How is polycystic ovary syndrome diagnosed in mature adults and does it still affect blood sugar levels after menopause?
Fan-out diagram
Seed → topic clusters → sub-queries, per model.
Badge and edge weight = share of passes that produced the query. Hover a query for its intent and routing format.
Query classes
Google's semantic query class for every sub-query: what kind of answer each search is after, simulated vs real.
Classes come from the query-classifier (a local Laya model). 28 of 36 calls are low-confidence (under 50%) — hover a query in the table to see its confidence.
What the models actually searched
Each model answered the query with its own web search. These are the searches it ran, matched to the closest simulated query.
- Recommendations From the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome | The Journal of Clinical Endocrinology & Metabolism · academic.oup.com
- G60 European Journal of Endocrinology, 2023, Vol · pure.eur.nl
- Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome · pmc.ncbi.nlm.nih.gov
- Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polyendocrine Metabolic Ovarian Syndrome (2023) | American Society for Reproductive Medicine · asrm.org
- Recommendations From the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome · pmc.ncbi.nlm.nih.gov
- Recommendations From the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome | The Journal of Clinical Endocrinology & Metabolism · academic.oup.com
- Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome‡ | Human Reproduction · academic.oup.com
Semantic map
Every query placed by meaning (EmbeddingGemma 2, 256-d). Shaded regions are topics, nearby points are near-paraphrases, and a circle's size is how often the query came back.
Queries
| Query / type | Search | Intent | Query class | Routing format | Cluster | Freq ↓ | Weight |
|---|---|---|---|---|---|---|---|
how to diagnose pcos in older women REFORMULATION | Google ↗ AI Mode ↗ | The user wants to know the medical criteria and tests used for diagnosing polycystic ovary syndrome in mature or older adults. | Instruction | web_article | rotterdam criteria diagnosis older adul… | 2x of 3 | |
does pcos go away after menopause REFORMULATION | Google ↗ AI Mode ↗ | The user wants to know if polycystic ovary syndrome resolves or persists after a woman goes through menopause. | Comparison | faq_page | long term health and symptoms | 2x of 3 | |
how do doctors diagnose pcos in older women REFORMULATION | Google ↗ AI Mode ↗ | The user wants to know the specific diagnostic process for polycystic ovary syndrome in mature or older adults. | Reason | web_article | rotterdam criteria diagnosis older adul… | 1x of 3 | |
pcos and insulin resistance after menopause blood sugar RELATED | Google ↗ AI Mode ↗ | The user is looking to understand the connection between postmenopausal pcos and sustained blood sugar issues or insulin resistance. | Reason | faq_page | insulin resistance after menopause | 1x of 3 | |
pcos symptoms in older women after menopause RELATED | Google ↗ AI Mode ↗ | The user is looking to understand how PCOS symptoms manifest or persist following the onset of menopause. | Reason | faq_page | long term health and symptoms | 1x of 3 | |
does pcos affect insulin resistance after menopause RELATED | Google ↗ AI Mode ↗ | The user wants to understand the relationship between polycystic ovary syndrome and blood sugar regulation or insulin resistance following menopause. | Consequence | web_article | insulin resistance after menopause | 1x of 3 | |
long term metabolic health risks of pcos postmenopause IMPLICIT | Google ↗ AI Mode ↗ | The user needs to understand broader health and metabolic implications, including diabetes risk, for women with pcos after menopause. | Consequence | pdf_whitepaper | long term health and symptoms | 1x of 3 | |
insulin resistance postmenopausal pcos blood sugar risks IMPLICIT | Google ↗ AI Mode ↗ | The user is implicitly seeking information on the long-term metabolic risks and blood sugar complications associated with PCOS after menopause. | Consequence | pdf_whitepaper | insulin resistance after menopause | 1x of 3 | |
