diff --git a/homeassistant/components/generic/camera.py b/homeassistant/components/generic/camera.py
index 197890efad3a6..4886e3a0693f0 100644
--- a/homeassistant/components/generic/camera.py
+++ b/homeassistant/components/generic/camera.py
@@ -12,6 +12,11 @@
     Camera,
     CameraEntityFeature,
 )
+from homeassistant.components.stream.const import (
+    CONF_RTSP_TRANSPORT,
+    CONF_USE_WALLCLOCK_AS_TIMESTAMPS,
+    RTSP_TRANSPORTS,
+)
 from homeassistant.config_entries import SOURCE_IMPORT, ConfigEntry
 from homeassistant.const import (
     CONF_AUTHENTICATION,
@@ -34,14 +39,10 @@
     CONF_CONTENT_TYPE,
     CONF_FRAMERATE,
     CONF_LIMIT_REFETCH_TO_URL_CHANGE,
-    CONF_RTSP_TRANSPORT,
     CONF_STILL_IMAGE_URL,
     CONF_STREAM_SOURCE,
-    CONF_USE_WALLCLOCK_AS_TIMESTAMPS,
     DEFAULT_NAME,
-    FFMPEG_OPTION_MAP,
     GET_IMAGE_TIMEOUT,
-    RTSP_TRANSPORTS,
 )
 
 _LOGGER = logging.getLogger(__name__)
@@ -63,7 +64,7 @@
             cv.small_float, cv.positive_int
         ),
         vol.Optional(CONF_VERIFY_SSL, default=True): cv.boolean,
-        vol.Optional(CONF_RTSP_TRANSPORT): vol.In(RTSP_TRANSPORTS.keys()),
+        vol.Optional(CONF_RTSP_TRANSPORT): vol.In(RTSP_TRANSPORTS),
     }
 )
 
@@ -157,14 +158,10 @@ def __init__(self, hass, device_info, identifier, title):
         self.content_type = device_info[CONF_CONTENT_TYPE]
         self.verify_ssl = device_info[CONF_VERIFY_SSL]
         if device_info.get(CONF_RTSP_TRANSPORT):
-            self.stream_options[FFMPEG_OPTION_MAP[CONF_RTSP_TRANSPORT]] = device_info[
-                CONF_RTSP_TRANSPORT
-            ]
+            self.stream_options[CONF_RTSP_TRANSPORT] = device_info[CONF_RTSP_TRANSPORT]
         self._auth = generate_auth(device_info)
         if device_info.get(CONF_USE_WALLCLOCK_AS_TIMESTAMPS):
-            self.stream_options[
-                FFMPEG_OPTION_MAP[CONF_USE_WALLCLOCK_AS_TIMESTAMPS]
-            ] = "1"
+            self.stream_options[CONF_USE_WALLCLOCK_AS_TIMESTAMPS] = True
 
         self._last_url = None
         self._last_image = None
diff --git a/homeassistant/components/generic/config_flow.py b/homeassistant/components/generic/config_flow.py
index 0a49393d9ccfd..bf9499c07df01 100644
--- a/homeassistant/components/generic/config_flow.py
+++ b/homeassistant/components/generic/config_flow.py
@@ -16,7 +16,12 @@
 import voluptuous as vol
 import yarl
 
-from homeassistant.components.stream.const import SOURCE_TIMEOUT
+from homeassistant.components.stream.const import (
+    CONF_RTSP_TRANSPORT,
+    CONF_USE_WALLCLOCK_AS_TIMESTAMPS,
+    RTSP_TRANSPORTS,
+    SOURCE_TIMEOUT,
+)
 from homeassistant.config_entries import ConfigEntry, ConfigFlow, OptionsFlow
 from homeassistant.const import (
     CONF_AUTHENTICATION,
@@ -38,15 +43,11 @@
     CONF_CONTENT_TYPE,
     CONF_FRAMERATE,
     CONF_LIMIT_REFETCH_TO_URL_CHANGE,
-    CONF_RTSP_TRANSPORT,
     CONF_STILL_IMAGE_URL,
     CONF_STREAM_SOURCE,
-    CONF_USE_WALLCLOCK_AS_TIMESTAMPS,
     DEFAULT_NAME,
     DOMAIN,
-    FFMPEG_OPTION_MAP,
     GET_IMAGE_TIMEOUT,
-    RTSP_TRANSPORTS,
 )
 
