Hi Ella's Mum.

Internal ultra sounds are better for viewing the ovaries and would give a better idea of whether your ovaries are polycystic or not.

BUT... It is possible to have PCOS and still have normal looking ovaries, just as it is possible to have ovaries that appear polycystic but not have PCOS.

PCOS needs more than just PCO to be diagnosed, and blood tests are going to be the better indicator of whether you have PCOS or not. Elevated testosterone and other androgenic hormones would be a big indicator. Along with a wonky LH/FSH ratio (and I would need to look up how all that works). Other signs and symptoms would include excess weight that is difficult to lose and primarily distributed over the abdomen, acne, excess body hair that follows a typically male pattern, as well as hair (the hair on your head this time) thinning or loss.

I know this is probably not much help to you, but it is impossible to diagnose PCOS just on the appearance of the ovaries alone.

BW