Mine took blood tests and tested my hormone levels. The test came back that my androgen levels (testosterone) were high which is an indication of PCOS. Plus I had started get acne and gain some weight. So then they did an ultrasound (both the kind where they rub it on your tummy and the kind where they actually insert the probe in you) and saw that there was a mass in my uterus and something in my ovaries. So then they scheduled the hysterosonogram to make sure they were cysts.

A hysterosonogram is kinda painful, just to warn you. They dilate you with a balloon type of thing and then inject saline solution into your uterus which helps detect images (the way it bounces off the walls of your uterus tells them something apparently). Then they insert the probe and take a look around. The actual procedure wasn't too bad but afterwards it felt like pretty bad cramps. But it goes away within an hour or so.

But once they did all that and confirmed that I had cysts/polyps, they put me on a low dose estrogen birth control (I take Yaz) which leveled out my hormones and I haven't had a cyst rupture in months. Also, diet is a good way to help. Try eating less fatty/processed foods like fast food if you eat it now. And I started exercising because keeping your weight down can also help with PCOS.

Hope everything works out!!