How Is PCOS Diagnosed? Tests, Criteria & What to Expect

The official PCOS criteria

Doctors use the Rotterdam criteria. You need two out of three:

  1. Irregular or missing periods (irregular ovulation)

  2. High androgens (via symptoms or blood tests)

  3. Polycystic ovaries on ultrasound

Tests your doctor may run

  • Blood tests: testosterone, LH, FSH, SHBG, prolactin, thyroid, insulin

  • Ultrasound: checking ovary structure

  • History & symptoms: cycles, acne, hair growth, weight, fertility struggles

Why diagnosis matters

  • Validation → you’re not imagining things

  • Tailored support → nutrition & lifestyle plans can target your drivers

  • Future health → early management reduces risks like diabetes

FAQs

Q: Do I need all three criteria to have PCOS?
No, just two.

Q: Can blood tests alone confirm PCOS?
No, you need a wider picture.

Q: Is ultrasound always accurate?
Not always. It’s one piece of the puzzle.

👉 Next read: [Can You Get Pregnant with PCOS?]

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Can You Get Pregnant with PCOS?

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What Is PCOS? Understanding Polycystic Ovary Syndrome?