Diagnosis of PCOS | NEET Based MCQ

Which of the following serum value is not in favour of diagnosis of PCOS-?

A. Elevated LH, ratio of LH/FSH is >3; 1
B. Reversible oestradiol : oestrone ratio
C. Reduced SHBG level
D. Reduced serum insulin level

Ans. D. Reduced serum insulin level .investigation for PCOS include- Ultrasonography ; various serum values ; laparoscopy.

The serum values in PCOS are-

·  LH level is elevated  and/or ratio of LH:FSH is > 3:1

·  Reversible oestradiol:oestrone ratio- The oestrone level is markedly elevateD.

·  SHBG level is reduceD.

·  Androstenedione level is elevated.

·  Serum testosterone and DHEA may be marginally ElevateD.

·  Raised serum insulin level (insulin resistance) or the ratio of fasting glucose: fasting insulin is < 4.5