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[quote=Anonymous]If you have polycystic ovaries and another symptom like facial hair, scarce periods, overweight, acne, dark patches of skin, or evidence of a hormonal abnormality like high testosterone or LH PCOS is a definitive diagnosis.

The catch is you don't have to have polycystic ovaries to have PCOS. It is no longer standard to do an ultrasound to look for the polycysts in order to arrive at the diagnosis. You will, however,have some combination of the symptoms--some doctors will say two are sufficient to diagnose, particularly if one is few periods.  You certainly don't need high blood glucose to be diagnosed with PCOS, although it is often thought of as a pre-diabetic condition, particularly if you are overweight.

For the PP who said that her bloodwork was normal--did that include a full hormonal panel or was it just the normal CBC?  Full hormonal panels take a while to get back.  But, again, many doctors will diagnose without such a panel based on symptoms alone.  The hormonal panel is usually done, though, to make sure something more sinister is not going on like a tumor.

My daughter went to the OB with amenorrhea and acne and the doctor dx'ed PCOS on the spot. She is thin and has no other PCOS symptoms.  Then we got back the hormonal panel and found her testosterone was very high.  At that point, an ultrasound was done to rule out a testosterone secreting tumor.  These are mostly benign, but we were grateful she didn't have one.  The ultrasound found no evidence of polycysts.

At this point, I thought PCOS was a kind of dustbin diagnosis that was not very exact.  In my daughter's case saying she had excess testosterone seemed more appropriate.  Then she had an MRI of the pelvis for other reasons and an incidental finding was 30 or so cysts on each ovary.  I guess they were too small to show up on the ultrasound, but there we had it--definitive proof she has polycystic ovaries and PCOS.

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