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How Do Gynecologists Check for PCOS?

5 mins read

PCOS is a common and frustrating women’s health concern. Symptoms can be very general or confusing, so checking for this condition can be difficult. While it can be hard to diagnose, it is estimated to affect 1 in every 10 women of childbearing age and can even affect young women as early as their first period.

 

So, if you are suffering from symptoms of PCOS, know that you are not alone!

 

Speak with your healthcare provider at Great City Medical if you are concerned you might have PCOS. But first, to help answer some of the health questions you may have, here is some information about PCOS and how it is diagnosed and treated.

 

What is PCOS?

What is PCOS

Polycystic ovary syndrome or polycystic ovarian syndrome (PCOS) is a hormonal disorder in females caused by an imbalance of sex hormones. The disorder causes many small sacs of fluid, called cysts, to form on the ovaries. The cysts can be filled with immature eggs, preventing them from being released during ovulation in a regular menstrual cycle.

 

Therefore, common symptoms of PCOS include irregular menstrual cycles, long-lasting menstrual cycles, and infertility. Other common symptoms include unwanted hair growth including facial hair (also known as hirsutism), male pattern baldness or hair loss, acne, obesity, painful periods, abdominal bloating, and high levels of androgen (also known as “male hormones” but women also have them).

 

PCOS can be diagnosed at any age. Signs of PCOS can be apparent around a person’s first menstrual period, or they can first appear later in life.

 

Can a gynecologist check for PCOS?

Can a gynecologist check for PCOS

Yes, a gynecologist can help you determine if you have PCOS. If you are concerned you might have PCOS or if you have any questions about the disorder, you can ask your ob/GYN at your next visit.

 

Unfortunately, there is not just a single test for the diagnosis of PCOS. A diagnosis can sometimes take many tests and may also require a referral to an endocrinologist (a hormone specialist). That said, talking to your obstetrics and gynecology provider is a great place to start.

 

How is PCOS Diagnosed?

How is PCOS Diagnosed

To evaluate you for PCOS, your healthcare provider may start by asking you questions about your medical history. They’ll want to know more about your menstrual cycles, any symptoms you’ve experienced, if you’ve had any weight gain, any medications you are taking, any diagnosed medical conditions, and any family history of hormonal disorders.

 

Next, your doctor will likely perform a physical exam. The physical exam includes checking for signs of excess body hair growth or acne, and measuring metrics like your blood pressure and body mass index. A physical exam also includes a pelvic exam, where the doctor will apply pressure to the interior and exterior of the pelvic area to check your reproductive organs for any masses, growths, or abnormalities. If further physical examination is required, a transvaginal ultrasound can be used to examine the interior of the uterus, endometrium, and ovaries for any ovarian cysts or other signs of PCOS.

 

Blood tests are also commonly used to diagnose PCOS. Blood tests are used to check hormone levels (estrogen, progesterone, androgen) and insulin resistance (glucose or blood sugar levels).

 

For PCOS to be diagnosed, your doctor must detect three conditions:

  • Menstrual cycle irregularies
  • High levels of androgens
  • Growths or enlargement of the ovaries

 

What are other complications of PCOS?

PCOS can increase your risk for other related health conditions, including thyroid problems, heart disease, high blood pressure, high cholesterol, endometrial cancer, endometrial hyperplasia, stroke, Type 2 diabetes, sleep apnea, depression, metabolic disorders, infertility, and more.

 

Obesity does not directly cause PCOS, but it has been shown to worsen the symptoms of PCOS, such as insulin sensitivity. Therefore, lifestyle changes and weight loss may help reduce the severity of PCOS symptoms.

 

PCOS can manifest in many ways and affect your overall health and wellbeing. Therefore, it is important to speak with a doctor to receive a diagnosis and medical treatment for PCOS so that you can take control of your overall health.

 

How is PCOS treated?

Unfortunately, there is currently no cure for PCOS. However, there are many solutions to treat the symptoms of PCOS and lessen the severity of the disorder. The appropriate treatment for PCOS depends on which symptoms are your primary concern.

 

If regulating your period is a primary concern, your doctor may prescribe hormonal birth control pills or progestin therapy.

 

If infertility is your primary concern, your doctor may prescribe medicines such as Clomiphene, Letrozole, Metformin, or Gonadotropins to help you ovulate and become pregnant. In Vitro fertilization (IVF) can also be effective for some patients with PCOS.

 

If unwanted hair growth and acne are your primary concerns, hormonal birth control pills, acne medications, or androgen-blocking medications or creams can be effective. While often temporary, hair removal treatments can also help with these symptoms.

Other effective treatments also include lifestyle changes such as eating a healthy diet, exercising more often, getting high-quality sleep, and losing weight.

 

Later in life, menopause has been shown to help balance hormone levels and reduce the severity of PCOS symptoms.

