Just some thinking about hormones
Sorry if this is already posted elsewhere, I'm mostly thinking out loud here, trying to understand how this hormone thing works.
What I understand about the feedback mechanisms in the menstrual cycle:
On CD1 the levels of estrogen, progesterone and testosterone are all low. The low levels of these hormones cause the hypothalamus to produce GnRH which stimulates the pituitary to produce FSH which stimulates the growth of follicles in the ovaries.
The developing follicles produce estrogen (from testosterone produced from cholesterol), which stimulates the development of the uterine lining. Once estrogen reaches a certain level it stimulates the pituitary to produce LH which causes the follicle to mature and then ovulate. (aka-low levels of estrogen stimulate FSH production while high levels stimulate LH production).
The corpus luteum then produces progesterone (from cholesterol), which stops the pituitary from producing LH and FSH. Progesterone is produced through the luteal phase until the corpus luteum collapses, then progesterone production is stopped and it triggers the start of the next cycle.
I found a graph of the pathway to create testosterone:
One part of the pathway goes: cholesterol -> pregnenolone -> testosterone -> estradiol
The other goes: cholesterol -> pregnenolone -> progesterone
It looks like progesterone competes with testosterone for use of cholesterol. If that is true, then increasing progesterone production would decrease testosterone production and therefore estrogen production because testosterone creates estrogen. Excess estrogen would diminish progesterone because of the FSH/LH feedback mechanism. Too much estrogen would interfere with that loop (not enough FSH produced to create healthy follicles which means not enough estrogen produced to create a proper LH surge...aka the PCOS problem) and create poor corpus luteums and therefore poor progesterone production and by extension increase testosterone production.
Impacting the production of progesterone could affect testosterone levels. Increasing progesterone production could reduce the amount of testosterone produced and vice versa.
Interestingly, in the same graph it showed that cortisol is a subpathway along both the testosterone path AND the progesterone path. So if excess cortisol is produced then both testosterone AND progesterone production is diminished.