One of my levels were only very slightly elevated. My doctors weren't too concerned with them either.
I think it's more or less another tool that doctors can use to confirm PCOS. Extremely elevated numbers could be cause by various tumors that cause this shift in hormones.
Treating for IR by using gluc can reduce the LH and free testosterone.
Here's the info about very high levels...
Although serum testosterone levels may be mildly to moderately elevated in women with polycystic ovary syndrome, testosterone levels are generally measured to rule out virilizing tumors. In particular, a virilizing tumor should be suspected when hirsutism is rapidly progressive. The presence of a virilizing tumor is strongly suggested when the mean of three separate serum testosterone measurements is greater than 150 to 200 ng per dL.
Consideration should also be given to measuring dehydroepiandrosterone sulfate (DHEAS) levels to screen for a virilizing adrenal tumor in women with rapidly progressive hirsutism. DHEAS levels above 700 [micro]g per dL in premenopausal women are suggestive of such a tumor.
In women with androgen excess, the prolactin level should also be measured to exclude a possible prolactinoma. Although up to 22 percent of women with polycystic ovary syndrome may have mildly elevated prolactin levels,30 profound prolactinemia should be investigated further.
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If you have doubts about your doctor then maybe a second opinion is a good option. It can't hurt and it's important that you trust your doctor and his/her treatment for you. I've been there...