 

Things to consider with PCOS and hormonal birth control

If you are currently taking hormonal birth control, such as oral contraceptives (birth control pills), it can be hard to accurately measure your body’s natural hormone levels. Hormonal birth control can also cause light or infrequent periods. This can make it difficult for your doctor to diagnose PCOS accurately.

 

Therefore, you may be required to stop taking any hormonal birth control for several months if you think you might have PCOS. That way your doctor can routinely and accurately monitor your hormone levels and menstrual period cycle.

 

Of course, birth control pills are a common treatment for PCOS symptoms, so your doctor may ultimately re-prescribe this medication if you are ultimately diagnosed.

 

Make an appointment with your ob/GYN today

We take women’s health issues like PCOS seriously at Great City Medical. We understand that PCOS symptoms and diagnosis can be a long, frustrating journey.

But don’t worry—our trained medical professionals are here to help you get the answers you need so that you can look and feel your best.

Call our New York City gynecologist offices today to make an appointment to speak with our health professionals.

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Excellent service from the beginning to understand all the process, solve questions and doubts. The CRM is excellent, and the medical exams are really efficient. The doctors and their staff are so kind and professional. I had my first visit on Monday, and on Friday, I got all the results. Excellent service, highly recommended.
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16:22 16 Feb 24
At first it was hard getting through to Great City by phone. I soon discovered the chat. I was verily informed about everything from the costs right down to the procedure, that being examination for immigration purposes. I was kept up to date by Antony all the way up until it was time to pick up my form. The staff were very friendly as well. I should also mention too that the cost was the most inexpensive out of all the places I checked.
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Excellent service it’s a lot better than what it used to be and I am grateful for that.. doctor is wonderful.. and the PCA’s that work there are the best all of the women are caring and patient.. they make you feel welcomed.. Dr Marly Granna is the best .. you don’t meet doctors like her anymore these days 🙇‍♂️🙏
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Elvin A
Elvin A
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I like this little clinic a lot! Very friendly stuff, Dr. Grana seems to be a very professional. Been going there for almost a year now. Highly recommend!
Yulya Y.
Yulya Y.
19:35 31 Jan 24
Staff was professional, courteous and informed me of anything along the way. I would definitely go back. I also waited 5 min before being seen on a Monday morning.
Sabrosa V.
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22:22 29 Jan 24
Great experience each time I go . Professional clean and very respectful office. Staff always pleasant. Doctors very caring.
Juanita R.
Juanita R.
19:30 24 Jan 24
I am so appreciate Dr. Tsyba and the whole team. You are the best 👌
Alla M.
Alla M.
23:05 22 Jan 24
Las atenciones excelentes, desde informacion y registro, tanto como el personal medico, solo deben mejorar el tiempo de espera para ls citas.
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Wanda R.
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Excellent Service
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01:04 11 Jan 24
From the front desk to the medical assistant, to the lab, and down to the doctor and whoever you passed by, it was excellent customer service. It was topnotch. I think the entire staff took extra customer service classes.
ibro D.
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Mildred Yajaira E.
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Todos muy amable y comprometido por la salud del paciente .ame este grupo
Veronica R.
Veronica R.
17:56 26 Dec 23
They are very nice and friendly. The appointment didn’t take too long. The only thing I didn’t like is that I’m a transgender woman and all the time they used masculine pronouns which makes me feel uncomfortable. They could just try to be neutral or call me by my name instead.
jose
jose
15:53 22 Dec 23
El trato de todo el personal es excelente
Miosotis M.
Miosotis M.
19:53 20 Dec 23
Great service. The intake with the nurse was pleasant and fun. The time with the doctor was very comfortable, she listened very attentivet all my concerns, she was very gentle and professional.They have late afternoon appointments wich is a plus.The final step was the scheduling of the next appointment wich was fast!My mom was right to recommend her and I recommend them as well.
Juana G.
Juana G.
22:31 19 Dec 23
No long wait times staff is professional and pleasant Doctors are amazing and very knowledgeable
Denise C.
Denise C.
14:43 19 Dec 23
Excelente las atenciones y un personal medico de primera
Carlos F.
Carlos F.
18:11 15 Dec 23
Stagg was friendly doctor listen and communicated clearly….overall good experience
Ayasia K.
Ayasia K.
12:56 12 Dec 23
Everyone was very positive and reassuringly guided us through a rather complicated process. A great shoutout to Patricia for going above and beyond to make everything less stressful for us.
Ntani G.
Ntani G.
12:10 12 Dec 23
