All of the following our the diagnosis of PCOS except: (A) Elevated LH, (B) Reversed estradiol : estrone ratio, (C) Reduced SHBG level, (D) Reduced serum insulin level
Answer is D. BIOCHEMICAL MARKERS OF PCOD LH level is elevated and/or ratio of LH:FSH is > 3:1 Reversed estradiol:estrone ratio- The estrone level is markedly elevated. SHBG level is reduced. Androstenedione level is elevated. Serum testosterone and DHEA may be marginally elevated. Raised serum insulin level (ratio of fasting glucose: fasting insulin is < 4.5)