How is it evaluated?

There is no definitive test to diagnose PCOS. A medical history of irregular menstrual periods, weight change, excess hair growth, acne etc. are indicative of possibility of PCOS. Investigations like hormone levels, pelvic(internal) scan are advised to confirm PCOS. In PCOS women, various hormones like Fasting Insulin, AMH are deranged. On ultrasound examination, the ovaries appear enlarged with plenty of small follicles(>25) arranged in the periphery of the ovaries, giving it a “String of beads” appearance