Abstract
Severe post-menopausal hyper-androgenism often requires a work-up for possible tumorous and non-tumorous causes of the ovaries and adrenal glands. There is minimal guidance regarding the extent of required work-up and the imaging modality of choice. Hence, clinical judgment is especially important in such cases. Herein, we present a case of severe post-menopausal hyperandrogenism of suspected ovarian source but with non-visualized ovaries on transvaginal ultrasound.
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