Horizon Prime Hospital - Thane

How is PCOS diagnosed?

PCOS Diagnosis

Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine disorders among women of reproductive age. It affects 5-10% of women worldwide and can cause menstrual irregularities, fertility issues, and other health problems. Understanding PCOS is essential for any woman wanting to be proactive about her health, as early diagnosis and treatment can greatly improve quality of life.

Symptoms and Risk Factors

Understanding the symptoms and risk factors associated with PCOS is essential for timely diagnosis and treatment.

The most common symptom of PCOS is irregular periods or no periods at all. Other signs can include weight gain, excessive facial and body hair growth (hirsutism), acne, male pattern baldness, pelvic pain, dark patches on skin (acanthosis nigricans), fatigue, anxiety and depression. Women with PCOS may also be more likely to experience metabolic issues like type 2 diabetes or prediabetes due to insulin resistance caused by the condition.

Clinical Evaluation

PCOS is diagnosed by clinical evaluation, which includes physical examination and laboratory assessment. Clinical evaluation typically involves obtaining a detailed medical history, including family history and lifestyle factors such as diet and exercise habits. Physical examination will include pelvic exam to observe the size and shape of the ovaries as well as measuring BMI, waist circumference, blood pressure, hirsutism score (a measure of hair growth) and acne score.

Laboratory Tests

To accurately diagnose PCOS, doctors typically order laboratory tests to check for hormonal imbalances and other possible causes of the symptoms.

Common laboratory tests used to help diagnose PCOS include hormone panels, ultrasound imaging, lipid profiles and blood sugar levels. Hormone panels consist of measuring levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), testosterone, estradiol and prolactin. An ultrasound can be used to look for ovarian cysts which are a characteristic sign of PCOS. A lipid profile measures cholesterol and triglyceride levels which may also be higher in women with PCOS than those without it.

Ultrasound Imaging

PCOS Ultrasound Imaging is a safe and reliable procedure for diagnosing polycystic ovarian syndrome (PCOS). PCOS is a common endocrine disorder that affects up to 10 percent of women of reproductive age, yet many cases go undiagnosed or misdiagnosed. Ultrasound imaging provides physicians with a detailed look at the ovaries, allowing them to make an accurate diagnosis of PCOS.

Ultrasound imaging involves using high-frequency sound waves to produce images of internal structures in the body. During the procedure, gel will be applied over the abdomen and then a handheld probe is moved over it, emitting sound waves and capturing the image on an ultrasound screen. The technician will capture images throughout different stages of the menstrual cycle to check for any irregularities in ovarian size or shape which may indicate polycystic ovary syndrome.

Hormone Testing

Polycystic Ovary Syndrome (PCOS) is a health condition that affects up to 10% of women and can cause a variety of physical and emotional symptoms. While the exact causes of PCOS are unknown, it is likely related to excess levels of hormones such as testosterone, estrogen, and luteinizing hormone (LH). For those looking for answers about their PCOS diagnosis or symptoms, undergoing hormone testing may be beneficial.

Hormone testing for PCOS involves measuring the levels of certain hormones in the body. Testing typically includes measuring testosterone, estradiol (a form of estragon), LH and FSH (follicle-stimulating hormone). It also may include measurements of other hormones like prolactin that may contribute to PCOS. Blood tests are commonly used to measure these hormones; however, results from saliva or urine tests may also be utilized.


In conclusion, Polycystic Ovary Syndrome is a complex condition that can be difficult to diagnose. The best way to establish a diagnosis is through a combination of medical history, physical exam, and laboratory tests. It’s important for anyone with PCOS symptoms to get evaluated by an experienced healthcare provider as soon as possible in order to begin appropriate management.