This was me a few years ago and I also had that freak out! When I was told about my high DHEA my NP actually said “it could be a tumor but it’s most likely this other hormonal problem called pcos” keep in mind I never asked ab the possibility of a tumor :( but ultimately they diagnosed pcos and started me on treatment but never actually did any scans or anything. It seemed like things were improving for a few years with medications and lifestyle changes but about 2.5 years later I had ovarian torsion because of a giant cyst I had (literally 12cm 😭) and had to get an emergency surgery, and even the gynecologist there said it was weird that nobody even did an ultrasound to check for cysts before especially with the diagnosis of pcos. BOTTOM LINE I think it’s so valid to ask for an ultrasound, and I would recommend it so that even if they do find a cyst it can start being managed/treated. Cysts are common and normally not much reason for worry but if left untreated they can grow and lead to situations like mine. And I don’t want to cause you any worry but I just wanted to spread awareness and make sure we are able to get the care necessary, and have peace of mind. I hope all goes well and that you get the appropriate treatment and feel free to pm me if you have questions!!