TSH would be Thyroid. Usually the ones they look at are LH and FSH (Luteinizing Hormone and Follicle Stimulating Hormone). My endocrinologist also tested me for excess androgens (male hormones like testosterone).

And YES, it's going to be ok! There is lots of support and information out there for us! And you can also do a lot diet wise by making sure your eating doesn't cause insulin spikes, which can effect the estrogen and testosterone in your body.

Hormones are produced in multiple areas of the body. TSH refers to Thyroid Stimulating Hormone, a very important hormone produced by one of the major hormone centers, the thyroid. Testing thyroid functioning is in a sense ruling out that your problems are being caused by things other than PCOS, because PCOS deals with hormone imbalances in another hormone center, the ovaries. So, if you have PCOS it's very important that you have the reproductive hormones that are produced by the ovaries checked, especially the androgen and androgen-precursor hormones. If you have any symptoms of insulin resistance, have them test for that as well because it's common with PCOS, and can really make everything else more difficult.

I don't think you should 'scare yourself' about those things potentially happening, but it's good that you are obviously aware that those things could happen, and they do happen to a lot of us. I went through a phase of literally looking like I was balding, and I struggle with really bad acne constantly. But none of it is irreversible, and we all have to go through trial-and-error and have ups and downs with our symptoms. You are definitely right that we are all different.

Even though you don't have insurance, please make sure you at least get your annual exams with a pelvic ultrasound! That much is definitely necessary to keep your health in check.

Good luck! Sounds like for the time being you are not suffering too much from this, and I hope it will stay that way. Don't think of the physical stuff as "vanity issues"....doctors call it that and I hate it! It is not unreasonable or vain for a woman to be very upset about these issues, and I feel like they marginalize our concerns when they call it that. It matters, and it's totally worth the effort (on their part and ours) to search for a solution. I never want anyone to not feel beautiful the way they are, but I know how it feels to struggle with these things, and it can be isolating to feel like your problems are "only physical" or not important. We vary in severity, so maybe you'll be lucky! But you have support no matter what.