What tests are used to diagnose PCOS?
There is no single test to diagnose PCOS. A physician can often diagnose PCOS by obtaining a detailed medical and gynecological history and performing a physical exam. At the physical exam, evaluation of the areas of increased hair growth will be important. During a pelvic exam, the ovaries may be enlarged or swollen by the increased number of small cysts. Blood hormone levels such as testosterone levels are often measured to confirm the diagnosis. Additionally, glucose or sugar levels, as well as insulin blood hormone levels may be measured. A vaginal ultrasound may be performed to help distinguish PCOS from other disorders that cause multiple cysts in the ovaries. The ultrasound exam can also identify a thickened uterine lining. If menstrual periods have been irregular or absent, an endometrial biopsy may be necessary to rule out a pre-cancerous endometrial condition. The current criteria for the diagnosis of PCOS include the following three items: • Irregular or absent periods • Sig
