Is long-term medical management effective for ovarian hyperthecosis, or is surgery the primary treatment option?

Is long-term medical management effective for ovarian hyperthecosis, or is surgery the primary treatment option?

• Medical therapy (anti-androgens, GnRH analogs)
• Surgical treatment (oophorectomy)
• Depends on patient factors (e.g., age, symptoms, fertility goals)
• Not sure
• Other