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High androgen levels in PCOS can result in a decreased ability to use insulin (a condition known as insulin resistance) to take blood sugar into cells to use for energy. This can lead to increased fat storage, which in turn can increase androgens. We said earlier that anything that impacts the hypothalamus, pituitary gland, and adrenal glands can influence our testosterone production. Some of the leading causes of high testosterone levels in women are polycystic ovary syndrome (PCOS), congenital adrenal hyperplasia (CAH), thyroid problems, and insulin resis