How to Get Diagnosed with PCOS: What to Ask Your Doctor
PCOS is diagnosed using the Rotterdam criteria: you need two of three features—irregular ovulation, high androgens (by blood test or symptoms), and polycystic ovaries on ultrasound. To prepare, track your cycles and symptoms, ask for hormone and metabolic blood work, and advocate firmly if dismissed.
Preparing for your appointment
Coming with data and specific asks speeds up diagnosis.
- Track cycle length, irregularity, acne, hair changes, and weight for several months.
- Ask for blood tests: testosterone, DHEA-S, fasting insulin, glucose, and thyroid panel.
- Request a pelvic ultrasound if not offered.
- Be direct: 'I would like to be evaluated for PCOS based on these symptoms.'
Track how you feel and spot the pattern
PhaseBloom logs your symptoms and mood against your cycle in seconds a day, so you can see which days hit hardest and prepare before they arrive.
Track how you feel and spot the pattern
PhaseBloom logs your symptoms and mood against your cycle in seconds a day, so you can see which days hit hardest and prepare before they arrive.
Frequently asked questions
What tests confirm PCOS?
Blood tests for androgens (testosterone, DHEA-S), fasting insulin and glucose, and a pelvic ultrasound looking for polycystic ovaries. Diagnosis is based on the Rotterdam criteria: two of three features.
What if my doctor dismisses my concerns?
Bring your symptom log and be specific about the Rotterdam criteria. If still dismissed, seek a second opinion from an endocrinologist or reproductive specialist. PCOS is underdiagnosed when patients do not advocate.