She complained of mild abdominal discomfort.
Transabdominal sonograms demonstrate bilateral ovarian enlargement.
The largest cyst measures 4.4 x 3.6 x 3.3 cm. No gestational sac is visible within the uterine cavity. The kidneys are normal. The pathophysiology of this syndrome is not clearly understood. Multiple ovarian follicles are simultaneously stimulated and can be identified in the uterus by ultrasound examination.