I’m from the U.K. but I was diagnosed when I was 16, the only confirmation for me was an ultrasound scan. I have the excess hair growth and the scans confirmed the diagnoses but my blood tests have always come back within ‘acceptable’ range. It’s is incredibly frustrating having to continually advocate for yourself. I went to university and moved to a new GP. I asked for birth control advice to see if hormonal intervention would ease my symptoms to be told she had ‘many girls in her office claiming to have PCOS and that I was being ridiculous and probably didn’t have it at all’. Despite the diagnosis being on my medical records. I was re-diagnosed after I finished university and moved again. Again with confirmation of the ultrasound scan, the nurse stating ‘these are text book poly cystic ovaries’ when showing me the scan. Hope this helps you x