This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: PCOD, hirsutism and galactorrhea, Subject name: Gynaecology & Obstetrics
All of the following are associated with polycystic ovarian syndrome except : 
Select and explain. 
A. Ovarian carcinoma, B. Endometrial carcinoma, C. Insulin resistance, D. Osteoporosis
D: Osteoporosis
Answer: D: Osteoporosis 
Explanation: PCOS has both immediate and long-term clinical consequences, which includes Menstrual abnormalities Increased risk for developing endometrial hyperplasia and neoplasia Hyperandrogenism (hirsutism, acne, alopecia) Infeility Increased risk for developing type 2 diabetes Increased risk for developing cardiovascular disease Ref: Clincal Gynecologic and Endocrinology and Infeility; Eigth edition; Chapter 12