15/09/2026
PCOS Tests - When to Get Them Done & Why
1. Pelvic Ultrasound (TVS/Abdominal)
🗓 Day 2-7 of your menstrual cycle
➡️Checks for polycystic ovaries, follicle count, and ovarian size.
2. LH & FSH
🗓 Day 2-5 of period
➡️Evaluates hormone balance and helps identify ovulation-related issues.
3. AMH (Anti-Müllerian Hormone)
🗓 Any day of the cycle
➡️Assesses ovarian reserve and is often elevated in women with PCOS.
4. Total & Free Testosterone
🗓 Day 2-5 of period
➡️Measures excess male hormones that may cause acne, facial hair, and hair loss.
5. Progesterone
🗓 7 days after ovulation (usually Day 21 in a 28-day cycle)
➡️ Confirms whether ovulation has occurred.
6. Prolactin
🗓 Any day
➡️Rules out high prolactin levels, which can also cause irregular periods.
7. TSH (Thyroid Function Test)
🗓 Any day
➡️Checks for thyroid disorders that can mimic PCOS symptoms.
8. HbA1c / Fasting Blood Sugar
🗓 Any day (fasting preferred)
➡️Screens for insulin resistance, prediabetes, and diabetes, which are common in PCOS.
9. Fasting Insulin
🗓 Any day (fasting required)
➡️Helps assess insulin resistance more accurately.
10. HSG (Hysterosalpingography)
🗓 Day 6-10 of the cycle (after periods end)
➡️Checks whether the fallopian tubes are open, especially when trying to conceive.
Ideal Fertility + PCOS Workup
✅️Day 2-5: Ultrasound, LH, FSH, Testosterone
✅️Any Day: AMH, TSH, Prolactin, HbA1c, Fasting Insulin
✅️7 Days After Ovulation: Progesterone
✅️Day 6-10: HSG (if pregnancy is not happening)
Day 2-5: Ultrasound, LH, FSH, Testosterone
Any Day: AMH, TSH, Prolactin, HbA1c
Day 21 یا Ovulation کے 7 دن بعد, Progesterone
Day 6-10: HSG( اگر حمل نہیں ٹھہر رہا)