can postmenopausal women still have high blood sugar from pcos IMPLICIT | Google ↗ AI Mode ↗ | The user is implicitly asking whether the metabolic impacts of PCOS persist past reproductive years. | Yes / no | faq_page | insulin resistance after menopause | 1x of 3 | |
pcos symptoms premenopause vs postmenopause COMPARATIVE | Google ↗ AI Mode ↗ | The user wants to compare how polycystic ovary syndrome symptoms and hormone profiles shift from reproductive years to postmenopause. | Comparison | comparison_table | comparing premenopause and postmenopaus… | 1x of 3 | |
pcos vs normal menopause blood sugar differences COMPARATIVE | Google ↗ AI Mode ↗ | The user wants to compare blood sugar levels and metabolic profiles between women with a history of PCOS versus those without during menopause. | Comparison | comparison_table | comparing premenopause and postmenopaus… | 1x of 3 | |
pcos symptoms premenopause vs postmenopause blood sugar COMPARATIVE | Google ↗ AI Mode ↗ | The user wants to compare how blood sugar issues differ between premenopausal and postmenopausal individuals with PCOS. | Comparison | comparison_table | comparing premenopause and postmenopaus… | 1x of 3 | |
rotterdam criteria pcos older adults endocrinology ENTITY EXPANSION | Google ↗ AI Mode ↗ | The user wants professional medical guidelines and diagnostic standards like the Rotterdam criteria applied to mature populations. | Reason | glossary/definition | rotterdam criteria diagnosis older adul… | 1x of 3 | |
rotterdam criteria pcos diagnosis older adults ENTITY EXPANSION | Google ↗ AI Mode ↗ | The user is looking for the formal clinical criteria used to medically diagnose PCOS in mature populations. | Definition | glossary/definition | rotterdam criteria diagnosis older adul… | 1x of 3 | |
metabolic syndrome type 2 diabetes risk pcos older adults ENTITY EXPANSION | Google ↗ AI Mode ↗ | The user wants to explore related metabolic conditions and diabetes risks associated with long-term PCOS in older age. | Consequence | pdf_whitepaper | metabolic syndrome and diabetes risk | 1x of 3 | |
managing my blood sugar levels with history of pcos after menopause PERSONALIZED | Google ↗ AI Mode ↗ | The user is seeking self-management strategies for maintaining healthy blood sugar levels post-menopause given a background of pcos. | Reason | how_to_steps | blood sugar and diabetes management | 1x of 3 | |
managing insulin resistance with pcos after age 50 PERSONALIZED | Google ↗ AI Mode ↗ | The user is seeking actionable management strategies for blood sugar issues related to PCOS in older adulthood. | Comparison | how_to_steps | insulin resistance after menopause | 1x of 3 | |
management of metabolic health in postmenopausal women with history of pcos PERSONALIZED | Google ↗ AI Mode ↗ | The user seeks clinical guidance on managing long-term health risks for older individuals with a history of PCOS. | Comparison | buyers_guide | long term health and symptoms | 1x of 3 | |
rotterdam criteria pcos diagnosis age limits REFORMULATION | Google ↗ AI Mode ↗ | The user wants to know if standard diagnostic criteria like the Rotterdam criteria apply differently to mature adults. | Consequence | glossary/definition | rotterdam criteria diagnosis older adul… | 1x of 3 | |
type 2 diabetes risk in older women with pcos RELATED | Google ↗ AI Mode ↗ | The user is exploring the specific statistical or clinical risk of developing type 2 diabetes later in life due to pcos. | Consequence | web_article | metabolic syndrome and diabetes risk | 1x of 3 | |
metabolic syndrome risk in postmenopausal women with pcos RELATED | Google ↗ AI Mode ↗ | The user is exploring broader health risks like metabolic syndrome that link PCOS and blood sugar issues later in life. | Consequence | web_article | metabolic syndrome and diabetes risk | 1x of 3 | |
