When explaining polycystic ovary syndrome (PCOS) to a newly diagnosed client, the health care worker states, "This ovarian dysfunction is caused by:
A) Absent FSH."
B) Insulin deficit."
C) Elevated LH."
D) Low androgen."
Ans: C
Feedback:
The underlying etiology of the disorder is unknown, although most women have altered gonadotropin levels. Most women with PCOS have elevated luteinizing hormone (LH) levels with normal estrogen and follicle-stimulating hormone (FSH) production. This altered LH/FSH ratio often is used as a diagnostic criterion for this condition. The elevated LH level also results in increased androgen production. Hyperinsulinemia may also lead to the excess androgen production; the overall goal of PCOS treatment is to suppress the insulin-facilitated, LH-driven androgen production.
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