Does it necessarily mean PCOS?

Question

PCOS?" /> 
Symptoms:
- 40-45 (mostly 40) day cycles. Period is a normal amount and not painful. 
- LH surge in urine more than once a cycle.
- Acne around ovulation/period. Sometimes cystic.
- Pain in uterus during sex around ovulation only. 
- Losing hair (always have. Mom has the same thing with her hair but no PCOS).
Had an ultrasound that showed some cysts. All my blood work has always come back normal (but not sure if I’ve had any blood tests specifically for PCOS?). 
I am 24, have had two kids naturally and conceived them both on the first try. 
I had a chemical pregnancy a few months ago. Been trying for 7 months.

Answer

Have you spoken to you doctor to test just for pcos? LH surge gets high for every woman at different stages in their cycles. You do have irregular cycles which could possible be pcos. I would ask for bloodwork. I have lean pcos only symptom I have is 2 points over for testosterone.