PMOS/PCOS
Polyendocrine metabolic ovarian syndrome (PMOS), previously known as polycystic ovary syndrome (PCOS), is a common hormonal and metabolic condition that can affect menstrual cycles, skin, hair growth, ovulation, fertility and wider health.
Symptoms vary from person to person. Some women experience irregular periods or difficulty conceiving, while others notice acne, increased facial or body hair, hair thinning or concerns relating to their metabolic health.
At West Wales Women’s Wellbeing, our Consultant Gynaecologist can help you understand your symptoms, review previous investigations and explore whether further assessment or treatment may be appropriate for you.
Whether you have a previous diagnosis, are experiencing symptoms for the first time or have questions about your hormonal health, we can help you understand your options and the next steps.
What can we help you with?
A consultation may be helpful if you are experiencing:
- Irregular or absent periods – periods that are unpredictable, infrequent or have stopped.
- Difficulty conceiving – concerns about ovulation or how PMOS may affect your fertility.
- Acne or oily skin – persistent skin changes that may be associated with hormonal changes.
- Excess facial or body hair – increased hair growth that may be related to raised androgen levels.
- Hair thinning – changes in scalp hair that you would like assessed.
- A previous PMOS/PCOS diagnosis – reviewing your symptoms, investigations or management options.
- Hormonal or metabolic health concerns – exploring symptoms, test results or questions about your longer-term health.
- Questions about your menstrual cycle – understanding changes in your periods and whether further assessment may be helpful.
PMOS can affect people in different ways. Your symptoms, medical history and individual circumstances are important when deciding which investigations and management options may be appropriate.
What happens during your consultation?
Your appointment with our Consultant Gynaecologist will focus on your symptoms, medical history and any concerns about your hormonal or reproductive health.
A detailed assessment
Your consultant will discuss your menstrual cycle, symptoms, relevant medical history and any previous diagnoses or investigations.
Understanding your symptoms
Your symptoms and history will help guide the assessment. Your consultant can explain how PMOS may relate to your concerns and whether other possible causes need to be considered.
Considering further investigations
Depending on your circumstances, blood tests may be recommended to assess hormone levels or investigate other possible causes of your symptoms. Additional checks may also be appropriate to assess metabolic health where PMOS is suspected or diagnosed.
An ultrasound scan may help assess the appearance of your ovaries and uterus, but an ultrasound alone cannot diagnose PMOS. Diagnosis is based on appropriate clinical assessment and recognised diagnostic criteria.
A personalised management plan
Your consultant will discuss the options relevant to your needs, which may include managing menstrual symptoms, addressing skin or hair concerns, supporting fertility goals or arranging further assessment.
How is PMOS/PCOS managed?
There is no single treatment that suits everyone. Management depends on your symptoms, health needs and whether you are trying to conceive.
Depending on your circumstances, your consultant may discuss:
- Menstrual cycle management – options to help regulate periods or protect the lining of the womb when periods are infrequent.
- Hormonal symptoms – suitable treatments for acne or unwanted hair growth.
- Fertility and ovulation – assessment and discussion of appropriate options if you are trying to conceive.
- Metabolic health – whether checks for blood glucose, cholesterol or other relevant health factors are appropriate.
- Lifestyle and long-term wellbeing – practical approaches to support overall health, tailored to your individual circumstances.
Your management plan will be tailored to your needs, preferences and future plans.
What will I gain from your appointment?
Our aim is to help you understand what your symptoms and investigation results may mean, clarify whether further assessment is needed and explore appropriate options for managing your health.
Whether you are concerned about irregular periods, struggling with fertility or seeking advice about hormonal symptoms, your consultant can help you understand the next steps.
You do not need to know whether you have PMOS/PCOS before booking.
Book a PMOS/PCOS consultation
If you have symptoms associated with PMOS, have previously been diagnosed with PCOS or would like expert advice about your hormonal health, our Consultant Gynaecologist can assess your concerns and discuss appropriate investigations.