do hormone levels normalize after menopause with pcos RELATED | Google ↗ AI Mode ↗ | The user wants to find out what happens to androgen and estrogen levels in women with PCOS after they go through menopause. | Consequence | web_article | hormone levels in older women | 1x of 3 | |
hormone levels in older women with polycystic ovary syndrome IMPLICIT | Google ↗ AI Mode ↗ | The user wants to know what happens to androgen and estrogen levels in mature adults who had pcos. | Reason | product_spec_sheet | hormone levels in older women | 1x of 3 | |
hormone levels in older women with pcos IMPLICIT | Google ↗ AI Mode ↗ | The user wants to understand how androgen and estrogen levels shift in older women who have PCOS. | Reason | product_spec_sheet | hormone levels in older women | 1x of 3 | |
long term health effects of pcos after menopause IMPLICIT | Google ↗ AI Mode ↗ | The user is looking for a comprehensive overview of how having PCOS impacts overall health later in life. | Consequence | review_roundup | long term health and symptoms | 1x of 3 | |
pcos diagnosis challenges in perimenopause and menopause RELATED | Google ↗ AI Mode ↗ | The user is looking for information on why diagnosing pcos becomes difficult during the transition into menopause. | Reason | forum/qna | comparing premenopause and postmenopaus… | 1x of 3 | |
diabetes risk pcos before vs after menopause COMPARATIVE | Google ↗ AI Mode ↗ | The user seeks to understand how the risk of developing type 2 diabetes changes from reproductive years to postmenopause for individuals with PCOS. | Comparison | case_study | comparing premenopause and postmenopaus… | 1x of 3 | |
pcos blood sugar normalization after menopause REFORMULATION | Google ↗ AI Mode ↗ | The user wants to know if elevated blood sugar levels caused by PCOS resolve on their own once menopause is reached. | Reason | faq_page | blood sugar and diabetes management | 1x of 3 | |
insulin resistance symptoms older adults pcos vs non pcos COMPARATIVE | Google ↗ AI Mode ↗ | The user wants to compare insulin resistance manifestations in older women with a pcos background versus those without. | Comparison | comparison_table | metabolic syndrome and diabetes risk | 1x of 3 | |
hba1c testing pcos postmenopause ENTITY EXPANSION | Google ↗ AI Mode ↗ | The user is looking for specific diagnostic tests used to monitor blood sugar health in older adults with PCOS. | Other / navigational | calculator/tool | blood sugar and diabetes management | 1x of 3 | |
insulin resistance changes across menopause in pcos patients COMPARATIVE | Google ↗ AI Mode ↗ | The user wants to understand the trajectory of insulin resistance progression or regression as women transition through menopause. | Consequence | case_study | insulin resistance after menopause | 1x of 3 | |
endocrinologist guide to aging with polycystic ovary syndrome ENTITY EXPANSION | Google ↗ AI Mode ↗ | The user seeks expert medical perspectives and clinical guidelines regarding the long-term prognosis of pcos in older age. | Reason | case_study | aging with metabolic complications | 1x of 3 | |
long term health effects of pcos in older women RELATED | Google ↗ AI Mode ↗ | The user wants a comprehensive overview of all long-term health complications tied to PCOS as women age. | Consequence | pdf_whitepaper | long term health and symptoms | 1x of 3 | |
aging with pcos metabolic complications forums RELATED | Google ↗ AI Mode ↗ | The user wants to find community discussions and real-world experiences regarding aging and metabolic issues with PCOS. | Other / navigational | forum/qna | aging with metabolic complications | 1x of 3 |
Passes
Does another pass still surface new queries? A flattening curve means the fan-out has stabilised.
| Model | Pass | Target | Generated | Seconds | Tokens (in / out) | Notes |
|---|---|---|---|---|---|---|
| gemini-3.5-flash-lite | 1 | 12 | 12 | — | 915 / 1,582 | |
| gemini-3.5-flash-lite | 2 | 12 | 12 | — | 915 / 1,522 | |
| gemini-3.5-flash-lite | 3 | 12 | 12 | — | 915 / 1,471 |