PCOS isn't an ovary problem exclusively. It is a liver problem and an insulin problem, too. It is a complex metabolic dysfunction problem. Polycystic ovaries do not have to be present to make the diagnosis, and the finding of polycystic ovaries does not alone establish the diagnosis. You also need to have ovulation dysfunction (irregular or absent periods) and either clinical indication or high male sexual hormones (hirsutism) or confirmation of this increase through a blood test. Not only that!
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