Polycystic Ovary Syndrome in Adolescents Testing Algorithm

Diagnosis of polycystic ovary syndrome (PCOS) in adolescents, defined as those fewer than 8 years postmenarche, requires clinical or laboratory evidence of ovulatory dysfunction and hyperandrogenism after excluding other potential causes. Unlike in adults, assessment for polycystic ovary morphology (PCOM) in adolescents is not recommended, and PCOM should not be used as a diagnostic criterion in adolescents. Refer to the ARUP Consult Polycystic Ovary Syndrome - PCOS topic for additional information on testing for PCOS.

ARUP Laboratory Tests

Exclusionary Testing

Biochemical Hyperandrogenism Testing

Ovulatory Dysfunction Testing