Could I have PMOS?

PMOS (formerly known as PCOS) is a common hormonal and metabolic condition that can affect periods, ovulation, skin, hair, fertility and long-term health.

The symptoms can vary significantly between women and having one or two of these symptoms does not necessarily mean you have PMOS.

Assessment looks at the overall pattern rather than relying on a single symptom or blood test.

What symptoms can PMOS cause?

PMOS can affect the way the ovaries function and may lead to irregular or absent periods.

Other features can include increased facial or body hair, acne, scalp hair thinning and difficulties with ovulation and fertility.

Some women also experience metabolic changes such as insulin resistance or changes in cholesterol.

Do irregular periods mean I have PMOS?

Irregular periods can be a feature of PMOS because ovulation may not occur regularly.

However, irregular periods can have many other causes. Your doctor will consider your menstrual pattern alongside other symptoms and possible explanations before making a diagnosis.

Can acne or hair loss be related to PMOS?

Acne, increased facial or body hair and scalp hair thinning can sometimes be associated with increased sensitivity to androgens or higher androgen levels.

These symptoms can also occur for other reasons, so they do not by themselves confirm PMOS.

How is PMOS diagnosed?

There is no single test that confirms PMOS. Diagnosis involves looking at your menstrual cycle, symptoms, medical history and examination, and may include blood tests and/or a pelvic scan.

Other conditions that can cause similar symptoms need to be considered and excluded where appropriate.

What does PMOS mean for my health?

PMOS can be associated with insulin resistance, type 2 diabetes, cholesterol problems and increased risk of changes to the lining of the uterus when periods are very infrequent.

Understanding these risks allows appropriate monitoring and management. Many women with PMOS can manage their symptoms effectively with individualised care.

When to see a doctor

If you have irregular periods, persistent acne, increased facial or body hair, hair thinning or concerns about ovulation or fertility it may be appropriate to discuss these symptoms with your doctor.

An assessment can help determine whether PMOS may be contributing or whether another cause should be considered.

Key points

PMOS can affect periods, ovulation, skin, hair and fertility.
Irregular periods are common in PMOS but can have many other causes.
Acne and hair loss can occur with PMOS but do not mean you have the condition.
Diagnosis involves assessing the overall pattern and further testing if needed.
PMOS can also affect metabolic and reproductive health.

Medically reviewed by Dr Susana Rodriguez, menopause clinician at ClaraSana Women’s Health, Perth.

Our content is based on up-to-date Australian guidelines & may differ from information on other sites.

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