Medical Disclaimer: Florya provides clinical screening tools, not medical diagnoses. Our assessments are designed to support — not replace — professional medical advice. Results should be reviewed with a qualified healthcare provider. Read full disclaimer.

Identifying PCOS using the Rotterdam Protocol

PCOS Screening & Assessment

Polycystic Ovary Syndrome affects 8-13% of women of reproductive age, yet the average diagnostic delay is 2-4 years. Florya uses the internationally recognized Rotterdam Protocol to classify PCOS into Types A through D, correlating androgen sensitivity, ovulatory dysfunction, and metabolic markers to provide a comprehensive risk assessment.

Reviewed by Florya Clinical Team
8-13% of women [1]
Prevalence
2-4 years [2]
Avg. Diagnostic Delay
Common Symptoms

Signs to Watch For

Irregular Cycles

Periods that come too often, too late, or skip months entirely

Hirsutism

Excess hair growth on the face, chest, or back

Unexplained Weight Gain

Weight increase without changes in diet or exercise

Acne & Oily Skin

Persistent breakouts and excess oil, especially along the jawline

Hair Thinning

Gradual loss of hair volume, particularly at the crown

Chronic Fatigue

Persistent tiredness that rest doesn't resolve

Our Approach

How Does Florya Screen for PCOS?

Rotterdam Protocol
  • Androgen sensitivity and hirsutism pattern tracking
  • Ovulatory dysfunction assessment
  • Metabolic risk correlation (insulin resistance)
  • Physician-ready evidence summary

Recommended Biomarkers

Based on your symptom profile, these markers may be recommended:

AMHLHFSHTotal TestosteroneFree TestosteroneDHEA-SSHBGFasting Insulin

Biomarker recommendations are personalized based on your assessment results. Not all markers may apply to your case.

Frequently Asked Questions About PCOS Screening & Assessment

How does Florya screen for PCOS?
Florya uses the Rotterdam Protocol — the international diagnostic standard — to assess three key criteria: hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphology indicators. Our questionnaire captures symptom patterns while lab results provide biomarker confirmation.
What PCOS phenotype will I be classified as?
Our assessment classifies PCOS into four phenotypes (Types A-D) based on which Rotterdam criteria are present. Type A (Classic) shows all three criteria, while Type D shows only polycystic morphology and ovulatory dysfunction. This classification helps your physician tailor treatment.
Can Florya diagnose PCOS?
Florya provides clinical screening, not a medical diagnosis. Our assessment generates a risk score and evidence summary that your healthcare provider can use to guide further investigation and formal diagnosis.
What lab tests are recommended for PCOS screening?
Based on your symptom profile, Florya may recommend testing AMH, LH, FSH, Total and Free Testosterone, DHEA-S, SHBG, and Fasting Insulin. These markers help confirm hyperandrogenism and metabolic involvement.
What are the 4 types of PCOS?
PCOS is classified into four phenotypes using the Rotterdam criteria: Type A (Classic/Full) presents with all three criteria — hyperandrogenism, ovulatory dysfunction, and polycystic morphology. Type B shows hyperandrogenism and ovulatory dysfunction without polycystic morphology. Type C presents with hyperandrogenism and polycystic morphology but regular ovulation. Type D shows ovulatory dysfunction and polycystic morphology without hyperandrogenism.
Is PCOS a hormonal disorder?
Yes. PCOS is an endocrine (hormonal) disorder characterized by excess androgens (male hormones), irregular ovulation, and metabolic dysfunction. It often involves insulin resistance, which drives further hormonal imbalance. Treatment approaches address both the hormonal and metabolic components.
How accurate is PCOS screening without ultrasound?
Clinical screening using the Rotterdam Protocol can identify PCOS risk through symptom assessment and biomarker analysis (AMH, LH/FSH ratio, testosterone, insulin) without requiring ultrasound. While ultrasound confirms polycystic ovarian morphology, two of the three Rotterdam criteria can be assessed through clinical and biochemical evaluation alone.

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