In women, ultrasound suggests hyperechoic ovaries, first consider whether it is caused by tumor, teratoma and ectopic pregnancy or calcified foci. The examination reveals abnormal ovarian hyperechogenicity and a tumor marker test is done to see if the tumor marker is abnormal. If the ovarian hyperechogenicity is ovarian teratoma or ovarian cancer, abdominopelvic enhancement CT is recommended to confirm the diagnosis as an adjunct. If the blood HCG is suggestive of pregnancy and the ovaries appear hyperechoic with no obvious gestational sac in the uterus, ectopic pregnancy is suspected and laparoscopic ectomy is required.