I have been taking Loestrin 24 for 2 1/2 months now. Other than that I take Synthroid for a hypo-thyroid condition. I am on 100 micro-grams a day. I haven't had my Thyroid checked since I went back on the pill. Could this fatigue be the pill, my thyroid? What to do? I am very healthy and work out a lot. I just can't seem to stay awake at night it's awful and affecting my sex life because evening is the only time we have to make love. Also falling alseep (most of the time I don't even know until I suddenly wake up or my husband wakes me) so early at night can't be making my husband feel wanted either. I am not sure what to do. Any ideas?