PMOS specialist Melbourne

Polyendocrine Metabolic Ovarian Syndrome (PMOS)

Compassionate care for every stage of your polyendocrine metabolic ovarian syndrome (PMOS) journey.

Fibroid Specialist Melbourne

What is PMOS (previously known as PCOS)?

Polyendocrine metabolic ovarian syndrome (PMOS) is a complex hormonal condition that is thought to affect between 10 – 13% of women of reproductive age. However, the number may be even higher, as up to 70% of women with the condition worldwide remain undiagnosed. It occurs in women who have a combination of insulin resistance and elevated androgen (male sex hormone) levels. They develop small, hormonally active follicles on each ovary that are cyst-like in appearance. This may prevent follicles (which contain an egg cell) from growing and maturing as they should. PMOS has been associated with multiple medical issues (including abnormal periods and excess hair growth), which may make it challenging to manage. Create Fertility specialises in PMOS and has helped many women with this condition to achieve their health and reproductive goals.

PCOS has a new name: PMOS

In May 2026, after a 14-year global consensus process involving more than 22,000 patients and health professionals across 56 patient and professional organisations, PCOS was officially renamed polyendocrine metabolic ovarian syndrome (PMOS) in a landmark paper published in The Lancet. On 12 May 2026, a landmark paper published in The Lancet officially renamed polycystic ovary syndrome (PCOS) to polyendocrine metabolic ovarian syndrome, or PMOS. It’s one letter different in the acronym.

The change reflects a better understanding of the condition’s true nature. The term PCOS was considered inaccurate, implying pathological ovarian cysts, obscuring diverse endocrine and metabolic features, and contributing to delayed diagnosis, fragmented care, and stigma. The new name better reflects the condition’s effects across multiple systems, including metabolism, reproductive health and mental health.

What’s changing and what isn’t:

  • The condition itself hasn’t changed – only the name and the framing around it.
  • “Ovarian” was kept because the ovaries remain central, but “polycystic” – which focused on cysts, has been dropped.
  • “Polyendocrine” and “metabolic” highlight that this is a whole-body hormonal and metabolic condition, not just an ovarian one.
  • The new terminology captures endocrine, metabolic, and ovarian dysfunction that drives infertility, menstrual irregularity, and long-term cardiometabolic morbidity.
  • PMOS terminology will roll out gradually over the next few years, so you’ll see both names used during the transition period.

At Create Fertility, we’re committed to keeping our patients informed as this transition takes place, while continuing to provide the same evidence-based, comprehensive care for PCOS/PMOS that we always have.

Fibroid symptoms

PMOS/ PCOS symptoms

The symptoms of PMOS are many and varied; however, some of the more common symptoms include:
  • Irregular or absent menstruation 
  • Heavy periods 
  • Excessive weight gain with a high BMI 
  • Excessive facial and body hair growth 
  • Scalp hair loss 
  • Excessive acne 
  • Difficulty falling pregnant 
  • Mood changes, including depression and anxiety 
  • Fatigue 
  • Insulin resistance
Women with PMOS may be more prone to developing diabetes and cardiovascular disease.

Does PMOS affect fertility?

While not everyone with PMOS will experience fertility issues, it has been known to cause issues for some women. 

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A woman who is not regularly ovulating or not ovulating at all may find it harder to fall pregnant naturally.

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High androgen levels may stop follicles from developing properly, leading to a build-up of immature eggs in the ovaries. It’s okay to have some, but too many may make it hard to conceive.

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High insulin levels may affect the menstrual cycle and ovulation.

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Being overweight may further disrupt hormone levels, which may negatively impact fertility.

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Some studies have indicated that PMOS may lead to a higher rate of miscarriage

Treatment options for PMOS

There are several ways that you may be able to manage your PMOS symptoms and their impact. Our team will create a comprehensive treatment plan based on your specific symptoms and their severity.

Our treatment options include:

  • Lifestyle modification
  • Weight reduction
  •  Medications (such as the contraceptive pill, progesterone tablets, anti-androgens, or Metformin if insulin resistance is an issue)
 

For women also wanting to fall pregnant, there are several potential treatment options, including:

  • Cycle and ovulation tracking
  • Ovulation stimulation medications (such as Letrozole or Clomid)
  • Hormonal injections (FSH)
  • Assisted reproductive technologies (such as IUI and IVF)
 

While there are surgical options for inducing ovulation available, they are usually reserved for patients who have not had success with less invasive approaches and who have a lot of follicles in their ovaries.

What are uterine fibroids

Your PMOS questions answered

While the exact cause of PMOS is unknown, several factors may contribute to its development. These include genetics (as it tends to run in families) and insulin resistance. Inflammation and lifestyle factors (such as poor diet, lack of exercise, and high stress levels) may contribute to insulin resistance and/or exacerbate symptoms.

Diagnosis typically occurs when at least two of the following symptoms are present: 

  • The ovaries are polycystic on ultrasound (generally 25 or more per ovary) 
  • High levels of androgens (male hormones) in the blood 
  • Menstrual dysfunction (such as a lack of periods, irregular periods, and/or lack of ovulation)

PMOS may be associated with some long-term health risks, including insulin resistance, increased risk of developing diabetes, cholesterol and  high blood pressure, or cardiovascular disease. The absence of periods long term, can lead to cancer of the lining of the uterus (endometrial cancer).  Early diagnosis of PMOS is important, as it may allow for symptom management and prevent long-term disease from developing.

Yes, it may increase the risk of complications during pregnancy. These may include early miscarriage, gestational diabetes, pre-eclampsia, premature delivery, and caesarean delivery. Women with PMOS may require extra care before, during, and after pregnancy, so it is important to discuss your circumstances with your fertility clinic.

Yes. PMOS (polyendocrine metabolic ovarian syndrome) is simply the new, updated name for PCOS (polycystic ovary syndrome). The condition is exactly the same — only the name and the way it’s described have changed, to better reflect its hormonal, metabolic, and whole-body impacts.

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Understanding your fertility health may give you confidence as you start your journey to pregnancy.

Get support from health professionals experienced in managing PMOS

PMOS can be complex, but getting the right care shouldn’t be. At Create Fertility, our team provides evidence-based guidance designed to help you manage symptoms and understand your fertility potential.

We are committed to supporting you through every stage, from diagnosis to treatment and family planning decisions. With experienced specialists and a warm, patient-first approach, we aim to help you move forward with clarity.

Contact us to book a consultation and start your journey today.

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