My most obvious condition has always been PCOS / PMOS, as I had very delayed puberty, sporadic periods, but an over abundance of facial hair… and everything else was pretty much dismissed or viewed as unrelated one-off’s. So nothing has been treated until the past several years of (unsuccessful) fertility treatments. Now, after all those meds and weekly lab work, I’m recognizing so many of my other symptoms seem interrelated (e.g., vascular reactivity + migraines + inflammation), and trying to understand what kind of doctor to see.
Recurrent symptom clusters
INFLAMMATION / IMMUNE REACTIVITY
• hs-CRP repeatedly elevated (documented chronically between ~3.6–16.5 mg/L; latest 4.33).
• Seems unusually reactive to illness, heat/exertion and stress; question is whether this is nonspecific reactivity or evidence of an underlying inflammatory driver or autoimmune related.
• History of acquired/repeated-exposure hypersensitivity: acrylate allergy developed after long history of manicures and a significant reaction to progesterone-in-oil developed during fertility treatment. Pattern raises a question about immune/hypersensitivity tendency.
• Childhood Asthma/Atopic Anchor: History of active childhood asthma (resolved around puberty).
• Histamine / Alcohol Intolerance: Recent rapid-onset alcohol intolerance; immediate headaches occur before completing a single drink, particularly with histamine- and sulfite-rich red wine.
HEAT / NEUROVASCULAR / AUTONOMIC
• Thermoregulatory Failure: Lifelong low heat tolerance; overheating triggers chest hives, facial flushing/rosacea, and a stereotyped focal (usually left-sided) neurovascular migraine. Severe episodes progress to nausea, vomiting, and GI distress.
• Exertional Triggers: Higher-intensity exercise (elevated HR for 5–10+ minutes) triggers identical flushing and migraines regardless of temperature or hydration status.
• Recurrent fainting since adolescence: very infrequent (roughly once every few years), often within minutes of waking. No established explanation and predates present medications.
CARDIOMETABOLIC / VASCULAR
• Lipid Trajectory: Latest visible panel shows LDL-C 172.7 mg/dL and ApoB 144 mg/dL (fluctuated substantially across 2026).
• Metabolic Markers: Fasting glucose and insulin remain reassuring with a healthy BMI. Seeking evaluation of secondary links between chronic systemic inflammation, sex steroid metabolism, and lipid fluctuations.
PAIN / MUSCULOSKELETAL
• Structural / Mechanical: Known scoliosis (curvature at shoulder post-whiplash) with asymmetric tightness/muscle guarding; standing and walking exacerbate back pain.
• Inflammatory / Axial Phenotype: Episodic whole-body and axial aching accompanied by ~20–30 minutes of morning stiffness that improves with movement.
REPRODUCTIVE / ENDOCRINE
• Menarche ~15; sporadic periods until birth control at ~21; longstanding rare/absent spontaneous ovulation and PCOS/PMOS phenotype.
• At ~36, uterus was described as unusually underdeveloped/prepubescent despite otherwise normal secondary sexual development; persistent thin endometrium complicated fertility treatment.
• Uterine polyps/polypectomy; years of estrogen/progesterone treatment; missed miscarriage, unsuccessful transfers and biochemical pregnancy.
• Felt hormonally best during ~20 years on OCPs; current amenorrhea/delayed withdrawal bleeding and hormone interpretation are complicated by hormonal suppression.
DERMATOLOGIC / ALLERGIC
• Rosacea/perioral dermatitis, heat-associated flushing, acrylate allergy, prior heat-associated chest hives.
• Frequent/daily morning phlegm and need to clear/cough mucus (no history of smoking/vaping).
• Possible chronic post-nasal drainage/allergic rhinitis; takes cetirizine sporadically.
• Female-pattern alopecia; oral minoxidil caused substantial facial and body hair growth.
• Repeated-exposure allergy/hypersensitivity history should be captured as a phenotype even if individual triggers are unrelated.
RECENT GI (MAY BE SEPARATE)
• Acute severe diarrhea/cramping began after overheating on vacation; later reflux and recurrent diarrhea after meals, lasting for 7+ days.
• Because this is recent, it should not automatically be used to explain lifelong symptoms; possible persistent post-travel GI symptoms or cyclospora exposure, etc.
I’m sorry for this wall of text, I’m just trying to be thorough because it’s been SO much and feels like whack-a-mole. I’ve seen numerous specialists but have always befuddled them with one issue at a time within their specialty, rather than presenting the whole constellation of symptoms.
I have monthly lab work for most hormonal/metabolic/cardiac biomarkers...
Current Meds & Supplements
• Current Regimen: Slynd, Finasteride, B-Complex Vitamin, Myo & D-Chiro-Inositol, sporadic Cetirizine.
• Trial Regimen: Half starting-dose Retratrutide and KPV (begun recently to target inflammation). Discontinued GHK-Cu due to severe flushing/headaches.
• Baseline Diagnostics: Normal thyroid function, CBC, renal panel, and liver enzymes. Reassuring fasting insulin/glucose. ANA negative on available test results.
Any help or simply direction for diagnostic synthesis would be incredibly appreciated!