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Imaging of the ovaries

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Ultrasound reveals polycystic ovaries:

  • the ovaries are usually enlarged with a smooth outer covering that is thicker than normal
  • the surface is covered with many small cysts with increased stroma

Up to 1/3 of women may have the appearances of polycystic ovaries. Of these, an estimated 1/3 have polycystic ovarian syndrome.

Note that according to the Rotterdam criteria, polycystic ovaries need not be present to make a diagnosis of PCOS, and conversely, their presence alone does not establish the diagnosis (1).

Reference:

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