 _LOGGER = logging.getLogger(__name__)
@@ -200,16 +201,16 @@ async def async_test_stream(hass, info) -> dict[str, str]:
         # For RTSP streams, prefer TCP. This code is duplicated from
         # homeassistant.components.stream.__init__.py:create_stream()
         # It may be possible & better to call create_stream() directly.
-        stream_options: dict[str, str] = {}
+        stream_options: dict[str, bool | str] = {}
         if isinstance(stream_source, str) and stream_source[:7] == "rtsp://":
             stream_options = {
                 "rtsp_flags": "prefer_tcp",
                 "stimeout": "5000000",
             }
         if rtsp_transport := info.get(CONF_RTSP_TRANSPORT):
-            stream_options[FFMPEG_OPTION_MAP[CONF_RTSP_TRANSPORT]] = rtsp_transport
+            stream_options[CONF_RTSP_TRANSPORT] = rtsp_transport
         if info.get(CONF_USE_WALLCLOCK_AS_TIMESTAMPS):
-            stream_options[FFMPEG_OPTION_MAP[CONF_USE_WALLCLOCK_AS_TIMESTAMPS]] = "1"
+            stream_options[CONF_USE_WALLCLOCK_AS_TIMESTAMPS] = True
         _LOGGER.debug("Attempting to open stream %s", stream_source)
         container = await hass.async_add_executor_job(
             partial(
diff --git a/homeassistant/components/generic/const.py b/homeassistant/components/generic/const.py
index 8ae5f16c4c49c..eb0d81d493cfc 100644
--- a/homeassistant/components/generic/const.py
+++ b/homeassistant/components/generic/const.py
@@ -7,18 +7,6 @@
 CONF_STILL_IMAGE_URL = "still_image_url"
 CONF_STREAM_SOURCE = "stream_source"
 CONF_FRAMERATE = "framerate"
-CONF_RTSP_TRANSPORT = "rtsp_transport"
-CONF_USE_WALLCLOCK_AS_TIMESTAMPS = "use_wallclock_as_timestamps"
-FFMPEG_OPTION_MAP = {
-    CONF_RTSP_TRANSPORT: "rtsp_transport",
-    CONF_USE_WALLCLOCK_AS_TIMESTAMPS: "use_wallclock_as_timestamps",
-}
-RTSP_TRANSPORTS = {
-    "tcp": "TCP",
-    "udp": "UDP",
-    "udp_multicast": "UDP Multicast",
-    "http": "HTTP",
-}
 GET_IMAGE_TIMEOUT = 10
 
 DEFAULT_USERNAME = None
diff --git a/homeassistant/components/onvif/__init__.py b/homeassistant/components/onvif/__init__.py
index 8956f0ae2f948..d966549a36f7f 100644
--- a/homeassistant/components/onvif/__init__.py
+++ b/homeassistant/components/onvif/__init__.py
@@ -2,6 +2,7 @@
 from onvif.exceptions import ONVIFAuthError, ONVIFError, ONVIFTimeoutError
 
 from homeassistant.components.ffmpeg import CONF_EXTRA_ARGUMENTS
+from homeassistant.components.stream.const import CONF_RTSP_TRANSPORT, RTSP_TRANSPORTS
 from homeassistant.config_entries import ConfigEntry
 from homeassistant.const import (
     EVENT_HOMEASSISTANT_STOP,
@@ -12,13 +13,7 @@
 from homeassistant.core import HomeAssistant
 from homeassistant.exceptions import ConfigEntryNotReady
 
-from .const import (
-    CONF_RTSP_TRANSPORT,
-    CONF_SNAPSHOT_AUTH,
-    DEFAULT_ARGUMENTS,
-    DOMAIN,
-    RTSP_TRANS_PROTOCOLS,
-)
+from .const import CONF_SNAPSHOT_AUTH, DEFAULT_ARGUMENTS, DOMAIN
 from .device import ONVIFDevice
 
