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PCOS-rules
Identify the symptoms, understand them, and make a diagnosis for PCOS
In episode 1, you'll better understand this condition, how it's diagnosed, and how to get personally diagnosed.
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Summary
🔊 This program is an information program by a trained professional. This is generic advice and is not a personalized diagnosis. In all cases, we recommend that you be followed by a gynecologist and/or a midwife for individualized follow-up.
What you will learn in this episode
How do you recognize PCOS?
- What is the PCOS And why is it considered to be a hormonal and systemic disorder;
- Les most common symptoms to know;
- How is it going The official diagnosis according to medical criteria;
- When and with whom consult.
What is PCOS?
The Polycystic ovary syndrome (PCOS) is a gynecological and hormonal disorder Who touches about one in seven women. It's an affection systemic, that is to say that it does not only concern the ovaries: it also influences the overall functioning of the body (hormones, metabolism, mood, energy...).
What are the most common symptoms?
👉 Menstrual cycle disorders
- Cycles rare, very long, or absent;
- A “not going round” cycle often reflects a hormonal imbalance;
A bad cycle is a reflection of health that is not optimal. Having a functional cycle is essential when you want to make a baby (for those who are concerned).
👉 Androgenic disorders
- Persistent acne, hair loss or Excessive hairiness (chin, belly, breasts...);
- These visible signs are due to a Excessive production of androgens, “male” hormones that women also produce, but in smaller quantities (women also have some androgen because even when you are a woman, the synthesis of androgens to manufacture is necessary for estrogens).
These are often the symptoms The hardest to live with on a daily basis.
💡 Key figures
According to the WHO (World Health Organization) in 2025: Until 13% of women would be affected by PCOS. Some studies even talk about 1 in 7 women, but since we consider that 70% of the women concerned are not diagnosed, the figures are difficult to assess.
How is the diagnosis of PCOS done?
The diagnosis is based on Rotterdam criteria (ESHRE 2003).
👉 To confirm PCOS, you must present at least two of the following three criteria :
- Menstrual cycle disorders:
- Environ 70% of women affected have long or irregular cycles;
- Fewer than 8 cycles per year, it is already a warning sign;
- The total absence of periods often indicates a Ovulation disorder.
- Hyperandrogenism (excess androgens):
- Clinical form : hirsutism (hairs on unusual areas), acne, alopecia;
- Biological form : high androgen levels at the blood test;
- The two can coexist;
- Hyperandrogenism is often accompanied by metabolic disorders (weight, blood sugar, insulin...).
- Polycystic ovaries:
- Observed at theultrasound, ideally done on D3 of the cycle;
- If the examination is not possible, one can dose theAMH hormone : a rate greater than 5—6 ng/mL suggests polycystic ovarian activity.
👉 In all cases, the diagnosis is necessarily made by a doctor.
Sometimes you have cycle problems without it being PCOS. This is why it is essential to be monitored by a health professional.
If I don't feel listened to
- I can Change gynecologist to find a more listenable one;
- I can consult a trained midwife, who will be able to perform the first exams and present them to the doctor.
⚠️ The midwife is not authorized to make the diagnosis.
Important point : PCOS is not diagnosed in 3 years after the first period, because the cycle may simply still be irregular until it regulates itself naturally.
🔎 Useful definitions
Amenorrhea: Amenorrhea is the absence of periods (also called menstruation) in a woman of menstrual age. It is normal during pregnancy, breastfeeding and during menopause. Otherwise, an assessment is necessary to find the cause.
Source: Ameli
____
Follicle: An ovarian follicle Is a spherical cluster of cells in the ovaries, containing the oocyte that is released during ovulation.
Source: Wikipedia
🎯 Actions concrètes
- PCOS can only be diagnosed by a doctor, if I have these symptoms, I can ask my doctor to look for PCOS to validate or invalidate the diagnosis:
- Cycle disorders: I no longer have a cycle OR less than 8 cycles per year 8 very inconsistent cycles (60 days, then 25 days...);
- Hyperandrogenism: I have strong hair loss or hair in areas where it is not usual (chin, torso...);
- Polycystic ovaries: I have follicles that are too large or too numerous on the ultrasound OR I have a blood AMH level of less than 6 or 5 nanograms per milliliter.
- If my doctor doesn't listen to my concerns, I can change my doctor;
- I can also go see a midwife, who can carry out these exams to make progress. However, they will necessarily have to be confirmed by a doctor to have a diagnosis: it is therefore essential to look for a good gynecologist who can accompany me on a daily basis.
