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>getting pregnant with a 3.41 TSH is totally fine

It's not fine, my endo and the book below both say that the ideal range for healthy conception and to ward off miscarriage is to start at 2.5 TSH. However, she bumped me to 1.08 TSH.
https://www.amazon.com/gp/aw/d/0738218677/ref=mp_s_a_1_1?ie=UTF8&qid=1480689115&sr=8-1&pi=SY200_QL40&keywords=hypothyroid+mom&dpPl=1&dpID=51WEmDHtYeL&ref=plSrch

Find another endo (easier said than done I know). You may have a T3 issue and not T4 or tsh. I had to demand to get my T3 tested. While you wait for that appointment, try out an autoimmune paleo diet (for the antibodies), or at least reduce grains and sugars. Take selenium and vitamin D to help your thyroid. Sleep in on the weekends or go to bed as early as you can. If they suspect that you have insulin resistance and not full blown PCOS, try reducing your carbs and increasing healthy fats while you wait.

See if the medication helps. Read a lot about your condition so you can ask the right questions and make sure you are getting good care from doctors. Even if your doc is good enough to diagnose you there is a LOT of misinformation in the medical community. You want to make sure you are getting treated for the right thing. An example is that many doctors won't treat someone for Hypothyroid if their TSH is not over 10 but the guidelines have been updated and typically not people are treated if their TSH is over 3. If your doctor isn't aware of this and just goes off what the lab says normal/abnormal you may or may not be getting enough treatment. Labs may use the 3 or the 10 to diagnose. Looking at the tests for free t3/t4 is also important because there could be different ways you are hypothyroid and different treatments might be more helpful based on your condition.

Example of places things can go wrong:

1. Your Pituitary gland may be misinterpreting the signals from your body and sending the wrong signals to your thyroid gland.
   
2. Your Pituitary gland may be malfunctioning and not able to send the right signals to your thyroid gland.
   
3. Your thyroid gland may be degrading and not able to produce enough t3/t4 hormones.
   
4. Your body may not be able to convert the t4 hormone to t3 hormone to consume.
   
5. Your cells may be struggling to consume the t3 hormone.
   
6. You may have an autoimmune disorder such as Hashimotos disease where your immune system is attacking your thyroid t3/t4 hormone and destroying thyroid.
   
   
   A good first step book is Living well with Hypothyroidism. It should get you familiar with the different types of tests, what they mean, and it has an extensive listing of symptoms.

If you really want to learn about how thyroid affects the body, I'd suggest the Tired Thyroid book There are five case studies, so you can see how it affects real people throughout their lives. One case study is of a man who was hit on the head so has minimal pituitary function. Another woman has Hashimoto's, another has Graves', but there are no cancer studies. The focus is more on helping patients figure out what the right dose of medication is for them. If you're looking for a diet book, this isn't it.

I read Ridha Arem and Mary Shomon years ago, but didn't find it nearly as informative, though they're available in most libraries.