I was Dx'd while trying to conceive in the early 90's. Diagnoses now are still similar to back then, as my daughter has it too. Mostly according to symptoms. There aren't a lot of GOOD bloodtests available to diagnose PCOS, mainly because the "normal" range is artificially wide.
There are a few key components that are generally more common than not... irregular periods (whether they're heavy or not, or regular ones that are too heavy or last too long/not long enough, or just don't fit the profile); abnormal facial/body hair, typically on the chin and neck, around the nipples and in a line from your belly button to your pubic hair; "acanthus nigricans" which is a general thickening/darkening of the skin on the back of your neck, sometimes extending up to your ears and often including the tops/backs of shoulders and backs of upper arms; if you have cysts, that's an "inclusive indicator" which means they feel secure about telling you that you have PCOS, but you can definitely have PCOS WITHOUT any cysts at all. Insulin resistance is a factor that can be included, or not. Depression is a HUGE factor for some people, not at all for many. Intense cravings for sugar and starchy products are very common. A significant weight issue primarily in the "center mass" with a close to 1:1 hip to waist ratio.
Note to self: Please be patient with me, God isn't finished with me yet.
| current weight: 204.3