The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
The most common classic phenotype is a patient that has all three PCOS looking ovaries on ultrasound. Elevated testosterone symptoms or high testosterone or androgens in the blood or and irregular period and irregular period.
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Bookmarking — the dossier-vs-overview split is the right call. Most of the time I want overview; sometimes I want receipts.
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And the fourth category, these are patients who um basically don't have any uh elevated testosterone or androgen symptoms. They don't have acne, hair loss, facial hair, body hair. They just don't ovulate regularly and they have PCOS looking ovaries on ultrasound.
The problem with PCOS is there are four different phenotypes of PCOS. That's why it's so confusing for doctors to diagnose PCOS.
The second type B patients have the high androgen symptoms. They do have um dysfunctional ovulation with irregular periods. But these patients have normal ovaries on ultrasound.