PCOS check-up checklist: tests to ask for, with peso prices

Tests to ask about

• TSH (thyroid) ([TODO: verify price])Rules out thyroid problems that can look like PCOS.
• Prolactin ([TODO: verify price])Rules out high prolactin, another cause of irregular periods.
• Testosterone (₱1,200 per test)Checks androgens if acne or hair growth signs are unclear.
• 75 g OGTT (glucose tolerance test) (₱500 per test)The most accurate glucose test in PCOS (Rec 1.9.9).
• Lipid profile ([TODO: verify price])Recommended for everyone with PCOS, at any age or weight (Rec 1.8.3).
• HbA1c ([TODO: verify price])Average blood sugar. Ask whether you need it on top of the OGTT.
• Transvaginal or transrectal ultrasound (₱1,300 per scan)Not needed if you already have irregular cycles and high androgens (Rec 1.4.9). Not used for teens.
• AMH (instead of ultrasound, adults only) (₱6,000 per test)Can replace the ultrasound in adults (Rec 1.4.6, 1.5.1).
• Blood pressureChecked at the visit. The guideline says yearly.

Package options

• Hi-Precision PMOS Comprehensive Screening (no consult included) (₱8,700 per package)
• Kindred PCOS Package (from ₱3,500 per package)
• Government hospital ultrasound (₱450 to ₱750 per scan)

Ways to spend less

• Ask if you can skip the ultrasound when you already have irregular cycles and high androgen signs.
• PhilHealth Konsulta lists OGTT, HbA1c, FBS, lipid profile, pelvic ultrasound and metformin. Ask your Konsulta provider.
• Government hospitals charge much less for ultrasound than private hospitals.
• If you have an HMO, ask an accredited doctor to order the tests.

My results and notes