How Is PCOS Diagnosed?

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Diagnosis of PCOS often begins with a discussion of your medical history, including your menstrual periods and weight changes. Then you will have a physical exam, including checking for signs of excess hair growth, insulin resistance and acne. The tests recommended may include: A pelvic exam of visual and manual inspection of your reproductive organs for masses, growths or other abnormalities. A blood test to measure your hormone levels through analysis of your blood. This testing can exclude possible causes of menstrual abnormalities or androgen excess that mimics PCOS. Additional blood testing can also measure glucose tolerance and fasting cholesterol and triglyceride levels. An ultrasound test to check the appearance of your ovaries and the thickness of the lining of your uterus. A wand-like device (transducer) is placed in your vagina (transvaginal ultrasound). The transducer emits sound waves that are translated into images on a computer screen. If you are diagnosed with PCOS, your doctor might recommend additional tests for complications. Those tests can include:
  • Periodic checks of blood pressure, glucose tolerance, and cholesterol and triglyceride levels
  • Screening for depression and anxiety
  • Screening for obstructive sleep apnea
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