Diagnosis of Polycystic ovary syndrome
Diagnostic Test list for Polycystic ovary syndrome:
The list of medical tests
mentioned in various sources as
used in the diagnosis of Polycystic ovary syndrome
includes:
Polycystic ovary syndrome Diagnosis: Book Excerpts
Tests and diagnosis discussion for Polycystic ovary syndrome:
Diagnosing PCOS involves several steps. Your doctor will take a
detailed medical history about your menstrual cycle and reproductive
history, including information about methods of birth control and
pregnancies. You also will receive a pelvic and physical exam. During a
pelvic exam, the doctor is able to feel the swelling of the cysts on your
ovary. Once cysts are found, the doctor may perform a vaginal ultrasound,
or a screening to examine the cysts and the endometrium (lining of the
uterus). If your doctor suspects you have PCOS, he or she may recommend
having blood tests to measure hormone levels. Women with PCOS can have
high levels of hormones, such as testosterone. Your doctor also may test
your insulin and glucose levels, to look for diabetes or insulin
resistance (inefficient use of insulin in the body). Many women with PCOS
have these conditions. Lastly, your doctor may test your levels of
cholesterol and triglycerides since they often are abnormal in women with
PCOS. Once your doctor makes a diagnosis, you will work together to decide
how to best treat and manage your condition. (Source: excerpt from Polycystic Ovary Syndrome (PCOS): NWHIC)
Diagnosis of Polycystic ovary syndrome: medical news summaries:
The following medical news items
are relevant to diagnosis and misdiagnosis issues for Polycystic ovary syndrome:
Diagnostic Tests for Polycystic ovary syndrome: Online Medical Books
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Review excerpts from medical books online, free, without registration,
for more information about diagnostis of Polycystic ovary syndrome.
Ovarian cancer:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
Diagnosis of ovarian cancer requires clinical evaluation, complete patient history, surgical exploration, and histologic studies. Preoperative evaluation includes a complete physical examination, including pelvic examination with Papanicolaou smear (positive in only a small number of women with ovarian cancer) and the following special tests:
❑abdominal ultrasonography, computed tomography scan, or X-ray (may delineate tumor size)
❑ complete blood count, blood chemistries, and electrocardiogram
❑ excretory urography for information on renal function and possible urinary tract anomalies or obstruction
❑ chest X-ray for distant metastasis and pleural effusions
❑ barium enema (especially in patients with GI symptoms) to reveal obstruction and size of tumor
❑ lymphangiography to show lymph node involvement
❑ mammography to rule out primary breast cancer
❑ liver function studies or a liver scan in patients with ascites
❑ ascites fluid aspiration for identification of typical cells by cytology
❑ laboratory tumor marker studies, such as Ca-125, carcinoembryonic antigen, and human chorionic gonadotropin.
Despite extensive testing, accurate diagnosis and staging are impossible without exploratory laparotomy, including lymph node evaluation and tumor resection. (See Staging ovarian cancer.)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Ovarian cysts:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
Generally, characteristic clinical features suggest ovarian cysts.
Confirming diagnosis Visualization of the ovary through ultrasound, computed tomography scan, laparoscopy, or surgery (often for another condition) confirms ovarian cysts.
Extremely elevated hCG titers strongly suggest theca-lutein cysts. Pregnancy, including molar pregnancy, must be ruled out.
In polycystic ovarian disease, physical examination demonstrates bilaterally enlarged polycystic ovaries. Tests reveal slight elevation of urinary 17-ketosteroids and anovulation (shown by basal body temperature graphs and endometrial biopsy). Direct visualization must rule out paraovarian cysts of the broad ligament, salpingitis, endometriosis, and neoplastic cysts.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Ovarian cancer:
Diagnosis
(Handbook of Diseases)
With ovarian cancer, diagnosis requires clinical evaluation, a complete patient history, surgical exploration, and histologic studies. Preoperative evaluation includes a complete physical examination, including pelvic examination with Papanicolaou smear (not clinically useful for ovarian cancer but helpful in diagnosing cervical dysplasia, cervical cancer, and some endometrial cancers) and the following special tests:
❑ abdominal ultrasonography, computed tomography scan, or magnetic resonance imaging (may delineate tumor size)
❑ complete blood count and blood chemistries
❑ chest X-ray for distant metastasis and pleural effusions
❑ barium enema (especially in patients with GI symptoms) to reveal obstruction and size of tumor
❑ mammography to rule out primary breast cancer
❑ liver function studies or a liver scan in patients with ascites
❑ laboratory tumor marker studies, such as CA-125, carcinoembryonic antigen, and human chorionic gonadotropin (the last two are mainly for suspected germ cell tumors).
Despite extensive testing, accurate diagnosis and staging are impossible without exploratory laparotomy, including lymph node evaluation and tumor resection.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Ovarian cysts:
Diagnosis
(Handbook of Diseases)
Generally, characteristic features suggest ovarian cysts. Visualization of the ovaries through ultrasound, laparoscopy, computed tomography scan, or surgery (commonly for another condition) confirms their presence. However, histologic examination is the only definitive method for an exact diagnosis.
Extremely elevated HCG titers strongly suggest theca-lutein cysts.
With polycystic ovarian disease, physical examination demonstrates bilaterally enlarged polycystic ovaries. Tests reveal slightly elevated urinary 17-ketosteroid levels and anovulation (shown by basal body temperature graphs and endometrial biopsy). Direct visualization must rule out paraovarian cysts of the broad ligament, salpingitis, endometriosis, and neoplastic cysts.
UNDER STUDY: CA-125 is an ovarian cancer marker that can help identify cancerous cysts in women. Hormone levels (luteinizing hormone, follicle-stimulating hormone, estradiol, testosterone) may be used to check for associated hormonal conditions.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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