Dr Andrew Orr

Dr Andrew Orr Special interests in Reproductive Medicine and Women's Health Medicine, Men's Health, Pregnancy Management

Master of Reproductive Medicine, Master of Women's Health Medicine, Men's Health Advocate,Pregnancy & Childbirth Educator, Writer, Chef, Mentor, Public Speaker & More

Insulin resistance in a major driving factor behind PMOS (PCOS), and also a major driving factor behind type 2 diabetes....
05/09/2026

Insulin resistance in a major driving factor behind PMOS (PCOS), and also a major driving factor behind type 2 diabetes.

Having unmanaged PMOS increases your chances of having diabetes by about 50-60%.

Having PMOS also increases risk factors for weight gain, obesity and cardiovascular disease as well.

This is why it is important to have PMOS managed properly, and taken very seriously. It is also why those with irregular periods, or absent periods, need to be more proactive in seeking help too. These are major signs of PMOS.

If you need help with the diagnosis of PMOS, suspect that you may have PMOS, or in fact do have PMOS and need help managing it better, then contact my clinic and find out how I can help you.

Contact [email protected] or call +61 0451 408 898. In person and online consults available, no matter where you live.











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Did you know that Insulin Resistance is major underlying cause of PMOS (PCOS)?It is also why women with PMOS have risk f...
04/09/2026

Did you know that Insulin Resistance is major underlying cause of PMOS (PCOS)?

It is also why women with PMOS have risk factors for metabolic disorders and also have increased risk of developing type 2 diabetes.

PMOS is another reason why many women find it hard to lose weight, or have increased weight gain, due to underlying insulin resistance.

There are other inflammatory drivers too, so sometimes when it comes to insulin resistance it is what comes first, the chicken or the egg, because inflammation itself can be a part of insulin resistance too.

Could you have PCOS and not know it?

Symptoms of PMOS (PCOS) may begin shortly after puberty, but can also develop during the later teen years & early adulth...
04/09/2026

Symptoms of PMOS (PCOS) may begin shortly after puberty, but can also develop during the later teen years & early adulthood. Because symptoms may be attributed to other causes or go unnoticed, PMOS may go undiagnosed for quite some time, some people may never be diagnosed at all.

People with PMOS typically have irregular or missed periods as a result of not ovulating. Although some people may develop cysts on their ovaries, many people do not.

Other symptoms include:
Weight gain. About half of people with PMOS will have weight gain and obesity that is difficult to manage.
Fatigue. Many people with PMOS report increased fatigue and low energy. Related issues such as poor sleep may contribute to the feeling of fatigue.
Unwanted hair growth (also known as hirsutism). Areas affected by excess hair growth may include the face, arms, back, chest, thumbs, toes, and abdomen. Hirsutism related to PMOS is due to hormonal changes in androgens.
Thinning hair on the head. Hair loss related to PMOS may increase in middle age.
Infertility. PMOS is a leading cause of female infertility. However, not every woman with PMOS is the same. Although some people may need the assistance of fertility treatments, others are able to conceive naturally.
Acne. Hormonal changes related to androgens can lead to acne problems. Up to 70% of women with acne will have PMOS.Other skin changes are also related to PMOS.
Mood changes. Having PMOS can increase the likelihood of mood swings, depression, and anxiety.
Headaches. Hormonal changes prompt headaches.
Sleep problems. People with PMOS often report problems such as insomnia or poor sleep. There are many factors that can affect sleep, but PMOS has been linked to a sleep disorder called sleep apnea.
Diabetes & Cardiovascular Disease. People with PMOS are at an increased risk of diabetes and cardiovascular disease

If you need help with any of the symptoms above, or know that you have PMOS and need help, please contact my clinic at [email protected] or call +61 0451 408 898









04/09/2026

There has been a lot of talk about GLP-1's helping with Endometriosis symptoms, and because a few of you have been asking, I thought I would explain a little bit about this subject, and expand a bit on it as well.

When I see couples for help with fertility and having a baby, so many women do not know that they have PMOS (PCOS). Many...
03/09/2026

When I see couples for help with fertility and having a baby, so many women do not know that they have PMOS (PCOS).

Many of them will be adamant that they have been checked, and done all the investigations, and yet there they are, as plain as day, ovaries full of multiple cysts as well as other symptoms which are clearly related to PMOS. This can also show that a woman has probably not been ovulating, despite being adamant that she is. I see it all the time.

