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FAQs concerning the diagnosis of PCOS

How should Polycystic Ovary Syndrome (PCOS) be diagnosed?

PCOS should be diagnosed by a credible physician who will begin with a basic physical examination. He/she may also want to have an ultrasound done of your ovaries and require a number of blood tests. Be sure to let your physician know if you are experiencing any of the symptoms of PCOS. There are a number of doctors who feel that a woman must have at least three of the symptoms prior to diagnosing PCOS. Other doctors may make the diagnosis based on the emphasis on lack of ovulation.

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How are polycystic ovaries diagnosed by ultrasound?

Ovary ultrasound showing cystic ovaries courtesy of LearningRadiology.com

Ovary ultrasound showing cystic ovaries courtesy of LearningRadiology.com

An ultrasound of the ovaries is usually done by placing a probe into the vagina to view the ovaries. Sometimes, an abdominal ultrasound is done but a transvaginal ultrasound is preferred.

A classic PCOS ovary is enlarged and has a “string of pearls” appearance, where the “pearls” are the cysts. Usually ultrasound diagnosis of polycystic ovaries is made if there are at least 8-10 cysts that are less than 10mm in size on each ovary. The polycystic ovary tends to be enlarged to 1.5-3 times the size of a normal ovary.

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Is it possible to have polycystic ovaries without having the syndrome?

Yes. It is estimated that out of 20 to 30% of women, only 5 to 10% will be diagnosed as having Polycystic Ovary Syndrome based on their symptoms. Having cysts on your ovaries is not a definitive criteria to having PCOS. However, a large number of women with ovarian cysts also display other symptoms hormonally of having a predisposition for PCOS.

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Is it possible to have PCOS without having cysts?

The medical jury is still out on this subject. Some physicians believe that if a woman is exhibiting a number of PCOS symptoms but do not have cysts, that does not necessary mean that they do not have the syndrome. However, it is difficult to make a firm diagnosis of PCOS without the presence of either an increased number of small cysts or ovarian enlargement. Furthermore, in most cases, if a patient is displaying other symptoms, the likelihood of some ovary irregularities.

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AGA – Photo image of onset

Image photo of the onset of Androgenetic Alopecia in a female courtesy of www.aafp.org

Image photo of the onset of Androgenetic Alopecia in a female courtesy of www.aafp.org

Ludwig Scale of Hair Loss for Women

courtesy of www.dermalogix.net

courtesy of www.dermalogix.net

Photo of AGA in younger woman

Photo image of young woman with diagnosis of androgenetic alopecia (female pattern baldness) courtesy of www.trichologists.org.uk

Photo image of young woman with diagnosis of androgenetic alopecia (female pattern baldness) courtesy of www.trichologists.org.uk

Photo image of middle aged woman with AGA

Photo image of middle aged woman with female pattern baldness.  Courtesy of www.trichologists.org.uk

Photo image of middle aged woman with female pattern baldness. Courtesy of www.trichologists.org.uk

Images of Further Stages of Alopecia

Further stages of alopecia areata

Further stages of alopecia areata

Alopecia with diffuse thinning courtesy of www.meddean.luc.edu

Alopecia with diffuse thinning courtesy of www.meddean.luc.edu

Alopecia Universalis courtesy of www.dermatology.org

Alopecia Universalis courtesy of www.dermatology.org

Alopecia Areata Image Photo

Image photo of what a typical onset of alopecia areata looks like.

Image photo of what a typical onset of alopecia areata looks like.