PCOS (polycystic ovary syndrome) is a common hormonal syndrome that can affect the cycle, ovulation, skin and metabolism, and in some women fertility as well. Symptoms vary, from irregular periods and acne to increased hairiness or difficulty conceiving. At Polyclinic Cito in Split we perform a systematic PCOS workup: examination, ultrasound and targeted laboratory tests, and then build an individualized plan (monitoring, lifestyle, therapy and/or pregnancy planning).

Page Overview

What is polycystic ovary syndrome (PCOS)?

PCOS is a syndrome involving a combination of hormonal and metabolic changes, often with irregular ovulation. The name “polycystic ovaries” can be confusing: ultrasound sometimes shows numerous small follicles, but PCOS is more than the “appearance of the ovaries” - symptoms, the cycle, hormones and metabolism all matter too. This is why targeted, guided diagnostics and an individual plan are essential.

Note: It is estimated to affect around 10% of women of reproductive age and is often a cause of infertility in women. It is not “one disease” but a spectrum. Two women can have completely different symptoms - and need a different approach.

What a PCOS work-up may include

When is a work-up for polycystic ovary syndrome recommended?

Symptoms can appear as early as adolescence but are often only recognised later, when problems with the cycle, skin or fertility arise. 

Cycle and ovulation

  • Irregular periods (long cycles, missed periods or infrequent bleeding)
  • Suspicion of absent ovulation
  • Difficulties conceiving / planning a pregnancy
  • Bleeding that is unusual for your cycle

Symptoms and special situations

  • Acne that persists even after adolescence
  • Increased hair growth (face, chest, abdomen) or hair loss
  • Sudden weight gain or difficulty regulating weight
  • Suspicion of insulin resistance (tiredness after meals, cravings for sweets or sudden changes in energy)
A quick decision: If you have an irregular cycle and symptoms of “excess androgens” (acne/hair growth) or problems with ovulation, it makes sense to have a targeted work-up - so that you get a clear plan and peace of mind.

What does the diagnostic work-up look like?

The work-up is structured: first we understand your cycle and symptoms, then we select tests in a targeted way.

1. Conversation and medical history

Cycle, symptoms, family history, pregnancy plans.

2. Gynaecological examination + ultrasound

Assessment of the ovaries and uterus.

3. Laboratory work-up

Hormones and/or metabolic parameters as indicated.

4. Plan and monitoring

Goals (cycle, skin, metabolism, ovulation, pregnancy) + follow-up.

It is important to distinguish PCOS from other conditions that can cause similar symptoms – which is why we do not run “random” tests, but a targeted work-up.
At Cito Polyclinic our team of doctors applies the latest guidelines and treatment methods.

Preparing for the PCOS work-up?

With a few pieces of information, the examination and the plan will be more precise.

  • During the work-up your gynaecologist will perform an ultrasound examination, so it is advisable to come with an empty bladder.
  • It is advisable to come outside menstrual bleeding, unless it is an emergency.
  • Note your main symptoms and when they started (acne, hair growth, hair, weight).

Before you arrive, prepare the following information

  • Menstrual cycle
    Note the date of your last period and your typical cycle length.
  • Therapy
    A list of your therapy/supplements (contraception, hormones, supplements)
  • Previous examinations and findings
    If you have earlier findings (ultrasound, hormones, OGTT, thyroid) - bring them
Note:If you use hormonal therapy, the interpretation of some hormones may differ. Do not stop your therapy on your own - we will agree a plan at the examination.

What do you gain from the PCOS work-up?

A clear diagnosis (or ruling out the syndrome), an understanding of the cause of your symptoms and a concrete treatment plan. 

1
Clarity
Whether you meet the criteria for PCOS or whether it is something else.
2
Risk assessment
Ovulation, the state of the endometrium and metabolism (e.g. insulin resistance) are assessed.
3
An individual plan
A treatment and follow-up plan tailored to your symptoms - cycle, skin/hair symptoms, weight, insulin resistance.

In practice this means

  • less “uncertainty and more clear steps”
  • therapy and lifestyle changes tailored to your type of PCOS
  • a follow-up and monitoring plan, without unnecessary visits 
  • a focus on your goal: symptom control, general health or pregnancy planning
Structured
Individual
Long-term

Why have the work-up at Cito Polyclinic?

With polycystic ovary syndrome, the most important things are a systematic approach and a realistic treatment plan, and the Cito team makes this possible for you. 

  • A structured work-up: examination + ultrasound + targeted tests
  • An individual plan (it is not the same if your goal is regulating the cycle or pregnancy)
  • Monitoring and adjustment of the plan as needed
  • A team of doctors specialised in treating PCOS

Want a plan that is truly tailored to you?

Tell us whether your primary goal is regulating the cycle/symptoms or planning a pregnancy - and we will put together a sensible plan of steps.

Price of a PCOS work-up

The price is charged as part of a gynaecological examination with an ultrasound examination and is 60€. Additional tests such as a Pap test, additional hormone analysis or follow-up examinations are charged separately, as needed.

You can get the first available appointment straight away by phone on +385 21 457 800 or by sending a short message via the contact form.

Doctors

Our team of expert physicians

Frequently Asked Questions

Find answers to common questions about this service

What are the typical symptoms of PCOS and how is the diagnosis made?

Irregular menstruation, hyperandrogenism (acne, increased hair growth) and a polycystic appearance of the ovaries. Diagnosis is made according to the Rotterdam criteria, after excluding other causes.

What are the treatment options (lifestyle change, medications, contraception)?

Treatment requires a multimodal approach. The cornerstone is regulation of body weight and physical activity; supplementation is added, and as needed or depending on symptoms, combined contraceptives, antiandrogens and metformin.

How does PCOS affect fertility and pregnancy planning?

PCOS can impair ovulation; the first step is to restore ovulation. If, despite necessary therapy, ovulation is not restored, ovulation induction or assisted reproduction is used according to indication and other factors.

Can PCOS be "cured" or is it a permanent condition?

It is a chronic syndrome with the possibility of good symptom control through lifestyle changes and tailored therapy.

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Polyclinic Cito