I went to have a immigration physical exam. Prior to visit, the chat/email service via their website was clear on my existing vaccinations and what paperwork/proof that would be sufficient. The staff was transparent in the cost and what to expect for the actual physical. The visit went smooth and the waiting time was within 10- minutes. Highly recommended
Jacky H.
Jacky H.
01:07 02 Dec 23
Clean facilitie staff are very professional doctors is awesome he explained everything clearly I understood everything he said to me it was a excellent experience I’ll definitely go back there
Kerry L.
Kerry L.
22:42 01 Dec 23
Excelentes atenciones, no las conozco personalmente y no se porque pero estas personas tienen algo sobrenatural porque no se explicar lo bien que me atendieron. son bastante rápidos pienso yo y todo muy limpio, muy lindo.. gracias chicas!
Chamel D.
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The experience was great Patricia was so nice dealing with me an my sister an so professional
Kwame L.
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Dr. Tsyba is one of the most greatest GYN there is. I couldn’t ask for a better DR.
Gordiva C.
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Súper confortable and the stuff very sweet and professional!!
Elizabeth C.
Elizabeth C.
10:52 08 Nov 23
From the front deck to the Doctor are very easy to talk to, is a great experience visiting them
Azeez O.
Azeez O.
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Fast , professional and great experience. I highly recommend this place for anyone who needs to do immigration medical exam . 10/10
adelina T.
adelina T.
23:36 26 Oct 23
J’ai eu une bonne impression a Harlem Gynecologist, l’accueil au top,le personnel au top,rien a dire
diaby H.
diaby H.
18:28 25 Oct 23
My MD is great! Very attentive to my needs. Great listener and good bedside manner.
Rhonda M.
Rhonda M.
18:06 24 Oct 23
I highly recommend Great Medical!they are amazing.
Julio C.
Julio C.
17:48 20 Oct 23
My first time visiting this practice. They were very through, from intake, which was done by a Dr. that I assumed was a nurse because he was so young lol. I wound up seeing Jaime who is a GYN NP, she was awesome. They asked a lot of questions about my history, which I really appreciated. Labs and Sonogram are done on-site. I will be returning.
Shay S.
Shay S.
01:13 20 Oct 23
The ladies are very polite and the doctors are really nice😊
Sheribel C.
Sheribel C.
19:45 12 Oct 23
I’ve been coming here for years and my doctor shows true concern about all my health issues staff here are also great
Trina M.
Trina M.
17:26 12 Oct 23
They e the best and I lov my dr Grana
jorge B.
jorge B.
16:40 09 Oct 23
I have been there about 5 times and I must say , they are very Professional and friendly. From front desk , nurses and doctors.
Wendy W.
Wendy W.
11:05 06 Oct 23
Patty the sono tech and Dr. Yelena Tsyba are excellent care givers. They were kind courteous and answered all my questions
Elisa T.
Elisa T.
20:55 05 Oct 23
I think Dr. Akselrud’s bedside manner is exceptional. It mimics the hospitality depicted in movie, s yet rarely experienced in actual life. As such, I appreciate his expertise and welcome his opinion regarding my health and well-being.I consider him to be a Grade A physician without question!
latia H.
latia H.
20:26 05 Oct 23
Amazing and fast serviceEveryone is so kind and friendlyThank you
Anastasiia T.
Anastasiia T.
17:33 05 Oct 23
I had a great experience at Great City Medical. My appointment was scheduled right away, the staff is very nice and professional, communication was great and prompt. Highly recommend!
Stephany B.
Stephany B.
00:35 27 Sep 23
Great and fast service.. very friendly doctors and assistants..
Mohammed Y.
Mohammed Y.
19:40 26 Sep 23
Great place and Friendly staff .Dr. Tsyba is awesome
Elizabeth M.
Elizabeth M.
16:54 21 Sep 23
Muy buenas atenciones 👍🏽
Mateo Rosario H.
Mateo Rosario H.
16:22 21 Sep 23
The doctor and staff were truly amazing. They are friendly, caring and very professional. I was seen immediately and felt very comfortable in the calmenvironment.
Daysi P.
Daysi P.
00:31 15 Sep 23
helpful,quick response and communication
Cherry P.
Cherry P.
01:26 14 Sep 23
It was all smooth. They shared the information with me prior to the medical immigration test. I highly recommend great city. 5 stars for e-communication and responsiveness!
Mahy H.
Mahy H.
17:34 13 Sep 23
Th everyone is amazing! From the reception all the way to the doctors
Winnie G.
Winnie G.
16:54 06 Sep 23
The wait to be seen is short and everybody worked well together to give each patient a pleasant experience.
Sharon P.
Sharon P.
22:46 05 Sep 23
The staff was knowledgeable of my situation and took care of me properly.
Tyrone M.
Tyrone M.
18:26 30 Aug 23
Good service!
Leandro A.
Leandro A.
16:38 30 Aug 23
Dr yelena is great
Dayana R
Dayana R
16:20 30 Aug 23
Muy profesional
Jose Joaquin Campos J.
Jose Joaquin Campos J.
18:25 22 Aug 23
Fun visit, everyone was super sweet and beautiful! From the front desk allllll the way up until I had my blood drawn at the end! Would recommend to any woman/person
Jasmine K.
Jasmine K.
00:01 15 Aug 23
I finally have a great medical Dr.. She ordered blood work an gave me medical referrals.I love my GYN DR. at this office tooThe office is very nice n clean the front desk receptionists are all very nice a pleasant
Kyra W.
Kyra W.
17:53 07 Aug 23
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