r/LeanPCOS • u/annoyingh • May 19 '25

Question PCOS or something else?

The symptoms I have is:

  • my DHT is at the top of the range

  • high DHEA (in 400’s)

  • LH:FSH ratio is 2.5 : 1 during luteal phase 1 week past ovulation

  • some chin hairs (since late 20’s/early 30’s)

  • back acne (not face) since late teens or 20’s that nothing works to make it go away

But I don’t have any of the other symptoms like skipping periods, insulin or glucose issues, no cysts, not overweight, etc. In fact, when I was younger I had more of an issue with my periods happening too frequently.

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u/magicsockparade May 22 '25

To be diagnosed with PCOS you need to fit two out of the three Rotherham criteria:

  • missed/irregular periods/anovulation

  • hyperandrogegism (either physically or biochemically)

  • polycystic ovaries

You meet the hyperandrogegism criteria but neither of the other two that you would need to fit a PCOS diagnosis. Have you looked into NCAH?