PMOS

PCOS has officially been renamed PMOS - Polyendocrine Metabolic Ovarian Syndrome.

And honestly, I’m very happy this happened.

For years I’ve been trying to explain that “polycystic ovary syndrome” was never really just about ovaries. Or cysts.

In fact, many patients with PCOS don’t even have ovarian cysts.

The old name often reduced a very complex condition to a gynaecological issue, when in reality this is a systemic endocrine-metabolic condition that can affect almost every aspect of health.

PMOS may influence:
• ovulation and menstrual cycles
• insulin sensitivity
• metabolism and weight regulation
• skin and hair
• appetite and cravings
• mood and energy levels
• sleep
• long-term cardiovascular and metabolic health

And one of the key mechanisms behind many PMOS symptoms is insulin resistance.

When cells stop responding properly to insulin:
→ insulin levels increase
→ androgen production rises
→ ovulation becomes disrupted
→ symptoms start appearing

That’s why PMOS is not just about irregular periods.

It may also show up as:
— acne
— hair loss
— facial hair growth
— fatigue
— difficulty losing weight
— sugar cravings
— anxiety
— chronic inflammation

This is also why treatment should never be limited to:
“just regulate the cycle”.

A modern approach means looking at the whole picture:
• metabolic health
• nutrition
• sleep
• stress
• movement
• nutrient deficiencies
• insulin resistance

And maybe the most important thing I want patients to hear:

You are not lazy.
You are not weak.
And you did not “just let yourself go”.

PMOS is a real, complex medical condition.

And patients deserve informed, compassionate, evidence-based care.