Therefore
The diagnosis of PCO is best made not on the clinical presentation but rather on the ovarian morphology.
. There have been many attempts to redefine
the morphological appearance of the PCO by using transvaginal ultrasonography, three-dimensional transvaginal
ultrasonography and magnetic
resonance imaging. It is now known that ovarian stromal volume has been
correlated with serum Testosterone concentrations and may
provide more useful information
then the volume of the cysts. Furthermore, ovarian volume correlates well with stromal volume as a marker of hyperandrogenism
and is easier to measure in practice than stromal volume . Ovarian
volume is usually greater than 10 ml, compared with the normal ovarian volume
of ml.
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