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    Lab Tests in Pcos

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    jegan555
    There is no single test to diagnose polycystic ovary syndrome (PCOS), so doctors evaluate symptoms, medical history, and lab tests. Hormone tests of follicle stimulating hormone, lutenizing hormone, testosterone, estrogens, and other markers are used, along with tests to rule out conditions with similar symptoms. Ultrasounds are also used to examine enlarged ovaries with many small follicles characteristic of PCOS. A combination of factors is considered for a PCOS diagnosis.

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    Lab Tests in Pcos

    Uploaded by

    jegan555
    163 views3 pages
    There is no single test to diagnose polycystic ovary syndrome (PCOS), so doctors evaluate symptoms, medical history, and lab tests. Hormone tests of follicle stimulating hormone, lutenizing hormone, testosterone, estrogens, and other markers are used, along with tests to rule out conditions with similar symptoms. Ultrasounds are also used to examine enlarged ovaries with many small follicles characteristic of PCOS. A combination of factors is considered for a PCOS diagnosis.

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    There is no single test to diagnose polycystic ovary syndrome (PCOS), so doctors evaluate symptoms, medical history, and lab tests. Hormone tests of follicle stimulating hormone, lutenizing hormone, testosterone, estrogens, and other markers are used, along with tests to rule out conditions with similar symptoms. Ultrasounds are also used to examine enlarged ovaries with many small follicles characteristic of PCOS. A combination of factors is considered for a PCOS diagnosis.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    163 views3 pages

    Lab Tests in Pcos

    Uploaded by

    jegan555
    There is no single test to diagnose polycystic ovary syndrome (PCOS), so doctors evaluate symptoms, medical history, and lab tests. Hormone tests of follicle stimulating hormone, lutenizing hormone, testosterone, estrogens, and other markers are used, along with tests to rule out conditions with similar symptoms. Ultrasounds are also used to examine enlarged ovaries with many small follicles characteristic of PCOS. A combination of factors is considered for a PCOS diagnosis.

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    Lab tests in pcos

    Tests

    There is no specific test that can be used to diagnose polycystic ovary syndrome (PCOS) and
    there is no widespread agreement on what the diagnostic criteria should be. A health
    practitioner will typically evaluate a combination of clinical findings such as a woman's signs
    and symptoms, medical and family history, and physical exam as well as laboratory test results
    to help make a diagnosis.

    Some testing may done to rule out other possible causes of PCOS-like symptoms before a PCOS
    diagnosis can be made. For example, adrenal or ovarian tumors or an overgrowth in adrenal
    tissue called adrenal hyperplasia can also cause an overproduction of male hormones in
    women.

    Laboratory Tests

    Several hormone tests may be used to evaluate a woman for PCOS:

    Follicle stimulating hormone (FSH) will be normal or low with PCOS

    Lutenizing hormone (LH) will be elevated

    Testosterone usually elevated

    Estrogens may be normal or elevated

    Sex hormone binding globulin (SBGH) may be reduced

    Androstenedione may be elevated

    Human chorionic gonadotropin (hCG) used to check for pregnancy; negative unless pregnant

    Anti-Mllerian hormone (AMH) an increased level is often seen with PCOS


    A few tests may help rule out other conditions with similar signs and symptoms:

    Thyroid-stimulating hormone (TSH) to rule out thyroid dysfunction

    Cortisol to rule out Cushing syndrome

    Prolactin to rule out elevated prolactin (hyperprolactinemia)

    17-hydroxyprogesterone to rule out the most common form of congenital adrenal


    hyperplasia

    IGF-1 to rule out excess growth hormone (acromegaly)

    DHEAS frequently mildly elevated with PCOS; may be done to rule out an adrenal tumor in
    women with rapidly advancing hirsutism

    Other blood tests may be done to check a woman's health and detect any complications that
    might develop:

    Lipid profile to help determine risk of developing cardiovascular disease; risk is associated
    with a low HDL, high LDL, high total cholesterol and/or elevated triglycerides

    Glucose or A1c can be used to detect diabetes; elevated in diabetes

    Insulin often elevated in insulin resistance

    Non-Laboratory Tests

    A pelvic ultrasound (transvaginal and/or pelvic/abdominal) is used to evaluate enlarged ovaries.


    Ultrasounds are often used to look for cysts in the ovaries and to see if the internal structures
    appear normal. In PCOS, the ovaries may be 1.5 to 3 times larger than normal and
    characteristically have more than 12 or more follicles per ovary measuring 2 to 9 mm in
    diameter. Often the cysts are lined up on the surface the ovaries, forming the appearance of a
    "pearl necklace." The follicles tend to be small and immature, thus never reaching full
    development. The ultrasound helps visualize these changes in more than 90% of women with
    PCOS, but they are also found in up to 25% of women without PCOS symptoms. (For more, see
    RadiologyInfo.org: Pelvic ultrasound.)
    Laparoscopy may be used to evaluate ovaries and sometimes used as part of surgical
    treatment. (For more, see MedlinePlus: Pelvic laparoscopy.)

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