Polycystic ovary syndrome is mainly diagnosed by ultrasonography and hormone level examination.
1. Ultrasonography: In polycystic ovary syndrome, ultrasonography can find that the size of the ovary increases, the echogenicity of the peritoneum is enhanced, and 12 or more small follicles of 2-9mm can be found in one or both ovaries. However, this examination is not necessary to confirm the diagnosis, and some other organic diseases can be excluded through this examination.
2. Hormone level test: This is the main test to confirm the diagnosis of polycystic ovary syndrome. When the patient undergoes hormone test, the testosterone level will be elevated, but not more than twice of the normal level; follicle-stimulating hormone may be normal or low, but the luteinizing hormone will be elevated, and the ratio of these two items will be elevated, which is usually greater than or equal to 2 to 3.
Estradiol may be normal or mildly elevated, serum prolactin may also be mildly elevated, and in patients with abdominal obesity, blood glucose and glucose tolerance tests should also be performed.
If polycystic ovary syndrome is suspected, it is recommended to go to a regular hospital, complete the relevant examinations under the guidance of the doctor, clarify the cause of the disease and then actively target treatment, so as not to delay the condition.