- We want to emphasize this point, because Some patients no longer want to see a gynecologist : when you suspect PCOS or are already diagnosed, it is essential to be monitored medically. This is key to your overall health, and also to your long-term fertility.
.png)
Summary
🔊 This program is an information program by a trained professional. This is generic advice and is not a personalized diagnosis. In all cases, we recommend that you be followed by a gynecologist and/or a midwife for individualized follow-up.
What you will learn in this episode
How do you recognize PCOS?
- What is the PCOS And why is it considered to be a hormonal and systemic disorder;
- Les most common symptoms to know;
- How is it going The official diagnosis according to medical criteria;
- When and with whom consult.
What is PCOS?
The Polycystic ovary syndrome (PCOS) is a gynecological and hormonal disorder Who touches about one in seven women. It's an affection systemic, that is to say that it does not only concern the ovaries: it also influences the overall functioning of the body (hormones, metabolism, mood, energy...).
What are the most common symptoms?
👉 Menstrual cycle disorders
- Cycles rare, very long, or absent;
- A “not going round” cycle often reflects a hormonal imbalance;
A bad cycle is a reflection of health that is not optimal. Having a functional cycle is essential when you want to make a baby (for those who are concerned).
👉 Androgenic disorders
- Persistent acne, hair loss or Excessive hairiness (chin, belly, breasts...);
- These visible signs are due to a Excessive production of androgens, “male” hormones that women also produce, but in smaller quantities (women also have some androgen because even when you are a woman, the synthesis of androgens to manufacture is necessary for estrogens).
These are often the symptoms The hardest to live with on a daily basis.
💡 Key figures
According to the WHO (World Health Organization) in 2025: Until 13% of women would be affected by PCOS. Some studies even talk about 1 in 7 women, but since we consider that 70% of the women concerned are not diagnosed, the figures are difficult to assess.
How is the diagnosis of PCOS done?
The diagnosis is based on Rotterdam criteria (ESHRE 2003).
👉 To confirm PCOS, you must present at least two of the following three criteria :
- Menstrual cycle disorders:
- Environ 70% of women affected have long or irregular cycles;
- Fewer than 8 cycles per year, it is already a warning sign;
- The total absence of periods often indicates a Ovulation disorder.
- Hyperandrogenism (excess androgens):
- Clinical form : hirsutism (hairs on unusual areas), acne, alopecia;
- Biological form : high androgen levels at the blood test;
- The two can coexist;
- Hyperandrogenism is often accompanied by metabolic disorders (weight, blood sugar, insulin...).
- Polycystic ovaries:
- Observed at theultrasound, ideally done on D3 of the cycle;
- If the examination is not possible, one can dose theAMH hormone : a rate greater than 5—6 ng/mL suggests polycystic ovarian activity.
👉 In all cases, the diagnosis is necessarily made by a doctor.
Sometimes you have cycle problems without it being PCOS. This is why it is essential to be monitored by a health professional.
If I don't feel listened to
- I can Change gynecologist to find a more listenable one;
- I can consult a trained midwife, who will be able to perform the first exams and present them to the doctor.
⚠️ The midwife is not authorized to make the diagnosis.
Important point : PCOS is not diagnosed in 3 years after the first period, because the cycle may simply still be irregular until it regulates itself naturally.
🎯 Concrete actions
- PCOS can only be diagnosed by a doctor, if I have these symptoms, I can ask my doctor to look for PCOS to validate or invalidate the diagnosis:
- Cycle disorders: I no longer have a cycle OR less than 8 cycles per year 8 very inconsistent cycles (60 days, then 25 days...);
- Hyperandrogenism: I have strong hair loss or hair in areas where it is not usual (chin, torso...);
- Polycystic ovaries: I have follicles that are too large or too numerous on the ultrasound OR I have a blood AMH level of less than 6 or 5 nanograms per milliliter.
- If my doctor doesn't listen to my concerns, I can change my doctor;
- I can also go see a midwife, who can carry out these exams to make progress. However, they will necessarily have to be confirmed by a doctor to have a diagnosis: it is therefore essential to look for a good gynecologist who can accompany me on a daily basis.
- We want to emphasize this point, because Some patients no longer want to see a gynecologist : when you suspect PCOS or are already diagnosed, it is essential to be monitored medically. This is key to your overall health, and also to your long-term fertility.
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