What is the pathogenesis of polycystic ovarian syndrome?
A) A decrease in leptin levels reduces the hypothalamic pulsatility of gonadotropin releasing hormone,which reduces the number of follicles that mature
B) A disorder in the anterior pituitary increases the follicle-stimulating hormone,which reduces the luteinizing hormone released
C) Hyperinsulinemia affects follicular decline by suppressing apoptosis,enabling follicles,which normally disintegrate to survive
D) Testosterone stimulates androgen secretion by the ovarian stroma and reduces sex hormone-binding globulin indirectly
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