogenic foci. ACR TI-RADS Category: TR5 (10 points).
Nodule 2 (Left Mid): 1.6 x 1.4 x 1.4 cm. Solid, hypoechoic, smooth margins, no echogenic foci. ACR TI-RADS Category: TR4 (4 points).
My Medical History & Context:
I have PCOS and was diagnosed earlier this year with severe Insumin Resistance. My fasting insulin was clocked at 37 µUI/mL (normal should ideally be under 10).
I have been taking 1000mg of Metformin for about a month now, and thankfully I am tolerating it very well.
Timeline Clue: About 1.5 to 2 years ago, I used to feel sudden, random, sharp poking sensations, right in my thyroid area. They stopped, and I don't have any systemic or compressive symptoms right now.
My Fears & Anxiety:
Seeing "TR5" and "Maximum Risk Category" has driven my anxiety through the roof. I am terrified of the word cancer, even though I know thyroid issues are highly treatable. I keep wondering how I could have "ancient" calcified or scarred nodules at only 28 years old. I am desperately trying to find out if there are cases with features like mine that turned out to be completely benign.
The Insulin Connection Hypothesis:
I’ve been reading up on how high fasting insulin (like my 37) acts as a massive growth factor for thyroid cells, forcing them to over-multiply into dense, solid, dark (hypoechoic) clumps. I suspect that the random poking sensations I felt 2 years ago were benign growth spurts that eventually left behind microscopic scar tissue (fibrosis) and calcifications—which the ultrasound is now flagging as highly suspicious TR5 features, even though it might just be the "dust" left behind by an insulin-driven process.

Have any of you with PCOS and high insulin had a TR5 nodule turn out to be completely benign?
Did your nodules shrink or stabilize once you got your fasting insulin down with Metformin or lifestyle changes?
What should I expect from the FNA biopsy process?
I’m seeing my doctor tomorrow to discuss the biopsy, but my heart is racing tonight. Any reassurance, shared experiences, or success stories would mean the world to me right now. Thank you!