Hi, I am doing well. I did a ton of searching and discovered some posts from women with similar unexplained elevated ana's and symptoms, but no concrete diagnosis. They had IUD's. I also had an IUD. I had my IUD removed and the elevated inflamations levels returned to normal and I have not had episcleritis or any other autoimmune type symptom since. I don't know if this applies to you obviously, but episcleritis seems to be more sporatic than mine was. Good luck!