 
@@ -99,7 +94,7 @@ async def async_populate_options(hass, entry):
     """Populate default options for device."""
     options = {
         CONF_EXTRA_ARGUMENTS: DEFAULT_ARGUMENTS,
-        CONF_RTSP_TRANSPORT: RTSP_TRANS_PROTOCOLS[0],
+        CONF_RTSP_TRANSPORT: next(iter(RTSP_TRANSPORTS)),
     }
 
     hass.config_entries.async_update_entry(entry, options=options)
diff --git a/homeassistant/components/onvif/camera.py b/homeassistant/components/onvif/camera.py
index 3475df241b069..6b61a37eb168f 100644
--- a/homeassistant/components/onvif/camera.py
+++ b/homeassistant/components/onvif/camera.py
@@ -9,6 +9,7 @@
 from homeassistant.components import ffmpeg
 from homeassistant.components.camera import Camera, CameraEntityFeature
 from homeassistant.components.ffmpeg import CONF_EXTRA_ARGUMENTS, get_ffmpeg_manager
+from homeassistant.components.stream.const import CONF_RTSP_TRANSPORT
 from homeassistant.config_entries import ConfigEntry
 from homeassistant.const import HTTP_BASIC_AUTHENTICATION
 from homeassistant.core import HomeAssistant
@@ -27,7 +28,6 @@
     ATTR_SPEED,
     ATTR_TILT,
     ATTR_ZOOM,
-    CONF_RTSP_TRANSPORT,
     CONF_SNAPSHOT_AUTH,
     CONTINUOUS_MOVE,
     DIR_DOWN,
diff --git a/homeassistant/components/onvif/config_flow.py b/homeassistant/components/onvif/config_flow.py
index c4579702675a0..894f2fee3dfda 100644
--- a/homeassistant/components/onvif/config_flow.py
+++ b/homeassistant/components/onvif/config_flow.py
@@ -13,6 +13,7 @@
 
 from homeassistant import config_entries
 from homeassistant.components.ffmpeg import CONF_EXTRA_ARGUMENTS
+from homeassistant.components.stream import CONF_RTSP_TRANSPORT, RTSP_TRANSPORTS
 from homeassistant.const import (
     CONF_HOST,
     CONF_NAME,
@@ -22,15 +23,7 @@
 )
 from homeassistant.core import callback
 
-from .const import (
-    CONF_DEVICE_ID,
-    CONF_RTSP_TRANSPORT,
-    DEFAULT_ARGUMENTS,
-    DEFAULT_PORT,
-    DOMAIN,
-    LOGGER,
-    RTSP_TRANS_PROTOCOLS,
-)
+from .const import CONF_DEVICE_ID, DEFAULT_ARGUMENTS, DEFAULT_PORT, DOMAIN, LOGGER
 from .device import get_device
 
 CONF_MANUAL_INPUT = "Manually configure ONVIF device"
@@ -294,9 +287,9 @@ async def async_step_onvif_devices(self, user_input=None):
                     vol.Optional(
                         CONF_RTSP_TRANSPORT,
                         default=self.config_entry.options.get(
-                            CONF_RTSP_TRANSPORT, RTSP_TRANS_PROTOCOLS[0]
+                            CONF_RTSP_TRANSPORT, next(iter(RTSP_TRANSPORTS))
                         ),
-                    ): vol.In(RTSP_TRANS_PROTOCOLS),
+                    ): vol.In(RTSP_TRANSPORTS),
                 }
             ),
         )
diff --git a/homeassistant/components/onvif/const.py b/homeassistant/components/onvif/const.py
index 3a2e802a5a0b9..410088f28df2f 100644
--- a/homeassistant/components/onvif/const.py
+++ b/homeassistant/components/onvif/const.py
@@ -9,11 +9,8 @@
 DEFAULT_ARGUMENTS = "-pred 1"
 
