What now 😬

Hello!

I went to my PCP and brought up some concerns such as weight gain issues despite a very active and healthy lifestyle, hirsutism, pelvic pain and a suddenly very short cycle and told her I suspected PCOS. She ordered some labs and my testosterone was high, cholesterol was high, A1c within normal range. I also got a Transvaginal ultrasound, and I was able to read the interpretation when it was uploaded to my portal which said I have “innumerable” cysts/ follicles in my right ovary.

My doctor hasn’t followed up with me on the ultrasound yet, but I’m assuming I will be getting a referral to gynecology. My question is what should I be expecting now? I haven’t received the official diagnosis yet but it seems pretty classical. Would it be crazy to ask for an endocrinology referral as well?
I am totally open to taking birth control- but would like to see a multifaceted approach to managing ALL my symptoms that have been really impacting my quality of life.

What should I be looking for in a gyn? Red flags I should be weary of? I have been feeling just truly out of my own body for the past year. I am very eager to start chipping away and hoping to reclaim my health and manage this the best I can so I can just feel like a person again ☹️ I’m trying not to spiral too much but it’s hard not to when I just feel exhausted. I already live a very healthy lifestyle, I’m active, I eat very well and minimal alcohol. The fatigue I feel seems crazy for someone who is 25, no kids, and takes great care of themselves.

What’s a step you took upon diagnosis that you think made a big difference for you?