What should post-menopausal ovaries look like on ultrasound?

Prepare for the WCUI/Smith Chason Exit Assessment – Abdomen, Vascular, OB/GYN Test. Enhance your study with flashcards and detailed multiple choice questions, complete with hints and explanations. Master your exit exam with confidence!

Multiple Choice

What should post-menopausal ovaries look like on ultrasound?

Explanation:
After menopause, ovaries lose most of their follicles and function, so they shrink (atrophy). On ultrasound this manifests as small ovaries with no visible, active follicles. This pattern—reduced size with absence of distinct follicles—best fits the expected postmenopausal appearance. Enlarge-with-follicles or mass-like patterns would suggest ongoing ovarian activity or a pathology rather than normal postmenopausal ovaries.

After menopause, ovaries lose most of their follicles and function, so they shrink (atrophy). On ultrasound this manifests as small ovaries with no visible, active follicles. This pattern—reduced size with absence of distinct follicles—best fits the expected postmenopausal appearance. Enlarge-with-follicles or mass-like patterns would suggest ongoing ovarian activity or a pathology rather than normal postmenopausal ovaries.

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