Thursday, 18 December 2014

How is PCOS Diagnosed?


Presence of polycystic ovaries in a female’s body is called Polycystic Ovarian Syndrome and can be seen by performing ultrasound. PCOS comes with an array of complex health issues. However, there are possibilities that women with PCOS do not have polycystic ovaries. Therefore, it is important to diagnose PCOS. The doctors perform following tests to detect PCOS:

1. Endometrial Biopsy

2. Glucose Tolerance Test

3. Thyroid Panel

4. Blood Lipid Profile

At Pahlajani, we perform the physical examination of women Physical to collect basic information like height, weight and blood pressure.
Followed by, the pelvic examination. In this, reproductive organs are visually and manually inspected to check masses, growths or other abnormalities of the cysts.

Later, the levels of different hormones are measured through blood tests to determine if menstrual abnormalities or androgen excess are not mimicking PCOS

Other tests include, fasting cholesterol and triglyceride levels and a glucose tolerance test. Blood tests are used to assess the levels of androgens in your body. Blood tests for androgens (such as testosterone) and free androgen index (FAI) are the best tests for diagnosing whether you have hyperandrogenism (high androgen levels).

Finally, an ultrasound examination is carried out to see the appearance of ovaries and the thickness of the lining of uterus. An ultrasound of the uterus, ovaries and the pelvis can be carried out to identify whether there are any cysts on your ovaries and whether an ovary is enlarged. A transvaginal ultrasound is a painless test with no radiation. It uses a pen–shaped probe with an ultrasound sensor on the tip, which is inserted into the vagina. This produces a much clearer picture than an abdominal ultrasound. Transvaginal ultrasounds are only performed on women who have been sexually active, otherwise an abdominal scan is done where the ovaries are viewed from the outside through the stomach wall.

Through the above tests, we measure the following -

1. Pituitary and Ovarian Hormone serum levels

2. Luteinizing Hormone (LH)

3. Follicle Stimulating Hormone (FSH)

4. Estradiol

5. Progesterone

6. Prolactin

7. Circulating Androgens

8. Free testosterone

9. Free androgen index (FAI): 17-hydroxyprogesterone

10. Sex hormone binding globulin (SHBG): 24 hr. urinary free cortisol

11. Dehydroepiandrosterone sulfate (DHEA-S)

The ovaries are polycystic because 12 or more follicles are visible on one ovary or the size of one or both ovaries is increased

It can be because of,

1. High levels of ‘male’ hormones (androgens) in the blood (hyperandrogenism). Symptoms - Excess hair growth, Acne

2. Menstrual dysfunction, lack of periods or menses (menstrual flow), menstrual irregularity, lack of ovulation (where an egg is released)

Women with PCOS should have a cholesterol and glucose tolerance test in every two years, and blood pressure should be checked every year.

Dr Neeraj Pahlajani

Obstetrician & IVF Specialist
(MS, DNB, FMAS, DRM - Germany)
MBBS - Lady Harding Medical College - New Delhi
MS - Obstetrics and Gynecology (PGI - Rohtak)
DNB - Obstetrics and Gynecology
FMAS - World Association of Laparoscopic Surgeons
DRM - Diploma in Reproductive Medicine (Germany)
Fellow in IVF & Embryology – (USA)
---------------------------------------------------------------------------------
Pahlajani Test Tube Baby Centre
(Mata Laxmi Nursing Home)
Anupam Nagar, Near T.V. Tower, Raipur (Chhattisgarh) India
Phone:  +91- 771- 4052967, +91- 771- 4053285 Mobile:  +91- 9300511044, +91- 9329630455
Email - contact@raipurivf.com, sameerp5000@hotmail.com

Visit Our Websites



19 comments:

  1. ivf treatment center in delhi is a very serious problem among many couples today. There might be hundreds of reasons why a spouse may become infertile. There may be a problem with the husband or the wife, but it mustn't be a reason to stop you from having children of your own. Thanks to today's modern inventions and technologies, it has now become possible for an infertile couple to bear their own children.

    ivf centres in delhi

    sexologist in delhi

    ReplyDelete
  2. That's really good success ratio but sofat infertility has the 100% success ration in surrogacy treatment and almost ,ore then 80% ratio in IVF treatment. that's why sofat infertility is the best surrogacy treatment in whole india. visit their website to get more details about the this treatment. click here surrogacy treatment in delhi

    ReplyDelete
  3. I just read through the entire article of yours and it was quite good. This is a great article thanks for sharing this informative information.IVF India, IVF Center in India, IVF Clinic in India, IVF Cost India and IVF in India

    ReplyDelete
  4. http://drpahlajaniraipur.blogspot.in/2014/12/how-is-pcos-diagnosed.html#comment-form http://www.pearlwomenshospital.com/ivf-treatment-in-pune/

    ReplyDelete


  5. Pregnancy test are very important as we know which stage are we in so these test are very helpful.thnk you.

    obstetrician doctors in pune | best gynecologist in pune

    ReplyDelete
  6. Basically, There are lot of test tube baby center in India but your way of description is really very unique. Thanks for sharing this. Please keep sharing more info.

    Test tube baby | sperm bank in lucknow

    ReplyDelete
  7. Thanks for sharing good information find Genuine patient reviews about Trustworthy IVF specialist in pune & View all details of Infertility specialist doctors in pune.

    ReplyDelete
  8. Thanks for sharing good information, find Genuine patient reviews about best Sexologist in Pune.

    ReplyDelete
  9. Very Interesting blog. Thanks for sharing us.....Keep posting....

    Test Tube Baby centre in India

    ReplyDelete
  10. You shared really nice post. Explain everything about the PCOS treatment. If you're looking for the best IVF centre in Chandigarh then you can book your appointment with our clinic. We promise give you best treatment at low costs.

    ReplyDelete
  11. This was a useful post and I think it's fairly easy to see in the other reviews, so this post is well written and useful. Keep up the good work.Laparoscopy Center in Delhi

    ReplyDelete
  12. This was a very informative blog,it is very useful for me.Thanks for sharing with us. I would also like to share some information related to gynecologist in pune

    ReplyDelete
  13. Very informative blog you shared. Thank you so much for sharing this informative blog with us. Keep posting such interesting blogs.
    IVF centre in Punjab

    ReplyDelete