Getting an accurate PCOS diagnosis

Far too often PCOS (Polycystic Ovary Syndrome) is being diagnosed solely from physical cysts showing up on an ultrasound.

Not only has this been the case with some of my clients - it was also the case for myself. PCOS is a serious condition which shouldn’t be taken lightly and an incorrect diagnosis creates so much worry and anxiety. So, if your GP is alluding to the fact that you may have PCOS - this is for you!

The current guidelines for diagnosing PCOS

• You must have two of the following present:

  1. Clinical or Biochemical hyperandrogenism - meaning you have high levels of androgens which can be picked up by a total or free testosterone blood test.

  2. Oligo-anovulation - another name for irregular ovulation. In particular it is a cycle that exceeds 35 days / or under 8 periods a year.

  3. Physical cysts on the ovaries - Over 20 follicles per ovary in either ovary, with a volume of over 10 cm3.

Although these are the current guidelines, there is still a need for a more robust criteria. It is widely accepted that hyperandrogenism (not due to another existing condition) is a common thread amongst women with PCOS. So the issue still remains that you can be diagnosed based off an ultrasound and irregular ovulation, without hyperandrogenism.

There are many reasons for irregular ovulation that is not PCOS, these include: stress, being undernourished, overtraining, thyroid disorders and even hormone birth control. The cysts found on ovaries may be related to the undeveloped follicles due to not ovulating that month, which may be a result of the pill or even in healthy women.

Bottomline is, ask all the questions and get the tests that you deserve for an accurate diagnosis. If you do have PCOS, it is untrue that there is nothing you can do about it.

Take a breath. PCOS symptoms CAN be reversed. Get in touch to arrange a discovery call where we can explore your concerns further!