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The US diagnosis of PCOS is still an open problem. The frequency of over diagnosis in particular phase of reproductive age, the contrasting guidelines and the technological advances lead to be a difficult charge for the sonographer. Follicle number and disposition and ovarian volume represents most used criteria, but other aspects as stromal study and ovarian vascularization could help. On the other hand, recently, the introduction of Anti-mullerian hormone assay introduced a support for US diagnosis.

Ultrasound Diagnosis of Polycystic Ovarian Syndrome: Current Guidelines, Criticism and Possible Update