No one test can be used to identify polycystic ovarian syndrome (PCOS). Your healthcare practitioner will most likely begin by discussing your symptoms, medicines, and any other medical issues. Your physician may also inquire about your menstrual cycle and any weight fluctuations. A physical examination will look for evidence of excessive hair growth, insulin resistance, and acne. Your physician may then advise you to proceed. During a pelvic exam, your physician might look for masses, growths, or other changes in your reproductive organs. Blood tests are performed. Hormone levels can be measured via blood testing. This testing can rule out potential causes of menstrual irregularities or androgen excesses that mimic PCOS. Other blood tests, such as fasting cholesterol and triglyceride levels, may be performed. An ultrasound may assess the appearance of your ovaries as well as the thickness of your uterine lining. In your vagina, a wand-like instrument (transducer) is inserted. The transducer generates sound waves, which are then converted into visuals on a computer screen. If you have PCOS, your provider may offer further testing to rule out issues.
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