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What is PMOS/PCOS?

Polyendocrine metabolic ovarian syndrome (PMOS)/Polycystic Ovary Syndrome (PCOS) is a common hormonal condition that affects how the ovaries work. Despite the name, you don’t actually need to have cysts on your ovaries to be diagnosed with PMOS/PCOS.

PMOS/PCOS affects around 1 in 10 women or people assigned female at birth and often starts during the teenage years or early twenties.

What are the main features of PMOS/PCOS?

You may be diagnosed with PMOS/PCOS if you have two out of three of the following:

  1. Irregular or absent periods – due to infrequent ovulation
  2. Higher levels of male hormones (androgens) – which may cause excess facial/body hair, acne, or hair thinning
  3. Polycystic ovaries – seen on ultrasound; the ovaries may be larger and have many small follicles (not harmful)

What are the symptoms?

Symptoms vary from person to person and can include:

  • Irregular periods or no periods at all
  • Acne or oily skin
  • Weight gain or difficulty losing weight
  • Excess hair growth (hirsutism) on the face, chest, back or buttocks
  • Hair thinning or scalp hair loss
  • Mood changes, low energy or poor body image

Not everyone with PMOS/PCOS has all of these symptoms.

What causes PMOS/PCOS?

The exact cause is unknown, but factors include:

  • Hormonal imbalance – high levels of insulin and androgens (male hormones)
  • Genetics – it can run in families
  • Insulin resistance – where the body’s cells don’t respond properly to insulin, leading to increased hormone production

How is PMOS/PCOS diagnosed?

Your doctor may carry out the following:

  • Discussion of symptoms and medical history
  • Blood tests – to check hormone levels
  • Pelvic ultrasound – to look for polycystic ovaries

Managing Symptoms

While there is no cure for PMOS/PCOS, many of the symptoms can be managed effectively with lifestyle adjustments, medication, and targeted treatments.

Lifestyle changes

  • Healthy diet and regular exercise can improve insulin sensitivity and hormone balance
  • Modest weight loss (5–10%) can help restore ovulation

Medications

  • Hormonal contraception – e.g. the pill, patch or coil to regulate periods and reduce acne or hair growth
  • Metformin – improves insulin resistance and may help regulate periods
  • Fertility medications – such as clomiphene or letrozole if you’re trying to conceive
  • Anti-androgens – like spironolactone to reduce hair growth or acne

Cosmetic treatments

  • For unwanted hair (e.g. waxing, laser hair removal)
  • Dermatologist support for acne

Does PMOS/PCOS affect fertility?

Yes, PMOS/PCOS can make it harder to get pregnant due to irregular ovulation. However, many people with PMOS/PCOS do conceive naturally or with the help of fertility treatments.

Does PMOS/PCOS affect long-term health?

If unmanaged, PMOS/PCOS can increase the risk of:

  • Type 2 diabetes
  • High blood pressure and high cholesterol
  • Sleep apnoea
  • Depression or anxiety
  • Endometrial cancer (due to irregular shedding of the womb lining)

At WWWW, we focus not just on symptom relief but also on long-term health and prevention. Early diagnosis and regular monitoring can help reduce these risks.

When should I see a doctor?

See a doctor if you:

  • Have irregular or no periods
  • Are struggling with acne or excess hair growth
  • Are having difficulty getting pregnant
  • Have concerns about weight gain, mood, or energy

Supporting Your Wellbeing

We believe that managing PMOS/PCOS is about more than just medical treatment—it’s about living well. Our approach includes:

  • Personalised care plans tailored to your symptoms and health goals
  • Nutritional advice to support hormonal balance and weight management
  • Hormonal treatments to regulate cycles and reduce symptoms
  • Emotional support to help navigate the mental health challenges PMOS/PCOS can bring

Living with PMOS/PCOS

While it can sometimes feel overwhelming, understanding your symptoms and finding the right support can make a significant difference. Living with PMOS/PCOS can sometimes feel isolating, but you are not alone. At WWWW, we are here to support you every step of the way with compassionate care and expert advice.
Book a consultation with us today to start your journey towards better health and wellbeing.