Diagnosis of PCOS
Your Doctor May Then Recommend Following Test
General Examination- to see for the signs of PCOS like acne, unwanted hair on body etc.
Breast Examination- to see for the evidence of any discharge from nipples which is common with hormonal disturbance in PCOS.
Pelvic examination : The doctor inspects your reproductive organs for any masses, growths or other abnormalities, ( performed only if you are sexually active).
Blood tests : Your blood sample may be sent to measure various hormone levels. This test can exclude other various causes of menstrual abnormalities or blood androgen excess that mimics PCOS. Additional blood tests are done to measure glucose tolerance and fasting cholesterol and insulin levels.
An ultrasound : Your doctor checks the appearance of your ovaries, no.of follicles, presence of ovulation and the thickness of the lining of your uterus. A small wand-like device (transducer) is placed in your vagina (transvaginal ultrasound).
Thus, after complete evaluation of these clinical, radiological and biochemical parameters; if any two parameters are found positive, then only you are diagnosed as a case of PCOS.
If you are already diagnosed with PCOS, the doctor might recommend some additional tests for complications.
Periodic check-up of blood pressure, glucose tolerance, and cholesterol and lipid levels
Screening for symptoms of depression and anxiety
Screening for sleep disturbances (obstructing sleep apnea)
TO have the best treatment of PCOS in Jaipur, book your appointment today with PCOS Expert!
PCOS means polycystic ovarian syndrome. PCOS is the pathology of ovaries in which multiple eggs are formed which leads to formation of multiple cysts, get arranged peripherally in ovaries. It is a heterogeneous and heritable disorder which causes reproductive, metabolic and hormonal disturbance in the females.
PCOS is the leading cause of infertility. It is solely responsible for 40% cause of Anovulation hence female infertility. Insulin resistance plays crucial role in the pathogenesis of PCOS which is responsible for androgen excess and leads to anovulation hence infertility.
Remember PCOS is not a disease, only a disorder. On the bright side, statistically 20% of women, who have polycystic ovaries, may not have problems in ovulating or conceiving. Also, with help of ovulation medication nearly 60-70% women will achieve ovulation and 40% of them will conceive over the first 3 attempts.
PCOS presents with an array of symptoms which may vary from person to person. There is a cure for PCOS, provided early diagnosis is made together with implementation of proper integrated approach personalised according to symptoms of patient.
PCOS is diagnosed if two features are positive out of following three:
1.Clinical features/ biochemical hyper-androgenemia (male hormone excess) like weight gain, acne, excess facial hair, irregular menses, scanty/heavy menses, baldness, hair fall, inability to conceive etc.
- Oligo- Ovulation / Anovulation
- Ultrasound appearance of ovaries with multiple cysts arranged peripherally in necklace pattern.
PCOS can present with long term health risks like Type 2 diabetes mellitus, Hypertension, Hyper-lipidemia, Atherosclerosis, ischemic heart disease, stroke and even Endometrial Cancer in long run, if syndrome is left untreated.
Yes, treatment of PCOS focus on managing your concerns. First line management is Lifestyle Modification so as to enhance your insulin sensitivity. Medication is focused on increasing your insulin sensitivity and correcting the hormonal disturbance. Then Cosmetic, reproductive or metabolic disturbances are taken care of as per patient requirement.
PCOS is a disorder of ovaries (not a disease) which is in-built and heritable so its control and reversal is possible. Complete cure is possible for any disease which happens in lifetime. Its reversal for lifetime requires more of the patient dedication and understanding of the cause of her own disease. Our PCOS specialist tries to involve patient actively in formulating her diet and exercise modification and explain the action of medicines. We have a very peculiar way of treating PCOS. We help our patients to understand the pathogenesis of their disease and once they understand it, they are far more capable to control such a nuisance of PCOS which is known to remain otherwise, for lifetime.