# Transvaginal ultrasound diagnosis of a rare entity: Premenopausal ovarian hyperthecosis

## TL;DR

This paper discusses the use of transvaginal ultrasound to diagnose a rare condition called premenopausal ovarian hyperthecosis.

## Contribution

The paper introduces ultrasound features that can help identify ovarian hyperthecosis in premenopausal women.

## Key findings

- Ovarian hyperthecosis can present as a heterogeneous ovary with central vascularization and peripheral follicles on ultrasound.
- The presence of these ultrasound features, with or without hyperandrogenism, should prompt consideration of OH in expert hands.

## Abstract

Ovarian hyperthecosis (OH) is a benign pathology, less common in premenopause. Literature is poor on its ultrasound (US) characteristics. We suggest that a heterogeneous ovary at US, with a central vascularisation and follicles to the periphery, with or without hyperandrogenism, should lead to consider OH in the hands of experts.