PCOS is a condition that comes in many different variants, with each woman expressing symptoms in a unique way. Androgen excess is often a central factor in PCOS – most women express either clinical signs of it including acne, hirsutism or androgenetic alopecia, or have lab work with high levels of hormones like testosterone, androstenedione, 17-OH Progesterone, DHEA-S or dihydrotestosterone. The adrenal glands are one source of androgen excess, creating a unique “type” of PCOS which is different than the others.

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