 CONF_DEVICE_ID = "deviceid"
-CONF_RTSP_TRANSPORT = "rtsp_transport"
 CONF_SNAPSHOT_AUTH = "snapshot_auth"
 
-RTSP_TRANS_PROTOCOLS = ["tcp", "udp", "udp_multicast", "http"]
-
 ATTR_PAN = "pan"
 ATTR_TILT = "tilt"
 ATTR_ZOOM = "zoom"
diff --git a/homeassistant/components/stream/__init__.py b/homeassistant/components/stream/__init__.py
index abaf367486d29..fbdfd97f9b2eb 100644
--- a/homeassistant/components/stream/__init__.py
+++ b/homeassistant/components/stream/__init__.py
@@ -23,7 +23,7 @@
 import threading
 import time
 from types import MappingProxyType
-from typing import Any, cast
+from typing import Any, Final, cast
 
 import voluptuous as vol
 
@@ -39,12 +39,15 @@
     ATTR_STREAMS,
     CONF_LL_HLS,
     CONF_PART_DURATION,
+    CONF_RTSP_TRANSPORT,
     CONF_SEGMENT_DURATION,
+    CONF_USE_WALLCLOCK_AS_TIMESTAMPS,
     DOMAIN,
     HLS_PROVIDER,
     MAX_SEGMENTS,
     OUTPUT_IDLE_TIMEOUT,
     RECORDER_PROVIDER,
+    RTSP_TRANSPORTS,
     SEGMENT_DURATION_ADJUSTER,
     STREAM_RESTART_INCREMENT,
     STREAM_RESTART_RESET_TIME,
@@ -72,28 +75,32 @@ def redact_credentials(data: str) -> str:
 def create_stream(
     hass: HomeAssistant,
     stream_source: str,
-    options: dict[str, str],
+    options: dict[str, Any],
     stream_label: str | None = None,
 ) -> Stream:
     """Create a stream with the specified identfier based on the source url.
 
     The stream_source is typically an rtsp url (though any url accepted by ffmpeg is fine) and
-    options are passed into pyav / ffmpeg as options.
+    options (see STREAM_OPTIONS_SCHEMA) are converted and passed into pyav / ffmpeg.
 
     The stream_label is a string used as an additional message in logging.
     """
     if DOMAIN not in hass.config.components:
         raise HomeAssistantError("Stream integration is not set up.")
 
+    # Convert extra stream options into PyAV options
+    pyav_options = convert_stream_options(options)
     # For RTSP streams, prefer TCP
     if isinstance(stream_source, str) and stream_source[:7] == "rtsp://":
-        options = {
+        pyav_options = {
             "rtsp_flags": "prefer_tcp",
             "stimeout": "5000000",
-            **options,
+            **pyav_options,
         }
 
-    stream = Stream(hass, stream_source, options=options, stream_label=stream_label)
+    stream = Stream(
+        hass, stream_source, options=pyav_options, stream_label=stream_label
+    )
     hass.data[DOMAIN][ATTR_STREAMS].append(stream)
     return stream
 
