How this PCOS quiz works
The questions follow the criteria in the 2023 International Evidence-based Guideline for PCOS, which most doctors use. In adults, PCOS is diagnosed when two of these three are present and other causes are ruled out:
| Feature | What counts | Quiz section |
|---|---|---|
| Irregular ovulation | Cycles shorter than 21 or longer than 35 days, fewer than 8 a year, or any cycle over 90 days | Your cycle |
| High androgens | Excess coarse hair (hirsutism), adult acne, scalp thinning, or high total or free testosterone | Hair and skin; tests you may have had |
| Ovaries | Polycystic ovaries on ultrasound, or a high AMH blood test (adults only) | Tests you may have had |
The last three questions cover signs that are common with PCOS but not part of the diagnosis: insulin resistance, dark skin patches (acanthosis nigricans), and family history. They nudge an unclear result toward "worth checking."
What a PCOS test at the doctor looks like
- History: your cycle dates, symptoms, medications, and family history. Bringing 2-3 months of tracked cycles saves a lot of guesswork.
- Exam: a check for excess hair, acne, scalp thinning, and skin signs of insulin resistance.
- Blood tests: total and free testosterone and SHBG, plus tests to rule out look-alikes: TSH (thyroid), prolactin, and 17-OH progesterone. Many doctors also check HbA1c or a glucose tolerance test and cholesterol.
- AMH or ultrasound: only needed if you have one of the first two features but not both. Teens are not diagnosed by ultrasound or AMH.
Things that can mimic PCOS
- Thyroid disorders (under- or overactive thyroid)
- High prolactin, sometimes from medication or a small pituitary growth
- Non-classic congenital adrenal hyperplasia (NCAH)
- Hypothalamic amenorrhea from under-eating, heavy exercise, or stress
- Coming off hormonal birth control (see post-pill PCOS)
