PCOS attacks nearly every system in our bodies. Therefore, it is essential to have annual lab work in addition to an annual ultrasound (to check the health and condition of your entire reproductive system!
I had to have an ultra sound looked at by a nurse practitioner who believed I did no have it, then by an ER doctor and he said absolutely and there was no doubt. Coupled with my obesity, irregular and anovular cycles, that I did in fact have it.
4 types of PCOS? This is interesting - I have all but 1 marker for Type 3 though I also have elevated LH so who knows. Shes right about at least one thing though - I have high LH and vitex doesnt work for me AT ALL.