Create a quick reference PDF on PCOS diagnostic workup including all hormone tests
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PCOS Diagnostic Workup
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Here's what's covered across the full-page quick reference:
1. Diagnostic Criteria - Rotterdam 2003 / 2023 International Guidelines table with all 3 criteria (ovulatory dysfunction, hyperandrogenism, PCOM), the "2 of 3" rule, and all 4 phenotypes (A–D).
2. Hormone & Laboratory Tests (color-coded by category) - 20+ tests with normal ranges and PCOS-specific action thresholds:
- Androgens: Total T, Free T (calculated), Bioavailable T, % Free T, SHBG, Androstenedione, DHEAS
- Gonadotropins: LH, FSH (with LH:FSH ratio caveats)
- Exclusion tests: hCG, TSH, Prolactin, 17-OHP, Dexamethasone suppression test
- Additional: AMH, Estradiol, OGTT, HbA1c, Fasting lipids, Fasting insulin
3. Differential Diagnosis table - 8 conditions to exclude with key distinguishing features (non-classic CAH, hyperprolactinemia, Cushing's, androgen-secreting tumor, hypothyroidism, POI, hypothalamic amenorrhea, hyperthecosis)
4. Metabolic Screening - OGTT thresholds, lipids, CVD risk factors, endometrial cancer risk
5. Red Flags / Alarm Thresholds - Rapid virilization cutoffs, HAIR-AN syndrome, tumor thresholds with sensitivity/specificity values
6. Androgen Reference Ranges table (Berek & Novak Table 35-1) + Adolescent diagnosis note
7. Diagnostic Algorithm - Embedded figure from Berek & Novak's Gynecology (Fig. 35-4)
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