Is it PCOS or PCOM?

Does this patient have polycycstic ovarian syndrome or is something else behind her inability to fall pregnant?

Updated 22 October: The second bullet point under Clinical features has been corrected.


Amanda is a 38-year-old woman who attends regarding difficulty falling pregnant.

Amanda has been trying to conceive for seven months.

Her cycles are regular and monthly, BMI is 26, and she has never been pregnant.

Amanda reports having a pelvic ultrasound four years ago, which showed “some cysts” in the ovaries.

She has no history of hirsutism and acne.

Amanda is referred for