Well, usually the presence of cysts is what leads most doctors to conclude that a woman has PCOS. If he was able to diagnose you without finding out if you have any, then I can understand why he's not rushing to do an ultrasound. The cysts don't usually do any permanent damage--they can be a nuisance, and can certainly be painful, but there's not much doctors can do about them once they've formed. If you're trying to conceive, that may be a different story altogether. But for me, whether or not I have a cyst right now doesn't concern my doctor all that much. He put me on bcps to prevent them, but other than that he doesn't check for them periodically or anything like that.
HOWEVER, bloodwork is most important. If he's determined that you have PCOS based on physical symptoms, e.g. overweight, acne, facial hair, etc., he would still need to do a round of bloodwork to look at all your hormone levels. He can't treat you with medication without knowing your testosterone, insulin, etc. So if he's not planning to do ANY labs on you, then YES, find a different doctor.
This is just my opinion, based on my experience. Go with your instincts.
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Me (33), Dan (31), married 5/5/06
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dx PCOS 1/03, hypothyroid 11/04
230/218/140 | 
