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This is hard to diagnose. There is no right way because it is so hard to find active cysts on the ovaries. Most doctors will get an ultrasound and look to see how many follicles are on the ovaries. They will also ask multiple questions like if you have other symptoms as well. This is hard to diagnose because there are some symptoms that some people will have with this disorder and others will not have those but other symptoms. Mainly, if someone were to have at least seven of the multiple symptoms, they would be diagnosed with PCOS.