Bloodwork + sonogram. To diagnose pcos, we need 2 out of 3 of: 1. Irregular periods 2. Clinical signs like acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound appearance of polycystic ovaries: high volumes or antral follicle counts. Also need to "rule out" other causes of irregular cycles, acne, hair growth: thyroid, prolactin, adrenal gland issues. See OB or fertility md.
Agree. We also add the 3 hour glucose tolerance test with insulins at each time point. We feel that pcos represents the earliest sign in women of the type ii diabetes gene spectrum. This test allows us to assess the stage of the disease. Of presenting patients, 3-5% are already dmii by criteria, 15% are borderline and the rest are pre-diabetic.