PCOS Risk Assessment

Polycystic ovary syndrome (PCOS) is one of the most common hormonal disorders in people with ovaries of reproductive age, affecting an estimated 6% to 12% of this population according to the CDC. It is characterized by irregular menstrual cycles, elevated androgen levels (causing excess hair growth or acne), and often small fluid-filled follicles on the ovaries. PCOS is associated with insulin resistance and increased risk of Type 2 diabetes and cardiovascular disease.

Diagnosis typically follows the Rotterdam criteria, which require at least two of three findings: irregular or absent ovulation, clinical or biochemical signs of elevated androgens, and polycystic ovaries seen on ultrasound. Blood tests measure LH, FSH, testosterone, DHEA-S, SHBG, fasting insulin, and glucose. Because symptoms overlap with thyroid disorders and other hormonal conditions, a physician must rule out other causes before confirming PCOS. Consult a gynecologist or endocrinologist for evaluation.

No. This tool is a symptom-based screening aid, not a clinical diagnostic instrument. It identifies patterns that are consistent with PCOS to prompt a medical consultation. Only a physician using blood tests, physical examination, and ultrasound can diagnose PCOS. Many people with mild or atypical PCOS are underdiagnosed, while some with similar symptoms have other conditions. Use this result as motivation to seek professional evaluation if you have concerns.

Treatment depends on your symptoms and goals. For those not seeking pregnancy, hormonal contraceptives regulate cycles and lower androgens. Metformin improves insulin sensitivity and can restore ovulation. For fertility, clomiphene or letrozole are common first-line treatments to induce ovulation. Lifestyle changes including weight loss (even 5% to 10% of body weight) and regular aerobic exercise can significantly improve hormonal balance and menstrual regularity. Work with an OB-GYN or reproductive endocrinologist.