What is Polyendocrine Metabolic Ovarian Syndrome (PMOS)? Understanding the New Name for PCOS
Just a month ago, the name for Polycystic Ovarian Syndrome (PCOS) was officially changed to Polyendocrine Metabolic Ovarian Syndrome (PMOS). This name change was made to better reflect the complex hormonal, metabolic, and reproductive aspects of the condition and help patients receive more accurate referrals and appropriate care.
At Root To Rise Physical Therapy & Pelvic Health in Scarborough, Maine, we often work with individuals experiencing symptoms related to hormonal and pelvic health conditions, including PCOS and PMOS.
In this blog post, we'll provide a brief overview of PMOS, including what it is, common symptoms, available treatment options, and how pelvic floor physical therapy can help address some of its related symptoms.
What is PMOS?
PMOS, or polyendocrine metabolic ovarian syndrome, is a condition that affects multiple body systems, including the endocrine, metabolic, and reproductive systems.
Endocrine System
Hormonal imbalances associated with PMOS can contribute to symptoms such as irregular periods, acne, and excess hair growth.
Metabolic System
Insulin resistance and changes in insulin sensitivity can affect metabolic function, making weight management more challenging and increasing the risk of developing type 2 diabetes and cardiovascular disease.
Reproductive System
Hormonal imbalances may affect ovulation, menstrual cycles, and fertility.
How Does PMOS Differ From PCOS?
PMOS is simply a rename for PCOS. The updated name better reflects the fact that this is a complex, whole-body endocrine and metabolic disorder rather than a condition limited to the ovaries.
The term "polycystic ovarian syndrome" could be misleading because many individuals diagnosed with PCOS do not actually have ovarian cysts. The new name emphasizes the broader hormonal and metabolic factors involved in the condition.
What Causes PMOS?
The exact cause of PMOS remains unknown. Several factors are believed to contribute to its development, including insulin resistance, genetics, and increased androgen activity (sometimes referred to as "male hormones," though all bodies naturally produce these hormones).
Common Symptoms of PMOS
Symptoms can vary from person to person, but common signs of PMOS include:
Irregular menstrual cycles due to infrequent, unpredictable, or absent ovulation
Excess body hair (hirsutism), particularly on the face, chest, abdomen, or back
Acne related to increased androgen activity
Polycystic ovaries, where ovarian follicles contain immature eggs that do not mature and release normally due to disrupted ovulation
How is PMOS Diagnosed?
There is no single test used to diagnose polyendocrine metabolic ovarian syndrome (PMOS). Healthcare providers typically evaluate a combination of symptoms, medical history, physical findings, and diagnostic testing.
Physical Examination
Assessment for signs of excess hair growth, insulin resistance, acne, and other related symptoms.
Blood Tests
Laboratory testing may be used to measure hormone levels, including androgen levels, and to assess the body's response to glucose.
Pelvic Ultrasound
An ultrasound may be performed to evaluate the ovaries for features commonly associated with PMOS.
What Are the Treatment Options for PMOS?
There is currently no cure for PMOS. Treatment focuses on managing symptoms and reducing the risk of long-term health complications.
Medical Management
Healthcare providers may prescribe medications to address insulin resistance, regulate hormones, improve menstrual cycle regularity, and manage symptoms such as acne or excess hair growth.
Nutrition Support
Dietary modifications can help support blood sugar regulation, reduce inflammation, and improve overall metabolic health.
Stress Management
Chronic stress can influence hormone production and symptom severity. Mental health support, stress-reduction techniques, and lifestyle modifications may help improve symptoms commonly associated with PMOS.
Musculoskeletal and Pelvic Health Support
Addressing musculoskeletal and pelvic floor dysfunction can help reduce pain, improve function, and support overall pelvic health.
How Can Pelvic Floor Physical Therapy Help With PMOS?
Hormonal imbalances and chronic inflammation associated with PMOS can affect many parts of the body, including the pelvic floor. While pelvic floor physical therapy does not treat the underlying hormonal condition, it can help address symptoms and dysfunction that may accompany PMOS.
At Root To Rise Physical Therapy & Pelvic Health, we commonly help individuals experiencing:
Pelvic pain
Pain with intercourse
Overactive bladder symptoms
Constipation
Abdominal bloating
Urinary frequency and urgency
Urinary incontinence
A comprehensive pelvic floor evaluation can help identify contributing factors and develop a personalized treatment plan to improve comfort, function, and quality of life.
Why Does PMOS Matter?
Polyendocrine Metabolic Ovarian Syndrome (PMOS), formerly known as PCOS, affects approximately 1 in 8 women.
Because PMOS affects multiple body systems, symptoms can vary widely and impact each person differently. This can make it challenging to find answers and receive the right support.
Understanding the condition is an important first step toward managing symptoms, improving quality of life, and reducing the risk of long-term health complications. A comprehensive treatment approach that includes medical care, nutrition support, lifestyle management, and pelvic floor physical therapy can make a meaningful difference.
If you're experiencing pelvic pain, bladder symptoms, painful intercourse, or other pelvic floor concerns related to PCOS or PMOS, our team at Root To Rise Physical Therapy & Pelvic Health in Scarborough, Maine is here to help.