Diagnosis of polycystic ovary syndrome (PCOS) in adults relies on evidence of ovulatory dysfunction, hyperandrogenism, and/or polycystic ovary morphology (PCOM). The presence of two of these three features, whether detected via clinical examination or laboratory results, confirms a diagnosis of PCOS when other potential causes have been ruled out. Notably, diagnostic criteria and testing recommendations vary for adolescents; refer to the ARUP Consult Polycystic Ovary Syndrome - PCOS topic or Polycystic Ovary Syndrome in Adolescents Testing Algorithm for additional information.
ARUP Laboratory Tests
Quantitative Electrochemiluminescent Immunoassay (ECLIA)
Quantitative Chemiluminescent Immunoassay
Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Biochemical Hyperandrogenism Testing
Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry/Electrochemiluminescent Immunoassay/Calculation
Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry/Electrochemiluminescent Immunoassay/Calculation
Quantitative Electrochemiluminescent Immunoassay
Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Ovulatory Dysfunction Testing
Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Polycystic Ovary Morphology Testing
Quantitative Enzyme-Linked Immunosorbent Assay
Exclusionary Testing