Dr. Thaïs Aliabadi

They dismiss it.

And they look at the ovary and they say, oh, you have so many eggs.

You have no issues with fertility.

So PCOS-looking ovaries on ultrasound does not mean cysts.

To this day, doctors tell patients, I don't see a cyst on your ovaries, so you don't have PCOS.

So PCOS is an ultrasound finding.

However, in 2023, they added another criteria to this third criteria, which is elevated egg count or elevated AMH.

So women who have very high AMH, that is elevated.

a telltale sign for PCOS.

And that's what we were talking about before this podcast.

The higher is better.

But in case of PCOS, higher does not mean good quality eggs.

We're going to talk about that.

So you need to meet two of these three criteria.

You don't need all three.

No.

So if you have irregular periods, right, and you have PCOS-looking ovaries on ultrasound, you meet the criteria.

If you have irregular periods and you have symptoms of high testosterone, you qualify.

Now, let me tell you, you do not need to have a high testosterone in the blood to get the diagnosis of PCOS.

If you do, great, then you qualify for that high testosterone symptom or in blood, but you do not need to have a high testosterone in your blood.