One thing that I have noticed (at least in my area) is that there are some doctor's who are resistant to the PCOS diagnosis.
For me, my GP is an older doctor doesn't like to call it PCOS if you don't have insulin resistance (which I don't). So when he referred me to an endocrinologist when my thryoid was acting up, and the endo actually asked me if I thought I had PCOS in our consultation. We went through all the protocol, changed the type of birth control I was on, and I feel so much better now. We also still straightening out that pesky thyroid.
I mean, don't get me wrong, I love my GP. But sometimes you just need a referral to another doctor.
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