PCOS Advance Profile

The “Deep Dive” into Your Hormonal & Metabolic Health.

You’ve been told you have PCOS. But do you know which type?

PCOS affects every woman differently. For some, it is purely about ovulation. For others, it is an adrenal issue or a severe metabolic block. Standard tests often miss the nuances between “Ovarian PCOS” and “Adrenal PCOS,” or fail to catch the silent inflammation damaging your long-term health.

The PCOS Advance Profile is our most comprehensive hormonal workup. It combines the standard screening tests with advanced markers for Ovarian Reserve (AMH), Free Androgens, and Heart Health. It answers not just “Do I have PCOS?” but “How is PCOS affecting my entire body?”

What This Profile Covers & Why It Matters

This premium profile analyzes 5 Critical Dimensions of your health:

1. The “Chemical Ultrasound” (Ovarian Reserve)

• Tests: Anti-Mullerian Hormone (AMH).

• The Advantage:

  • The Diagnostic Marker: High AMH levels are a hallmark of PCOS. It indicates that your ovaries have many small follicles (cysts) that are not maturing.

  • Fertility Insight: AMH is the most accurate marker of your egg count. Knowing this level is crucial if you are planning a pregnancy now or in the future.

2. The Complete Androgen & Adrenal Panel

• Tests: Total Testosterone, Free Testosterone, DHEA-S (Dehydroepiandrosterone sulfate), SHBG (Sex Hormone Binding Globulin).

• The Advantage:

  • Free Testosterone & SHBG: Total testosterone can look normal, but if your SHBG (the protein “taxi” that carries hormones) is low, your Free Testosterone will be high. This is the #1 cause of stubborn acne and hair fall in PCOS.

  • DHEA-S: This hormone comes from your adrenal glands (stress glands), not your ovaries. If this is high, your PCOS is likely driven by stress/adrenals, meaning standard treatments might not work for you.

3. The Metabolic & Inflammation Check

• Tests: Fasting Insulin, Fasting Glucose, HbA1c (3-Month Sugar Average), Lipid Profile, hs-CRP.

• The Advantage:

  • Heart & Weight: Women with PCOS are at higher risk for high cholesterol and heart issues. We check your Lipid Profile to assess this risk.

  • hs-CRP: This measures “silent inflammation.” High inflammation blocks ovulation and makes insulin resistance worse.

  • HbA1c: Tells us if you are pre-diabetic, which is common in untreated PCOS.

4. The Deficiency Driver

• Tests: Vitamin D Total.

• The Advantage:

  • The Insulin Link: There is a massive link between Vitamin D deficiency and severe PCOS symptoms. Low Vitamin D makes insulin resistance harder to manage. Fixing this level is often the first step to regular periods.

5. The Cycle & Thyroid Foundation (From Screening Profile)

• • Tests: LH, FSH, Prolactin, TSH.

  • The Advantage:

    • Checks the LH/FSH ratio for ovulation issues and rules out Prolactin/Thyroid disorders mimicking PCOS.

Who Should Book This Test?

• Fertility Patients: Women trying to conceive who need a detailed look at egg reserve (AMH) and ovulation blockers.

• Women with Severe Symptoms: If you have severe cystic acne, significant hair thinning, or dark facial hair (Hirsutism).

• “Lean” PCOS: Women who are thin but still have irregular periods (often driven by Adrenal/DHEA-S issues).

• Those with Family History: If your mother or sister has Diabetes or PCOS.

• Non-Responders: If you have tried diet/exercise but see no changes in weight or cycles.

Patient Preparation

• Cycle Day: Blood sample must be drawn on Day 2 or Day 3 of the menstrual cycle for accurate LH/FSH interpretation.

• Fasting: Strictly 10-12 Hours fasting required (for Lipids, Sugar, and Insulin).

• Stress: Avoid heavy exercise the day before, as it can spike DHEA-S levels.

• Medication: Stop Biotin (Hair supplements) 3 days prior. Inform lab about birth control pills.

Why Choose the PCOS Advance Profile?

This is not just a test; it is a roadmap. By distinguishing between Adrenal PCOS (High DHEA-S), Metabolic PCOS (High Insulin/Low SHBG), and Ovarian issues (High AMH), this profile gives your doctor the exact data needed to create a personalized treatment plan.