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
Hormonal levels in PCOD : 
Select and explain. 
A. LH decreases, B. LH increases, FSH increases, C. Insulin decreases, D. Testosterone increases
D: Testosterone increases
Answer: D: Testosterone increases 
Explanation: Hormones increased in PCOS : 1.Androgens(testosterone,Androstenodione,DHEAS) 2.Luteinizing hormone(LH>10IUml) 3.Estrogen(Estrone>Oestradiol,increased E2/E1 ratio) 4. Insulin (10m IU/L due to insulin resistance) 5.Prolactin (in some patients) 6.increased LDL/cholesterol and triglycerides. Hormones which decreases in PCOS : 1.Follicle stimulating hormone(FSH) 2.Progesterone 3.Sex hormone binding Globulin. 4.HDL and Apoprotein A-I. Shaw's Textbook of Gynaecology, 16th edition page 432