Hirsutism has also been strongly associated with being overweight or obese, and with problems related to blood sugar balance such as insulin resistance. Insulin resistance is a condition in which the body does not respond to normal levels of insulin, and as a result, the body secretes more insulin into the bloodstream in an effort to reduce blood glucose levels. Some researchers believe that high levels of insulin might in fact be the cause increased androgen production. They speculate that insulin in high concentrations stimulates women's ovaries to produce androgens. Hirsutism may also be a symptom of such conditions as polycystic ovary syndrome (PCOS) , Cushing's disease, congenital adrenal hyperplasia, tumors in the ovaries or adrenal gland, or stromal hyperthecosis.
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