Boy, I sure understand your frustration that no one is listening or taking you seriously. I wish I could say that it was uncommon. It's unlikely that your practitioners are not good; more that they have limited means and information about Menopause itself. We are all ( Menopause Goddesses) blazing new territory, it seems.
As to your concerns. First, because my thickened lining was normal, my enlightened GYN elected to do nothing. Doing nothing can be a great thing, sometimes. I visited a practitioner earlier this week, who quipped to me "We can always make you worse," referring to medical intervention. As a nurse, I have to agree.
Eventually, I started taking natural progesterone cream for insomnia and night sweats, so it may have helped with the lining, but that is not why I took it. I also had fibroids, but as predicted they shrunk to nothing with time and the continuation of the Menopausal journey.
Remember that a D & C involves general anesthesia and should not be an option without a good reason. Don't let anyone say to you "It's just a simple D & C." Simple for whom? Make sure it is indicated, and get a second opinion if this is prescribed for you. Most of all, trust yourself as part of the healthcare decision making process.
Second - re: the thyroid symptoms. All the symptoms you list are also symptoms of Menopause and can be due to declining estrogen and progesterone levels. So it can be hard to sort it out.
Not sure how the multinodular goiter contributes, if at all. However, I can tell you that a number of complementary medicine MD's (MD's who use alternative and herbal treatments as well as what we think of as modern medicine) believe that hypothyroidism is grossly underdiagnosed, esp. in Menopausal women. They base supplementation on physical exam and symptoms, not on blood tests which might be unreliable.
That is how I ended up on thyroid supplementation (Naturethroid, a bioidentical hormone - which my MD preferred over synthroid, the synthetic version.) And it was literally a godsend. My blood tests were all normal - yet I had all the symptoms of hypothyroidism. And they resolved with supplementation.
I plan to do a whole blog entry just on hypothyroidism soon on the
Menopause Goddess Blog - stay tuned.
Lastly, I know you have seen WAY too many practitioners, but if you want to check out the thyroid connection further, you might want to find a complementary or integrative medicine practitioner. Do a web search for your area for either of these. You also might search "holistic MD" or "alternative MD" although alternative is not as specific a term.
Interview the practitioner if possible, even over the phone, to see if you resonate with him/her. Let me know how it all works out. Breathe in and out during this frustrating time. If your symptoms are due to a normal Menopause, know that they get better over time.
All my best,
Lynette Sheppard RN www.menopausegoddessblog.org