@@ -464,3 +471,27 @@ def get_diagnostics(self) -> dict[str, Any]:
 def _should_retry() -> bool:
     """Return true if worker failures should be retried, for disabling during tests."""
     return True
+
+
+STREAM_OPTIONS_SCHEMA: Final = vol.Schema(
+    {
+        vol.Optional(CONF_RTSP_TRANSPORT): vol.In(RTSP_TRANSPORTS),
+        vol.Optional(CONF_USE_WALLCLOCK_AS_TIMESTAMPS): bool,
+    }
+)
+
+
+def convert_stream_options(stream_options: dict[str, Any]) -> dict[str, str]:
+    """Convert options from stream options into PyAV options."""
+    pyav_options: dict[str, str] = {}
+    try:
+        STREAM_OPTIONS_SCHEMA(stream_options)
+    except vol.Invalid as exc:
+        raise HomeAssistantError("Invalid stream options") from exc
+
+    if rtsp_transport := stream_options.get(CONF_RTSP_TRANSPORT):
+        pyav_options["rtsp_transport"] = rtsp_transport
+    if stream_options.get(CONF_USE_WALLCLOCK_AS_TIMESTAMPS):
+        pyav_options["use_wallclock_as_timestamps"] = "1"
+
+    return pyav_options
diff --git a/homeassistant/components/stream/const.py b/homeassistant/components/stream/const.py
index 50ae43df0d0fb..f8c9ba85d59f6 100644
--- a/homeassistant/components/stream/const.py
+++ b/homeassistant/components/stream/const.py
@@ -42,3 +42,14 @@
 CONF_LL_HLS = "ll_hls"
 CONF_PART_DURATION = "part_duration"
 CONF_SEGMENT_DURATION = "segment_duration"
+
+CONF_PREFER_TCP = "prefer_tcp"
+CONF_RTSP_TRANSPORT = "rtsp_transport"
+# The first dict entry below may be used as the default when populating options
+RTSP_TRANSPORTS = {
+    "tcp": "TCP",
+    "udp": "UDP",
+    "udp_multicast": "UDP Multicast",
+    "http": "HTTP",
+}
+CONF_USE_WALLCLOCK_AS_TIMESTAMPS = "use_wallclock_as_timestamps"
diff --git a/homeassistant/components/stream/worker.py b/homeassistant/components/stream/worker.py
index bde5ab0fb056d..f8d12c1cb4497 100644
--- a/homeassistant/components/stream/worker.py
+++ b/homeassistant/components/stream/worker.py
@@ -452,6 +452,10 @@ def stream_worker(
 ) -> None:
     """Handle consuming streams."""
 
+    if av.library_versions["libavformat"][0] >= 59 and "stimeout" in options:
+        # the stimeout option was renamed to timeout as of ffmpeg 5.0
+        options["timeout"] = options["stimeout"]
+        del options["stimeout"]
     try:
         container = av.open(source, options=options, timeout=SOURCE_TIMEOUT)
     except av.AVError as err:
diff --git a/tests/components/generic/test_config_flow.py b/tests/components/generic/test_config_flow.py
index dd53cb8548e8e..82cf41c6e9186 100644
--- a/tests/components/generic/test_config_flow.py
+++ b/tests/components/generic/test_config_flow.py
@@ -15,12 +15,14 @@
     CONF_CONTENT_TYPE,
     CONF_FRAMERATE,
     CONF_LIMIT_REFETCH_TO_URL_CHANGE,
-    CONF_RTSP_TRANSPORT,
     CONF_STILL_IMAGE_URL,
     CONF_STREAM_SOURCE,
-    CONF_USE_WALLCLOCK_AS_TIMESTAMPS,
     DOMAIN,
 )
+from homeassistant.components.stream.const import (
+    CONF_RTSP_TRANSPORT,
+    CONF_USE_WALLCLOCK_AS_TIMESTAMPS,
+)
 from homeassistant.const import (
     CONF_AUTHENTICATION,
     CONF_NAME,
diff --git a/tests/components/onvif/test_config_flow.py b/tests/components/onvif/test_config_flow.py
index 0760ead2ba13a..1e4dabfe7cf15 100644
--- a/tests/components/onvif/test_config_flow.py
+++ b/tests/components/onvif/test_config_flow.py
@@ -323,12 +323,12 @@ async def test_option_flow(hass):
         result["flow_id"],
         user_input={
             config_flow.CONF_EXTRA_ARGUMENTS: "",
-            config_flow.CONF_RTSP_TRANSPORT: config_flow.RTSP_TRANS_PROTOCOLS[1],
+            config_flow.CONF_RTSP_TRANSPORT: list(config_flow.RTSP_TRANSPORTS)[1],
         },
     )
 
     assert result["type"] == data_entry_flow.RESULT_TYPE_CREATE_ENTRY
     assert result["data"] == {
         config_flow.CONF_EXTRA_ARGUMENTS: "",
-        config_flow.CONF_RTSP_TRANSPORT: config_flow.RTSP_TRANS_PROTOCOLS[1],
+        config_flow.CONF_RTSP_TRANSPORT: list(config_flow.RTSP_TRANSPORTS)[1],
     }