A member asked:

Is transrectal ultrasound enough to confirm if you have pcos?

13 doctors weighed in across 2 answers

No: Transabdominal and transvaginal ultrasound of the pelvis is a compliment to the the evaluation of blood hormones (e.g. Follicle stimulating hormone (fsh) and lutenizing hormone (lh)) in addition to a thorough physical exam and clinical history. Transrectal ultrasound is reserved for imaging of the prostate in men and for ultrasound guided procedures such as abscess drainage.

Answered 6/10/2017

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See answer: Using intravaginal us, pcos is defined as having 12 or more small follicles in each ovary by rotterdam criteria (some say 15-16) . However drs. May not rely solely on the us exam. Many woman have “cystic ovaries” without symptoms of hyperandrogenism, and there are some women who have been diagnosed with pcos without classical cystic ovaries.

Answered 11/27/2017

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