Unfortunately, just like endometriosis and adenomyosis, PMOS is missed and dismissed all the time. The current time to diagnosis is somewhere between 2-3 years, which is disgusting really.

Just because you are having a regular menstrual cycle, and you have all the signs of ovulation happening, does not mean that you cannot have PMOS. Many women with PMOS have very regular menstrual cycles (many don't either), and their hormone levels are normal. This can often be why PMOS is overlooked.

This is why it is so important to see the right healthcare professional, and see a proper women's health expert, or reproductive medicine expert.

PMOS can be a very common cause of anovulation (not ovulating), and not being able to conceive, and can also cause other health issues such as cardiovascular disease, being overweight, and diabetes. PMOS can also cause prolonged PMS like symptoms and can also be associated with depression, anxiety and mood disorders.

PMOS also increases the chances of miscarriage too.

If you need help with fertility, having a baby, or finding the cause of not being able to fall pregnant, then please contact my clinic and find out how my fertility program can help you. All proper investigations for causes of not being able to conceive are done properly, which includes undiagnosed causes such as PMOS & Endometriosis/Adenomyosis.

Contact [email protected] or call +61 0451 408 898. In person, or online consult available and yes, we see people nationally, and internationally as well.










Fact- Hysterectomy does not cure PMOS (PCOS)Just like hysterectomy does not cure endometriosis, hysterectomy does not cu...
03/09/2026

Fact- Hysterectomy does not cure PMOS (PCOS)

Just like hysterectomy does not cure endometriosis, hysterectomy does not cure PMOS (PCOS). Menopause is not cure either.

PMOS is much more than just a syndrome that affects the ovaries. It is a systemic disease that affects the body in many ways, and has many drivers.

A hysterectomy (partial or full), even when the ovaries are removed as well, might not help those Polyendocrine Metabolic Ovarian Syndrome (PMOS) because the cause of PMOS is related to hormone and metabolic issues that might not be helped by removing the reproductive organs.

Women may still experience the long term side effects of having elevated androgens (male hormones) and his means a woman may still suffer from excess hair growth, hair loss or balding, and even acne. Women may still have elevated levels of insulin, will still have insulin resistance and inflammation that are the root cause of PMOS.

The predisposition for diabetes and heart disease will still be there and may even be increased due to being in menopause and insulin resistance, especially for those not on hormone replacement, or those not making changes to diet and lifestyle, and not replacing crucial nutrients during this stage of life.








Having Endometriosis, Adenomyosis and PMOS (PCOS) does not always cause fertility issues, and these conditions do not ne...
02/09/2026

Having Endometriosis, Adenomyosis and PMOS (PCOS) does not always cause fertility issues, and these conditions do not necessarily cause infertility either.

Lets face it, infertility means that you are infertile and that you cannot conceive. The correct term here should be subfertility, not infertility.

Regardless, just because you have endometriosis, adenomyosis, or PMOS, or all these combined, it does not mean that you are instantly infertility, or that you are going to have troubles with fertility, and we need to stop telling women this, or letting them assume it either.

The fact is that it is a 50/50 thing. Some people will have no troubles conceiving, while others may just need a little bit of help, or some may need a lot of help. That is a fact.

Sure, having any of these disease states could possibly make it harder to conceive, and something that all should be taking into consideration.

But, we also need to stop telling women that they are infertile, or it is going to be impossible to have a baby, just based off a diagnosis of endometriosis, adenomyosis or PMOS, by itself alone.

There could be multiple other factors that could interfere with a woman's ability to conceive outside of these disease states, and one of them could be her partner, who may have poor s***m quality. This one is always missed.

The one thing that we do know is that any woman with one of these disease states should probably bring their baby making plans forward a bit, and start with some preconception care and planning, because the sooner a woman can conceive, and the younger she is, the better her fertility outcomes are. Early investigations and interventions and planning is key here.

If you need help with Endometriosis, Adenomyosis, or PMOS ( or all combined), or help with preconception care, or help with fertility issues, then contact my clinic and find out how I can help you.
Contact [email protected] or call +61 0451 408 898. In person & online consults available, no matter where you live.









Could you have PMOS (PCOS) and not know it ?Nearly everyday I get young teenage girls, women, and persons, coming to my ...
02/09/2026

Could you have PMOS (PCOS) and not know it ?

