How is PCOS diagnosed?
PCOS is diagnosed based on a history of irregular menstrual cycles and symptoms of excess androgens such as increased hair growth, acne or male-pattern scalp hair loss. Pelvic ultrasound can also be used to confirm the diagnosis of PCOS in a woman with irregular menstrual cycles and/or symptoms of excess androgens. Additional blood tests (cholesterol, triglycerides, and glucose) are important in evaluating for associated metabolic complications such as abnormal cholesterol or diabetes.
A doctor will perform a physical examination and ask about your medical history. She will ask questions about your family history as well as your period and its regularity. She will check your weight and look for physical symptoms, like acne, hair growth and darkened skin. She might also ask for blood tests to measure insulin and other hormone levels. These tests may be used to diagnose PCOS or to rule out other conditions like thyroid or other ovarian problems. Another test, called an ultrasound, is used to look at the ovaries and to see if you have cysts.
