PCOS Diagnosis

Dear Ask The Doctor: I didn't get my period once I stopped my birth control pills. One PCOS specialist gave me an ultrasound and assured me I have PCOS, and another did the same and said I absolutely do not (both MDs are very reputable). How do I find out for sure? I'm so frustrated...

Dear Blake:

Polycystic ovary syndrome (PCOS) is a common hormonal disorder among women of reproductive age. Irregular menstrual periods, excess hair growth, acne and obesity can all occur in women with PCOS. Menstrual abnormality may signal the condition. However, sometimes after stopping contraceptives taken for a long period of time, you might not have menses immediately. Your body might take up to 6 months to regulate its hormone production and this does not necessary means PCOS.

In my opinion, after a more detailed history and physical evaluation, I would consider having an ultrasound to show your ovaries appearance and uterine lining and also blood work to measure your hormone levels in order to rule out definitely PCOS. Polycystic ovaries alone do not confirm the diagnosis. To be diagnosed with PCOS, you must also have abnormal menstrual cycles or signs of androgen excess. I wish you the best.