PCOS Tests & Diagnosis: How Is PCOS Diagnosed?

How is PCOS diagnosed?

PCOS diagnosis can be a defining moment in your life – particularly if you’ve been suffering for a while. A diagnosis can help you take back control and begin to understand how to move forward.

Unfortunately, there’s no single test for PCOS diagnosis, but speak to your GP if you’re experiencing the criteria below.

PCOS diagnostic criteria

PCOS is officially diagnosed using the Rotterdam criteria — when you meet TWO of the following THREE criteria:

Ovulatory disorders: Often indicated by menstrual cycle disturbances such as infrequent periods (oligo-menorrhoea) or absent periods (amenorrhoea).

Hyperandrogenism: Evidence of raised androgen e.g testosterone levels in the blood, either from a blood test or from clinical signs, hirsutism (unwanted hair) and skin disorders such as acne and greasy skin.

Polycystic ovaries: The presence on an ultrasound scan of multiple small follicles just below the surface of the ovary.

PCOS is a variable condition that affects women in different ways. Some women have only a few, minor symptoms, whereas others may have severe symptoms across all categories. You could even have PCOS without actually having polycystic ovaries (small cysts on your ovaries).

How long does it take to receive a PCOS diagnosis?

The time it takes to receive a PCOS diagnosis can vary. On average, it may take 6 to 12 months as doctors will assess symptoms, conduct blood tests, and possibly an ultrasound to confirm the diagnosis.

I’ve been diagnosed with PCOS! What next?

Most of us will get Googling, which can be confusing with lots of conflicting information available on the internet.

Instead, take time to read through our Fertility Family website and remember to take a list of questions with you to your next doctor’s appointment.

Referral to a specialist

If you’re diagnosed with PCOS, you’ll either be treated by your GP or referred to a specialist gynaecologist for the treatment of fertility problems, or you’ll see an endocrinologist for treatment of a hormonal imbalance.

The doctor will discuss the best way to manage your symptoms. In most instances they’ll recommend lifestyle changes and start you on any necessary medication.

Follow-up schedule for PCOS

Your main symptoms, age and weight will determine the follow-up procedure. Typically, you’ll be offered annual appointments to check your blood pressure and screen for diabetes.

Navigating life with a PCOS diagnosis

If you have recently been diagnosed with PCOS, you may be feeling a bit overwhelmed or confused about what to do next. Below are some of the things you can do after receiving an initial diagnosis:
Speak to your healthcare provider about different treatment options that will help manage your symptoms in the short and long term.
Practice self-care and try not to get consumed by the concept of lifestyle changes to manage your symptoms. Be realistic in your goals and work on small daily changes that will contribute to your overall well-being.
Ignore unhelpful comments or PCOS myths that you may hear and stick with a treatment plan that works for your individual circumstances.
Speaking to friends, family or anyone else that you feel comfortable opening up to can help alleviate some of the stress or worries you may have about your diagnosis.

What tests are done for PCOS?

Blood tests can be taken in order to test for hyperandrogenism and also can help to diagnose ovulatory disorders. Ovulatory disorders are often diagnosed when looking at your medical history as well.

An internal transvaginal ultrasound is used when looking for any cysts in your ovaries. This type of scan allows a doctor to look much more closely at your womb and ovaries. “Transvaginal” means “into the vagina”. The procedure requires you to lie on your back with your knees up, then a small ultrasound probe is gently passed into the vagina.

Can you get pregnant if you have been diagnosed with PCOS?

Yes, it is possible to get pregnant with PCOS, but it can sometimes be more challenging due to hormonal imbalances that may affect ovulation. Many women with PCOS experience irregular periods or anovulation (lack of ovulation), making it harder to conceive.

However, with the right treatment and lifestyle changes, such as weight management, medication to stimulate ovulation or fertility treatments, many women with PCOS successfully become pregnant.

Can PCOS be diagnosed in teenagers?

PCOS can be diagnosed in teenagers, but it can sometimes be tricky. Many of the symptoms, like irregular periods or acne, are common during puberty. However, if these symptoms continue or become more severe, it’s worth speaking to a healthcare provider. Diagnosing PCOS early can help manage symptoms and prevent future complications, helping them feel more in control of their health as they grow.