#eventually that ear infection thing is probably gonna damage my hearing but idk what to do about it

[vamptastic]

endocrinology appointment is next month 👍 i need to start writing stuff down so the appointment goes well but i kinda don't know where to start. i guess the big things are:

-gonna ask to have my 17-hydroxyprogesterone tested to see if i could have N-CAH as it's often mistaken for PCOS. nbd if she says no, just curiosity, she may have already checked for it and i just don't understand the bloodwork properly. i know she already tested my response to cortisol but to my understanding that's only congenital adrenal hyperplasia and i could have noncongenital which would only show on that specific test.

-i need to figure out what is going on with my blood sugar and causing these crashes. i genuinely don't know if this is a new issue caused by metformin lowering my blood sugar or if it's been a lifelong thing and i am only just now figuring it out because a doctor told me what my random spells of dizziness and nausea were instead of brushing them off for the first time.

-if it's not the medication i need to know if my insulin resistance is getting worse and if that's causing it, and what i can do to mitigate it if it does. she'll be testing me for diabetes like always anyway, and she'll probably refer me to a nutritionist or talk to me about adding another medication if she finds that A1C isn't decreasing anymore

-i never got an ultrasound and i should probably pony up and do it already to check if i have anything in my fucked up reproductive system that could kill me. specifically want to ask if they can check for uterine fibroids since i match the symptoms almost exactly and it would help explain why i had abnormally heavy periods instead of skipping them like most people with PCOS do. obviously they'll check for cystic ovaries as well.

-i need to know exactly how bad things are potentially going to get wrt hormone access for me, and if i need to do anything to prevent medical issues if i do need to stop taking testosterone entirely

-i've had high levels of white blood cells on blood tests for like, a year now. they're not cancer-high but it's still weird. i'm very prone to asymptomatic infections though so i could just happen to be sick with an minor ear infection or UTI every time.

-if the lawyer is there i want to ask if it's a bad idea to continue with my name change or not

-i need a prescription for testing strips for my blood sugar monitor bc they're really expensive, also would be useful to have glucose pills or powder since i get nauseous during crashes and can't really eat

i've been having So Many issues since the last appointment and it's really frustrating because the last one she basically said it looks like I'm doing really well and my insulin resistance is under control and we stepped down the frequency of my appointments and then like three months later I started getting really bad blood sugar crashes. So I hope I can figure out what's causing it and get it addressed.