In early 2026, PCOS got a name change. It’s now known as Polyendocrine Metabolic Ovarian Syndrome - this change was long overdue.

Our menopause and sexual medicine training includes helping women navigate Polyendocrine Metabolic Ovarian Syndrome (PMOS, formerly known as PCOS).

PMOS is a metabolic condition that is a chronic condition needs it means managing for the duration of your life. It does not simply end after menopause, because PMOS increases individuals risk for type 2 diabetes, heart disease, fatty liver, and needs careful attention throughout ones life.

Treatment and management is dependent on a) your goals and b) your health risks.

Our 5 pillar’s of treatment for PMOS include:

1. Uterine lining protection from overgrowth. People with PMOS or who do not ovulate regularly can be at increased risk for uterine cancer.

2. Restore ovulation if not peri/menopausal. This could be for fertility purposes, but it doesn’t have to be. Sometimes when ovulation is restored, the metabolic pictures improves.

3. Manage symptoms such as mental health, acne, abnormal hair growth/loss, weight, or whatever it is that is bothering you.

4. Improve metabolic health. Risk for type 2 diabetes, obesity and visceral fat is higher in those with PMOS. We will work together to understand your risk, help manage blood sugars, help improve your cholesterol and manage your blood pressure. This can be done through lifestyle alone or medications.

5. Reduce long-term health risks. People with PMOS are 1.5-2.5x more likely to develop cardiovascular disease, 4x more likely to develop non-alcoholic fatty liver, and 10x more likely to develop sleep apnea.