Presentation
Amennorrhea.
Patient Data
Age: 30 years
Gender: Female
From the case:
Polycystic ovary syndrome
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Info
Both ovaries are mildly enlarged showing prominent hypointense stroma and multiple peripherally arranged follicles giving the string of pearls appearance. No dominant follicles or corpus luteum cysts.
Case Discussion
A follicle count of > 20 in at least one ovary is consistent with polycystic ovarian morphology (PCOM). This does not equate to a diagnosis of polycystic ovarian syndrome (PCOS), which requires any two of three diagnostic criteria to be present:
clinical features of hyperandrogenism (irregular cycles, hirsutism, female pattern hairloss, acne)
biochemical hyperandrogenism
PCOM on ultrasound or elevated AMH
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