The underlying cause of PCOD is a hormonal imbalance. Women with PCOD produce higher-than-normal levels of insulin and androgens (male hormones), which can lead to a number of health issues. Although the exact cause is yet unknown, factors like insulin resistance, inflammation, and genetics are believed to be involved. Consider a vicious cycle in which increased insulin levels due to insulin resistance trigger an increase in androgen production from the ovaries. A woman's menstrual cycle may be severely disrupted by these excess androgens, leading to irregular or prolonged cycles. Moreover, hormonal imbalance can result in the formation of cysts, which are small, fluid-filled sacs on the ovaries. That is why it is called "polycystic."
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