What Is PCOS and Why It May Be Renamed PMOS

Polycystic Ovarian Syndrome (PCOS) has been used to describe one of the most common hormonal conditions affecting women of reproductive age for years. Recently, many healthcare professionals and researchers have begun discussing a possible change toward the name Polyendocrine Metabolic Ovarian Syndrome (PMOS). While the name change has been controversial, it reflects a much bigger understanding of the condition and one that goes beyond just the ovaries.

How PCOS/PMOS Affects the Body Beyond the Ovaries

The term PCOS has often been misleading. Many individuals diagnosed with PCOS do not have ovarian cysts, and the name tends to focus only on reproductive symptoms. This condition can impact multiple systems in the body, including:

• Hormones and insulin regulation
• Metabolism and blood sugar balance
• Inflammation
• Cardiovascular health
• Fertility and reproductive health
• Mental and emotional well-being

PMOS helps better represent the condition by highlighting its endocrine and metabolic components, not just the ovarian symptoms.

This shift is also important because it helps confirm the experiences of so many individuals who have struggled with symptoms beyond irregular cycles. Fatigue, insulin resistance, weight changes, acne, hair growth concerns, difficulty with fertility, and challenges with blood sugar regulation are all very real parts of this condition for many people. The goal of this new term is not to change anyone’s diagnosis, but rather to improve awareness, understanding, and treatment approaches.

How Common Is PCOS?

One interesting fact: PCOS/PMOS affects an estimated 1 in 10 women worldwide, making it one of the most common endocrine disorders. Despite how common it is, many people go years without answers or support for their symptoms. That is why continued education, advocacy, and individualized care are so important.

Nutrition and Lifestyle Tips for Managing PCOS Symptoms

The good news is that nutrition and lifestyle support can play a significant role in managing symptoms and improving overall health outcomes, including:

• Prioritize balanced meals with protein, healthy fats, and fiber to help support blood sugar balance
• Aim to include a good source of protein at meals and snacks to improve fullness and energy levels
• Avoid skipping meals as consistent eating patterns may help regulate blood sugar and hormones
• Incorporate regular movement that feels enjoyable and sustainable
• Focus on strength training when possible, as building muscle can improve insulin sensitivity
• Support stress management through sleep, mindfulness, therapy, journaling, or gentle movement
• Aim for adequate sleep, as poor sleep can impact hormones, cravings, and insulin resistance
• Stay hydrated throughout the day and limit excessive sugary beverages when possible

Working with a Dietitian for Personalized PCOS Care

Every person’s experience with PMOS is different, which is why individualized care is important. If you are looking to learn more about PMOS or need support navigating your symptoms, we would be happy to connect you with one of our dietitians for personalized guidance and care.

References

1. Teede HJ, Misso ML, Costello MF, et al. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human Reproduction. 2018;33(9):1602-1618.
2. Azziz R, Carmina E, Chen Z, et al. Polycystic ovary syndrome. Nature Reviews Disease Primers. 2016;2:16057.
3. Escobar-Morreale HF. Polycystic ovary syndrome: definition, etiology, diagnosis and treatment. Nature Reviews Endocrinology. 2018;14(5):270-284.
4. Goodman NF, Cobin RH, Futterweit W, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of hyperandrogenic disorders. Endocrine Practice. 2015.
5. International PCOS Network. International evidence-based guideline for the assessment and management of polycystic ovary syndrome 2023 update.