PCOS Diagnosis Without Ovarian Cysts: Is It Possible?

Oops also wanted to add - there are many other endocrine disorders that can look like PCOS, so PCOS is usually the diagnosis you get when they’ve ruled everything else out. Would definitely recommend seeing an endocrinologist!

I know it’s counterintuitive, but cysts are actually not necessary to have a PCOS diagnosis! You have to have at least 2 of the following 3 criteria: ovarian cysts, irregular or absent periods, & signs of androgen excess (either on labs or physical symptoms like cystic acne and facial hair). The androgen excess also doesn’t have to be testosterone specifically - my testosterone is high end of normal but my DHEA-S is what’s elevated. Definitely get a second opinion from an endocrinologist for more clarity though! PCOS is tricky since there’s no “test” for it, it’s just a group of symptoms. Also, good on you for knowing your limits around birth control with your gender dysphoria👏🏼 too often we’re presented with birth control as the only treatment option and while it can be helpful for some, there are so many other treatment options out there that work well too (like inositol, for example). Best of luck to you!!