Polycystic Ovary Syndrome (PCOS): How to Make the Correct Diagnosis

Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder that requires a comprehensive approach to diagnosis. In this article, we will discuss why ultrasound alone is not enough and which symptoms should be considered.

Why is Ultrasound Insufficient for Diagnosing PCOS?

Often, women encounter ultrasound reports that state "polycystic ovary syndrome." However, this conclusion is incorrect because PCOS is a clinical diagnosis that is based on several factors.

• PCOS cannot be diagnosed by ultrasound results alone.
• The condition is characterized by hormonal imbalances, lack of ovulation, and metabolic disturbances.

Main Criteria for Diagnosing PCOS

To make a diagnosis, at least two of the following three key criteria must be present:

1. Menstrual cycle disturbances: Periods occurring less than 9 times a year or cycles longer than 35 days, often accompanied by anovulation.
2. Hyperandrogenism: Manifested clinically (male-pattern hair growth, acne) and confirmed by blood tests (increased levels of free testosterone).
3. Ultrasound signs: More than 20 follicles in one ovary or ovarian volume greater than 10 cm³.

Important:

If an ultrasound report mentions "multifollicular ovaries," this does not always indicate PCOS. Only a doctor can confirm the diagnosis after a complete examination.

When to Consult a Doctor?

If you notice the following symptoms, you should consult a gynecologist:

• Irregular cycles or prolonged absence of menstruation;
• Excessive hair growth in unusual areas (face, chest, thighs);
• Difficulty conceiving;
• Significant metabolic disorders (weight gain, insulin resistance).

Conclusion

Polycystic ovary syndrome is a diagnosis that requires a careful approach. Don’t rely on ultrasound alone. Consult a qualified doctor to undergo a comprehensive examination and receive proper treatment.

We hope this information was helpful. Take care of your health!