The accuracy of examination under anesthesia and transvaginal sonography in evaluating ovarian size

TVS is significantly more accurate than clinical examination in detecting ovaries and in defining their dimensions. Ovaries frequently are not palpable in women ≥55 years of age, women who weigh ≥200 lb, or women with an enlarged uterus (> 200 g). The addition of TVS to annual pelvic examination may be beneficial in women ≥55 years of age who are overweight and therefore at high risk to develop ovarian cancer.