Nearly everyday I get young teenage girls, women, and persons, coming to my clinic with bad acne and/or menstrual issues only to be diagnosed with PMOS (PCOS).

For many this is a shock, because they have seen multiple doctors, natural medicine practitioners, and even medical specialists, whom have missed this very common gynaecological/reproductive issue.

Research has shown that it can take up to 3 years or more to definitive diagnosis PMOS, which means that there are lots of people missing this women's health issue.

The problem is, many are unaware of the long-term implications on a woman's health and their future fertility by having this missed.

Signs and Symptoms that you could have PMOS (PCOS)
1.Acne
2.Irregular menstrual cycle
3.Skipped menstrual cycles
4.Extended menstrual cycles ( more than 30 plus days)
5.Lack of a menstrual cycle
6.Excess hair growth/Excess Dark hair growth
7.Hair loss
8.Irregular mid-cycle bleeding
9.Ovulation pain
10.Pot belly/ Fluid around the belly/Excess weight around the lower belly
11.Prolonged periods of PMS like symptoms
12. Sub-fertility/Infertility

All these are common signs that you may have PMOS and you only need to have 1-2 of these symptoms to have it. Some may have all the symptoms while some may just have acne and a cycle that isn’t completely regular.

PMOS is also a hereditary disease, but, PMOS can have long term affects on your fertility and can also lead to diabetes and other health complaints, therefore it is so important to get early treatment and early intervention.

If you suspect that you may have PMOS, or any of the symptoms mentioned above, please contact my clinic and find out how I can help you. Please contact [email protected] or call +61 0451 408 898. In person & online consults available.














One of the main symptoms of PMOS (PCOS) is acne, yet so many people have this gynaecological/reproductive/endocrine issu...
01/09/2026

One of the main symptoms of PMOS (PCOS) is acne, yet so many people have this gynaecological/reproductive/endocrine issue overlooked.

Research has shown that up to 70% (or more) of women with acne, will in fact have PMOS (PCOS).

Many people with acne will just try and treat it as a dermatological issue, with all sorts of creams and harsh treatments, and never really get it treated properly.

It can often be between 3-5 years before a person is definitely diagnosed with PMOS and many are missed and dismissed along the way.

Any woman with acne should always be investigated as potentially having PMOS, especially if accompanied with irregular periods. If PMOS is the cause, and then managed properly, the acne will also then resolve.

Acne is not always just a skin, or dermatological issue, and more often than not is a sign of PMOS.

If you need help with finding the cause of your acne, then contact my clinic and find out how I can help you. In-person and online consultations are available, no matter where you live. Email [email protected], or call +61 0451 408 898









There are many of the myths & misinformation about perimenopausal and menopausal stages of life, which includes percepti...
01/09/2026

There are many of the myths & misinformation about perimenopausal and menopausal stages of life, which includes perceptions of hormone replacement and risk factors for certain cancers & preventable health conditions.

There is a lot of misinformation out there due to unreliable sources, and even lack of education on all side of the healthcare profession (medical & complementary medicine).

There is a lot of unqualified people spruking personal bias, and unreliable information about perimenopause & menopause, and risk factors with HRT.

The one things I will say is that....... Hormone Replacement Therapy does not cause cancer. Fact!

There is now new research to show not only the health benefits of HRT during perimenopause & menopause, but also the decreased cancer risks (not increased), as well as preventing very serious preventable disease states.

Instead of wrongly focusing on very outdates cancer risks etc for HRT, we need women to look at all the other things that actually do increase cancer risks.

The things that we do know that do increase cancer risks are:
1. Excess Body Fat/Obesity
2. Diet and Lifestyle
3. Environmental Estrogens/Pollutants
4. Alcohol
5. Smoking/Vaping
6. Having not been pregnant. or never breastfed
7. Genetics

Before we go blaming hormones replacement for increase risk of cancers, we need to look at all the things mentioned above first.

This is why early intervention is crucial, and should begin during the perimenopausal stage of life, where women begin to experience early symptoms of menopause, and are also in the early stages of very preventable diseases.

Once in menopause, women are in menopause for life, and menopause is not just some phase you go through and then it is over. Women deserve better support in this stage of their life.

If you do need help with perimenopause & menopause, then contact my clinic and find out how a master of women's health medicine can help you. Contact [email protected] or call +61 0451 408 898. In person & online consults available, no matter where you live.






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4066

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