Ovarian cysts and tumors Quiz: Ace Your Exams

A 28-year-old primigravida at 24 weeks gestation comes to the clinic due to abnormal facial hair growth. The patient has received consistent prenatal care and takes prenatal vitamins regularly. At the first prenatal appointment, ultrasound confirmed a twin intrauterine pregnancy with 2 normal fetal heartbeats. The patient’s medical history is unremarkable. Menarche was at age 14, and the patient’s menstrual cycle occurred every 28 days, lasting for 3-4 days. During the past few weeks, the patient noticed hair growth on her chin, upper lip, and abdomen. She has also experienced mild abdominal discomfort, which she assumed to be normal. Vitals signs are within normal limits. On physical examination, dark hair is noted on the face and abdomen. Pelvic examination reveals bilateral adnexal masses. Abdominal ultrasound shows a normal twin intrauterine pregnancy and bilateral multiseptated cystic adnexal masses. Which of the following is the most likely diagnosis?