Unfortunately, you can't diagnose PCOS with just an ultrasound. It could go either way - the cysts on the ovaries is just one of a whole host of symptoms that you may or may not have, but underlying them all is a hormonal imbalance and insulin resistance.

I have PCOS - I have the cysts on my ovaries, but I have no hair issues, no skin issues, am not overweight... and yet my PCOS is actually VERY severe. You need to have blood tests to look at your hormone profile before PCOS can be confirmed or eliminated.

Also, many women with PCOS can conceive naturally, and some do with minimal assistance. It's not the end of the world, even if you do get the diagnosis of PCOS.

BW