Unfortunately, they are often either overlooked, unrecognized, or viewed from a fragmented perspective. Androgen level elevations may not necessarily have obvious clinical manifestations, and vice-versa.
Women have individual sensitivities to androgen as well.
Some women only react to very high levels while others are especially sensitive to what are considered normal androgen levels. In addition, women have different kinds of end-organ sensitivity. Some will have acne, some thinning hair, some irregular menses, etc. Obese women with PCOS also tend to cluster CVD risk factors. These women tend to have lower levels of HDL and higher levels of triglycerides.