How do you know if you have PCOS for sure?

Question

I know no one here is an Obgyn (bonus for me if you are!) so I realize the answers I get will be opinions. But this has been weighing on my mind. Last year, my obgyn diagnosed me with PCOS. He did an ultrasound to look at my ovaries and said they had cysts. And that's what gave me the diagnosis.
Fast forwatd to October 2019. Ive moved to a new state, thus have a new doctor. I told her what my old dox diagnosed me with and wanted her opinion. She said in order to be diagnosed, I have to have 2 of 3 symptoms. 
1. Polycystic ovaries ✔
2. Abnormal hair growth 🚫
3. Abnormal/irregular menstruation 🚫
She did lab work on me and everything came back normal. She specifically told me my testosterone levels were normal, as I guess they would've been high if PCOS was a possibility. So in HER opinion, I dont have PCOS.
I am overweight. I know that. Currently Im 198lbs and am working on losing weight by going to the gym 3 times a week at the least. But she didnt say anything about my weight being a factor/symptom of PCOS while the first doctor did. So now Im like...do I have it? Do I not? I have no kids and have had difficulty getting pregnant for almost 2 years. Miscarried in early 2018. I have a period every month and ovulate. 3 failed IUIs. Have used both Clomid and Letrozole as medical assistants.
How were you diagnosed?

Answer

From my understanding, typically they do a lot of hormone tests to diagnose you the traditional way. I did this testing in my late teenswhen a doctor suggested PCOS and everything came back normal. Least year, when I was 24, I saw an OB who did an ultrasound and found the undeveloped follicles on my ovaries and told me that I have PCOS. She said that she could order me a lot of testing if I wanted to confirm... Or she could begin treatment. She said ultimately the treatment would be the same regardless of the test results, due to having "polycystic" ovaries. I hope this helps.

Answer

I have had the same experience where I was diagnosed changed offices went to second  office they said  no dont then went to a IVF Clinic at first they questioned it but they took a look at my ovaries and said for sure even without my symptoms  I don't have increased  testosterone  I have  regular heavy periods sometimes go from heavy heavy to regular heavy  but always on time but I have hormonal  acne I have light hair loss I have cyst I have infertile  and a slight insulin  resistance ... there is so much more that meet the eye with pcos not every women is text book  I also have eno   and that was hard  to get diagnosed  with everybody  looked. Passed is said no untill I did a endoscopic  surgery  and they seen the endo and all the damage from it it's your body so fight for it

Answer

They discovered that I had hypothyroidism before seeing I had cysts on my ovaries via ultrasound. Both Hypothyroidism and PCOS can cause cysts on ovaries. I would ask them to test your TSH levels. I also have regular cycles each month and used Femera to conceive my daughter

Answer

https://www.youtube.com/watch?v=KQVHtp609p8&feature=share

How do you know if you have PCOS for sure?

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