There's no specific test to definitively diagnose polycystic ovary syndrome. The diagnosis is one of exclusion, which means your doctor considers all of your signs and symptoms and then rules out other possible disorders.
During this process, you and your doctor will discuss your medical history, including your menstrual periods, weight changes and other symptoms. Your doctor may also perform certain tests and exams:
Sept. 03, 2014
- Physical exam. During your physical exam, your doctor will note several key pieces of information, including your height, weight and blood pressure.
- Pelvic exam. During a pelvic exam, your doctor visually and manually inspects your reproductive organs for signs of masses, growths or other abnormalities.
- Blood tests. Your blood may be drawn to measure the levels of several hormones to exclude possible causes of menstrual abnormalities or androgen excess that mimic PCOS. Additional blood testing may include fasting cholesterol and triglyceride levels and a glucose tolerance test, in which glucose levels are measured while fasting and after drinking a glucose-containing beverage.
- Ultrasound. An ultrasound exam can show the appearance of your ovaries and the thickness of the lining of your uterus. During the test, you lie on a bed or examining table while a wand-like device (transducer) is placed in your vagina (transvaginal ultrasound). The transducer emits inaudible sound waves that are translated into images on a computer screen.
- Hoffman BL, et al. Williams Gynecology. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://accessmedicine.com/resourceTOC.aspx?resourceID=768. Accessed June 2, 2014.
- Barbieri RL, et al. Clinical manifestations of polycystic ovary syndrome in adults. http://www.uptodate.com/home. Accessed June 4, 2014.
- Barbieri RL, et al. Treatment of polycystic ovary syndrome in adults. http://www.uptodate.com/home. Accessed June 4, 2014.
- AskMayoExpert. What is the initial therapy recommended for polycystic ovary syndrome (PCOS)? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Polycystic ovary syndrome (PCOS) fact sheet. Womenshealth.gov. http://www.womenshealth.gov/publications/our-publications/fact-sheet/polycystic-ovary-syndrome.html. Accessed June 4, 2014.
- Sirmans SM, et al. Epidemiology, diagnosis, and management of polycystic ovary syndrome. Clinical Epidemiology. 2014;6:1.
- Legro RS, et al. Diagnosis and treatment of polycystic ovary syndrome: An Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology and Metabolism. 2013;98:4565.
- Strauss JF, et al. Yen & Jaffe's Reproductive Endocrinology. 7th ed. Philadelphia, Pa. Elsevier Saunders; 2014. http://www.clinicalkey.com. Accessed June 11, 2014.
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- Golden AK. Decision Support System. Mayo Clinic, Rochester, Minn. April 25, 2014.
- Coddington CC (expert opinion). Mayo Clinic, Rochester, Minn. July 6, 2014.
- Domecq JP, et al. Lifestyle modification programs in polycystic ovary syndrome: Systematic review and meta-analysis. The Journal of Clinical Endocrinology and Metabolism. 2013;98:4655.
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