Diagnose PCOS

Diagnosis & Blood Tests

Never accept a diagnosis that was made by ultrasound alone.
Several hormone tests may be used to evaluate a woman for PCOS:

  • Follicle stimulating hormone (FSH) – will be normal or low with PCOS
  • Lutenizing hormone (LH) – will be elevated
  • Testosterone – usually elevated
  • Estrogens – may be normal or elevated
  • Sex hormone binding globulin (SBGH) – may be reduced
  • Androstenedione – may be elevated

A few tests may help rule out other conditions with similar signs and symptoms:

  • Thyroid-stimulating hormone (TSH) – to rule out thyroid dysfunction
  • 25-hydroxy vitamin D blood test - to rule out vitamin d level ,mostly people with PCOS have vitamin d deficiency
  • Selenium ,iodine, magnesium and zinc test.
  • Prolactin – to rule out elevated prolactin
  • Lipid profile – to help determine risk of developing cardiovascular disease; risk is associated with a low HDL, high LDL, high total cholesterol and/or elevated triglycerides
  • Glucose or A1c – can be used to detect diabetes; elevated in diabetes
  • Insulin – often elevated in insulin resistance
  • DHEAS – frequently mildly elevated with PCOS; may be done to rule out an adrenal tumor in women with rapidly advancing hirsutism

PCOS - Diagnosis & Blood Tests

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