The tests that I would use to check for PCO include the following: FSH, LH, prolactin, T4, T4, free T, total T, progesterone, SHBG, HbA1C, 17-hydroxyprogesterone, dexamethosone challenge test (for adrenal androgens), vaginal ultrasound of the ovaries, fasting glucose and fasting insulin, the ratio of insulin to glucose. Note that it is possible to have normal levels of blood hormones and still have PCO. Also make sure to note whether or not you are on any medications that can affect the results: SPECIFICALLY the birth control pill and where you are at in your menstrual cycle at the time of the tests. I would also add what you ate and when you ate it for insulin/glucose type tests. When you want to do an insulin resistance test, the best on is the 'clamp' test. Its so expensive that a 5 hr GTT is a lot better. It usually takes until the 3rd or 4th hour to see a drop in the glucose level. The current tests we have are not as sensitive as they could be to really prove one way or another whether you are or are not.
Diabetes: the Glycated Hemoglobin Test
PCO ultrasound test
Another set of evaluation tests
Tests (more invasive)
Dr. Ehrmann has a PCO workup to include: T, free T, total T, progesterone, SHBG, HbA1C, LH, FSH, 17-hydroxyprogesterone, dexamethosone challenge test (for adrenal androgens)
Dr. Leon Speroff, "Clinical Gynecologic Endocrinology and Infertility" Lippincott, Williams & Wilkins; ISBN: 0683078992
Pg 489: Tests for prolactin should be done for everyone who isn't ovulating!
Pg 512 The upper limit of normal in fasting insulin is 10 to 20 mL. The ratio of glucose to insulin that is less than 4.5 is IR.
How to review your blood test results
Lab Test Interpretations
CONVERSION TABLE FOR HORMONES CONCENTRATION UNITS
PITUITARY HORMONES LEVELS IN HUMANS
STEROIDS LEVELS IN HUMANS
The Hormone Balance Test
Normal Values for endocrine tests
Test comments from an anonymous source: glycohemoglobin, also called glycoslyated hemoglobin or hemoglobin A1C, is a measure of how well a patient has been controlling his or her sugars for the past 3-4 months. This test works because certain proteins in your body are affected by high sugar levels, and they undergo a chemical change in the presence of a high sugar. Since hemoglobin is an easy protein to get at (just draw some blood), it's the one they use for the test. It only tells you about the last 4 months because 120 days is the average lifespan of a red blood cell. They do this test in diabetics because a lot of them will "cheat" on their diets until a week or so before their appointments. If you just check the blood sugar, it may be well controlled on the day of the appointment, but the glycohemoglobin tells you the real story.
C Peptide levels
Another article on C Peptide levels
Fertility Treatment Fertility Tests
FertilityPlus Hormone Levels & Fertility Bloodwork
SEMEN ANALYSIS IN HUMANS
Complete Infertility Guide to Tests, Drugs, and Procedures for Infertility
See pages 434 and 530.
Thyroid Function Tests
Thyroid Hormones Levels In Humans
Screening Physical Exam -- Contents