What happens during the menstrual cycle in women with PCOD?

"PCOD patients, they generally presents with irregular menstrual cycles. To understand what happens in a PCOS patients, we should understand what happens in a normal woman. in our brain there is a gland called the anterior pituitary gland which is situated in the base of the brain and the anterior lobe secretes LH and FSH hormones. These hormones they acts on the ovaries and they stimulate the formation of mature follicles and these maturing follicles, they release the estrogen and progesterone, which cause the ripening of the endometrium and its maturation. But in PCOS patients what happens is the LH levels of the hormones is very high in the beginning of the menstrual cycle and it is eve high that the follicle stimulating hormones. In a normal woman, the follicle stimulating hormones are very high in the beginning of the menstrual cycles. But in PCOS it is reverse, it I the LH hormones. Because of the high level of the testosterone, there is an irregular ripening of the endometrium, irregular shading and irregular maturation of the endometrium, which results in irregular menstrual cycle, intermenstrual bleeding as well as amenorrhoea and decreased menstrual flow"