25/05/2026
Polycystic ovarian syndrome has finally been renamed Polyendocrine Metabolic Ovarian Syndrome.
This is hopefully a big step forward that should help more women get diagnosed and offered appropriate management for their symptoms.
PCOS was never just a gynaecological problem causing cysts on the ovaries, it goes much deeper.
I have been treating PCOS as a metabolic disorder for years dealing with the root cause which is a multi endocrine approach rather than just offering women the contraceptive pill.
PCOS is underpinned by endocrine disturbances in insulin, androgens, neuroendocrine and ovarian hormones.
Features can be:
✔️Metabolic (ie, obesity, dysglycaemia, type 2 diabetes, hypertension, dyslipidaemia, metabolic dysfunction-associated steatotic liver disease, cardiovascular disease, and sleep apnoea).
✔️Reproductive (ovulatory disturbances, irregular menstrual cycles, infertility, pregnancy complications, and endometrial cancer).
✔️Psychological (depression, anxiety, poor quality of life, and eating disorders).
Dermatological (acne, alopecia, and hirsutism).
Hopefully with the new name and better understanding of the causes of PCOS/PMOS more women will be diagnosed and have access to the treatment and advice they need.