16/05/2026
EVERYTHING YOU SHOULD KNOW ABOUT PMOS (formerly called PCOS) 🌿
Step 1 → Understanding the Root Cause
PMOS is no longer being viewed as just an ovarian condition.
It is increasingly recognised as a metabolic, hormonal, inflammatory, and endocrine disorder affecting the entire body.
1️⃣ WHAT HAPPENS INSIDE THE BODY? 🧠🩸
In many women:
→ Insulin resistance develops
→ The brain–ovary hormone signalling gets disrupted
→ LH increases while FSH becomes relatively lower
→ Excess androgens (male hormones) are produced
This may contribute to:
✔ Acne
✔ Facial hair growth
✔ Hair thinning
✔ Irregular periods
✔ Difficulty ovulating
When ovulation does not occur properly, immature follicles may remain in the ovaries and appear as “cysts” on ultrasound.
⚠️ Important:
The cysts are often a downstream effect.
The metabolic dysfunction may begin much earlier.
2️⃣ COMMON PRESENTATION 🌸
Many women with PMOS may experience:
→ Irregular or absent periods
→ Acne and oily skin
→ Facial hair growth
→ Belly fat and sugar cravings
→ Fatigue and mood fluctuations
→ Hair fall or thinning
→ Difficulty conceiving
Some women may also develop:
✔ Acanthosis nigricans
(dark velvety pigmentation around the neck or underarms — often associated with insulin resistance)
3️⃣ HOW IS PMOS / PCOS DIAGNOSED? 🔎
Diagnosis is commonly based on the Rotterdam Criteria.
Usually, 2 out of 3 findings are considered:
✔ Irregular or absent ovulation
✔ Signs of excess androgens
(acne, facial hair, elevated testosterone)
✔ Polycystic ovaries on ultrasound
Additional lab findings may include:
→ Elevated insulin levels
→ Altered glucose tolerance
→ Elevated testosterone
→ Hormonal imbalance patterns
4️⃣ WHY DOES IT MATTER? ⚠️
PMOS is connected to much more than periods.
Long-term metabolic stress may increase the risk of:
→ Insulin resistance and Type 2 diabetes
→ Fatty liver
→ Dyslipidemia and cardiovascular risk
→ Chronic inflammation
→ Sleep disturbances
→ Fertility challenges
→ Endometrial abnormalities
5️⃣ SUPPORT & MANAGEMENT 🌿
Healing support often needs a full-body approach:
✔ Improving insulin sensitivity
✔ Weight and metabolic regulation
✔ Anti-inflammatory nutrition
✔ Better sleep and circadian rhythm
✔ Stress regulation
✔ Strength training and movement
✔ Gut and liver support
Medical support may include:
→ Hormonal regulation
→ Ovulation support
→ Insulin-sensitising approaches
→ Management of androgen excess
⚠️ Every woman is different.
PMOS is not “just a cyst problem.”
It is deeply connected to metabolic and hormonal health.
🌿
