Diagnosis

Polycystic Ovary Syndrome (PCOS) - Exams and Tests

No single test can show that you have polycystic ovary syndrome (PCOS). Your doctor will talk to you about your medical history, do a physical exam, and run some tests.

Medical history

ü  The medical history includes questions about your symptoms. Your doctor may ask you about changes in your weight, skin, hair, and menstrual cycle. He or she may also ask you about problems with getting pregnant, medicines you are taking, and your eating and exercise habits.

ü  You will also talk about any family history of hormone problems, including diabetes.

Physical exam

The physical exam checks your thyroid gland, skin, hair; You will have a blood pressure check

Ultrasound

You may have a pelvic ultrasound, which might show enlarged ovaries with small cysts. These are signs of PCOS. But many women with PCOS don't have these signs.

Lab tests

You may have blood tests to check for:

¬  Human chorionic gonadotropin (hCG), to find out if you are pregnant.

¬  Testosterone, an androgen. Androgens at high levels can block ovulation andcause acne, male-type hair growth on the face and body, and hair loss from the scalp.

¬  Prolactin, which can play a part in a lack of menstrual cycles or infertility.

¬  Cholesterol and triglycerides, which can be at unhealthy levels with PCOS.

¬  Thyroid-stimulating hormone (TSH) to check for an overactive or underactive thyroid.

¬  Adrenal gland hormones, such as DHEA-S or 17-hydroxyprogesterone. An adrenal problem can cause symptoms much like PCOS.

¬  Glucose tolerance and insulin levels, which can show insulin resistance.

Testing for problems from PCOS

v  Diabetes. If you have PCOS, experts recommend that you have blood glucose testing for diabetes by age 30. You may have this done at a younger age if you have PCOS and other risk factors for diabetes (such as obesity, lack of exercise, a family history of diabetes, or gestational diabetes during a past pregnancy). After this, your doctor will tell you how often to have testing for diabetes.

v  Doctor will regularly check your cholesterol and triglycerides, blood pressure, and weight. This is because PCOS is linked to higher risks of high blood pressure, weight gain, and high cholesterol.

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