Polycystic Ovarian Syndrome (PCOS) is primarily caused by hyperinsulinemia, leading to increased testosterone release from thecal cells.

“I really think insulin it should be called insulin resistant ovarian syndrome because I think really it's coming from again hyperinsulinemia so really the effects of insulin on the ovaries particularly the thecal cells is causing the testosterone release and that's leading to all the different manifestations and and for a teenage girl aside from all the issues with type 2 diabetes and heart disease later on for these teenage girls with facial hair with obesity with acne with emotional disorders from this condition is absolutely devastating”