What is narrowing of the thecal?

Narrowing of the theca refers to the thinning of the connective tissue layer surrounding the ovarian follicles. It is associated with the atretic process, which is the degeneration and resorption of ovarian follicles that do not undergo ovulation.

During the process of follicular atresia, the thecal layer, which is primarily composed of connective tissue and specialized cells called theca cells, undergoes progressive thinning and degeneration. The theca cells, responsible for the production of androgens, which are essential for follicle development and maturation, gradually diminish in number and function. The thecal vasculature also regresses, leading to reduced blood supply to the follicle.

As the theca narrows, the granulosa cells within the follicle may exhibit signs of degeneration, such as pyknosis (nuclear shrinkage) and loss of cellular organization. Ultimately, the entire follicle, including the remaining granulosa cells and the oocyte, undergoes breakdown and resorption by macrophages and other immune cells.