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Originally Posted by mallyns  How is PCOS diagnosed?
PCOS is most appropriately diagnosed by both blood tests and/or ultrasound. An ultrasound test can be used to assess whether polycystic ovaries are present. However, a diagnosis of PCOS should not be based on ultrasound alone because multiple cysts in the ovaries are not present in all women, and cysts can be present in normal ovaries.
Blood tests can provide a more definitive diagnosis of PCOS. Elevated levels of androgens, elevated fasting insulin and/or glucose levels, elevated levels of LH, and an elevation in the ratio of LH to FSH are all biochemical findings consistent with PCOS.
Lots of women have facial hair, it could be genetic. The weight problem can be something else. Are you taking meds? That could cause weight gain. Are you sure your diet is correct? Some diets are very bad for you and if you are not careful some foods contain hidden things which will cause you to gain weight. Are you seeing someone for your diet?
PCOS is a hormone problem. Blood work is they to test that. Talk to your doctor about other causes for your weight gain. I hope you find out what is wrong with you.
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Actually, many women with PCOS have blood levels that all fall within the normal range. I have never had a test come back high. I have had many in the high end of normal, but never out of the normal range. I believe there is an article here on SC about that...
ETA: Also, most docs don't look at LH:FSH ratio. The look that both #s are in the normal range and leave it at that, even though they obviously should take into consideration the ratio.