Multiple Small Peripheral Follicles in Obstetrics & Gynecology — 26yo Woman | General Gynecology | SMLE Q#17988

SMLE Question #17988

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old woman has irregular menstrual cycles for 3 years and gradually increasing facial hair growth requiring frequent removal. She is not pregnant, not breastfeeding, and is not trying to conceive. She has no galactorrhea, headaches, visual changes, or hot flashes. Pelvic ultrasound shows enlarged ovaries with multiple small peripheral follicles. What is the most appropriate next step in management?

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