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EXAMINATION IN PATIENTS OF PCOS (Polycystic Ovarian Syndrome)
Thu, 16 Jun 2022
To know if a woman has polycystic ovary syndrome (PCOS), it is necessary to carry out a series of diagnoses to identify the disease or condition that explains the symptoms and signs that appear.
Tests to diagnose Polycystic Ovarian Syndrome include:
• Physical examination. A series of physical examinations were carried out for the patient.
• Laboratory examination. Patients are asked to undergo blood tests to measure hormone levels, blood sugar levels and cholesterol levels.
• Non-Laboratory Examination. By doing an ultrasound test (USG), this test shows the number of cysts in the ovaries and the thickness of the uterine wall.
1. Physical examination.
By recording some important information about the patient's body such as height, weight, blood pressure, skin condition, calculating body mass index, examining the breast, stomach, and thyroid gland by a doctor, and examining the female reproductive organs.
2. Laboratory Examination.
The recommended laboratory screening tests include:
• Thyroid function tests (TSH/Thyroid Stimulating Hormone and free thyroxine levels).
• Check prolactin levels.
• Free androgen index examination.
• Check FSH/Follicle Stimulating Hormone and LH/Luteinizing Hormone levels.
• Serum hCG/human Chorionic Gonadotropin levels, with the aim of ruling out pregnancy in women with oligomenorrhea or amenorrhea.
• Free Cortisol Levels A 24-hour urine specimen free cortisol test may be performed to rule out Chusing's Syndrome.
• Oral Glucose Tolerance Test, in PCOS patients with BMI >30kg/m2, having a family history of Type 2 Diabetes Mellitus, or with age >40 years, an OGTT (Oral Glucose Tolerance Test) 75 grams should be performed. Pregnant women diagnosed with PCOS should be screened for gestational diabetes, before 20 weeks' gestation.
3. Non-Laboratory Examination.
With ultrasound test (USG Ovary), this examination is usually done transvaginally with the aim of showing the number of cysts in the ovaries and the thickness of the uterine wall (to assess the morphology of the ovaries).
Author : dr. Fatimah Bebi (Medical Consultant Doctor of PRAMITA Clinical Laboratory Jl. Diponegoro No. 37 Medan)
Tests to diagnose Polycystic Ovarian Syndrome include:
• Physical examination. A series of physical examinations were carried out for the patient.
• Laboratory examination. Patients are asked to undergo blood tests to measure hormone levels, blood sugar levels and cholesterol levels.
• Non-Laboratory Examination. By doing an ultrasound test (USG), this test shows the number of cysts in the ovaries and the thickness of the uterine wall.
1. Physical examination.
By recording some important information about the patient's body such as height, weight, blood pressure, skin condition, calculating body mass index, examining the breast, stomach, and thyroid gland by a doctor, and examining the female reproductive organs.
2. Laboratory Examination.
The recommended laboratory screening tests include:
• Thyroid function tests (TSH/Thyroid Stimulating Hormone and free thyroxine levels).
• Check prolactin levels.
• Free androgen index examination.
• Check FSH/Follicle Stimulating Hormone and LH/Luteinizing Hormone levels.
• Serum hCG/human Chorionic Gonadotropin levels, with the aim of ruling out pregnancy in women with oligomenorrhea or amenorrhea.
• Free Cortisol Levels A 24-hour urine specimen free cortisol test may be performed to rule out Chusing's Syndrome.
• Oral Glucose Tolerance Test, in PCOS patients with BMI >30kg/m2, having a family history of Type 2 Diabetes Mellitus, or with age >40 years, an OGTT (Oral Glucose Tolerance Test) 75 grams should be performed. Pregnant women diagnosed with PCOS should be screened for gestational diabetes, before 20 weeks' gestation.
3. Non-Laboratory Examination.
With ultrasound test (USG Ovary), this examination is usually done transvaginally with the aim of showing the number of cysts in the ovaries and the thickness of the uterine wall (to assess the morphology of the ovaries).
Author : dr. Fatimah Bebi (Medical Consultant Doctor of PRAMITA Clinical Laboratory Jl. Diponegoro No. 37 Medan)
