Many women with PCOS are diagnosed without further investigation or advice, leaving them without the proper treatment and support. While the Rotterdam criteria is commonly used to diagnose PCOS, it’s important to understand that there are many other imbalances and conditions that could cause these symptoms. That’s why it’s essential to get a thorough evaluation and the right tests.
Here’s a list of the following tests I use in clinic to help inform the next steps in a clients journey.
- Luteinizing hormone (LH)
- Follicle-stimulating hormone (FSH)
- Estradiol
- Insulin
- Dehydroepiandrosterone sulfate (DHEA-S)
- Sex hormone-binding globulin (SHBG)
- Prolactin
- Thyroid panel (not just TSH)
- Free and total testosterone
These tests can help identify any underlying hormonal imbalances that may be causing your PCOS symptoms. Treatment strategies should be specific to you and address any underlying imbalances, rather than relying solely on the pill or Metformin, which may only provide temporary relief.
It’s important to remember that not every PCOS case is the same, and you need a personalized approach to manage your condition effectively. Therefore, it’s essential to work with a healthcare provider who can provide you with the right diagnosis and individualized treatment plan.
References:
- Azziz, R., Carmina, E., Dewailly, D., Diamanti-Kandarakis, E., Escobar-Morreale, H. F., Futterweit, W., Janssen, O. E., & Legro, R. S. (2009). The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertility and sterility, 91(2), 456-488.
- Teede, H., Deeks, A., Moran, L., & Moran, L. J. (2010). Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC medicine, 8(1), 41.
- Legro, R. S., Arslanian, S. A., Ehrmann, D. A., Hoeger, K. M., Murad, M. H., Pasquali, R., & Welt, C. K. (2013). Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 98(12), 4565-4592.
