If you’re trying to conceive see a Reproductive Endocrinology and Infertility (REI) specialist for testing, and treatment options. We can also see women with PCOS issues who are not trying to conceive. PCOS is diagnosed with 2 out of 3 of: 1. Irregular periods 2. Clinical signs like acne, unwanted hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound appearance of polycystic ovaries: high ovarian volumes or antral follicle counts. We also rule out other causes of PCOS-like symptoms such as thyroid, prolactin, or adrenal gland issues. Treatment is different depending on whether or not you’re trying to conceive.