FSH and LH: This blood test should be done during day 2 to day 5 of your cycle. FSH, LH levels are important to know your ovarian function. Day 1 is first full day of your period. Blood levels after 5th day can give us wrong information.
TSH: to know your thyroid hormonal levels. Thyroid hormone can sometimes disturb the menstrual cycle and thereby affect fertility.
Prolactin: High levels of prolactin are known to be associated with problems with ovulation
The most widely accepted definition from the 2003 Rotterdam ESHRE/ASRM sponsored workshop on PCOS, are that any two of the following three criteria were required to diagnose PCOS after excluding other causes of androgen excess.
Ovulatory dysfunction such as anovulation/ oligoovulation
Clinical or biochemical evidence of hyperandrogenism such as hirsuitism or acne
Polycystic ovarian morphology on ultrasound can be seen in 10-20% of normally ovulating women. So best definition of PCOS is hyperandrogenic anovulation.
Laparoscopy is a procedure to look inside your abdomen by using a laparoscope. A laparoscope is like a thin telescope with a light source. It is used to light up and magnify the structures inside the abdomen. A laparoscope is passed into the abdomen through a small incision (cut) in the skin. A camera is attached to the end of the telescope and the image is viewed on a video monitor. Surgery is carried out while looking at this monitor.
Gynecological examination is necessary not only when symptoms appear but otherwise as well, as not every infection is accompanied by symptoms. These potential problems, if ignored and not screened proactively can lead to grave consequences like infertility and tumorous conditions. Hence, regular gynecological screening is an integral part of a healthy lifestyle. These tests help in reducing morbidity by a definite diagnosis and quick treatment.