How To Know If You Are PCOS Positive?

PCOS is no longer a new term. It is a very familiar problem that affects your periods, skin, fertility, and even weight. It affects one among ten females. However, the rate could be much higher than assumed. It is better to visit your OBGY at least twice a year for a routine checkup so that you keep track of your reproductive health.

The tests Gynaecologist will perform on you to confirm your PCOS: There is no single test to know whether your ovaries are polycystic. The doctors combine blood tests, physical checkups, and scans to form the reports. For confirmation, you need to meet two out of the three criteria, as chosen by your gynecologist.

Here are a few;

  • Sonography– During sonography, your doctor will check for multi follicular and bulky ovaries. This involves specifically the Transvaginal Ultrasound or Transvaginal Scan (TVS). It is the most common tool to diagnose PCOS. As the size of the cysts in the ovaries is very small, TVS is a better option than an abdominal scan.

  • FSH: LH RatioFSH is Follicle Stimulating Hormone & LH is Luteinizing Hormone. The FSH-LH together are called Gonadotropins. This ratio is 1:1 normally. In young fertile ladies, this ratio may go up to the range 4-8, whereas, in a PCOS positive female, the LH to FSH levels (reverse levels) are higher. Sometimes 2:1 or even 3:1 at times.
  • Hormone Level– One more method of testing PCOS is to check the level of AMH. AMH is Anti Mullerian Hormone that clarifies how well your ovaries are working. A higher count indicates PCOS.
  • Cortisol Level- Cortisol is the primary stress hormone of your body. Its levels are deranged or dysregulated in PCOS.
  • Blood sugar Level- Studies show that up to almost 40% of PCOS women are prediabetic. Some blood samples show higher sugar levels. Out of them, 10% may acquire diabetes afterward.

  • Physical Test- This physical exam may include checking for excess hair growth, signs of insulin resistance, acne. Further, your gynecologist will feel your vulva, vagina, and cervix for any visible changes.

On the whole, the sooner you find out about your PCOS, the better you can manage it. PCOS is, however, not a treatable syndrome, but a few lifestyle changes will surely make a big difference. Your doctor shall guide you in your journey and make you healthier soon.

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