A 23-yr-old woman with a BMI of 36 and fasting glucose of 11…

A 23-yr-old woman with a BMI of 36 and fasting glucose of 116 has been referred to a fertility clinic after 1 year of attempting to become pregnant, where she was subsequently diagnosed with PCOS. Which of the following is an accurate portrayal of the pathophysiology that reflects the manifestations seen in PCOS?