Everything you need to know about Polyendrocrine Metabolic Ovarian Syndrome (PMOS). PCOD is obsolete

Added: 2026-05-16

[00:00:00]What am I reading today? This is a paper that's going to make a historical shift in how we're going to be treating more than 170 million women every year worldwide. So, according to a recent global consensus, polycystic ovarian syndrome or PCOS has been relabeled as PMOS. That stands for polyendocrine metabolic ovarian syndrome. As a patient, why is this important for you?

[00:00:23]Every day, countless patients come to me with complaint of acne. Some of them also have hair loss, hair growth over the chin and the beard area, maybe even irregular periods every now and then, and weight fluctuations. In such cases, we always try to rule out PCOS by doing three things. First, by looking at the clinical features. Second, by doing an ultrasonography to find out if there are any cysts in the ovary. And third, by doing a panel of hormonal tests to rule out any hormonal irregularity. But in many of these cases, a definitive diagnosis of PCOS is not made due to absence of ovarian cysts or absence of hormonal imbalances routinely screened for in PCOS cases. What this does is this tends to create a sense of frustration in patients because a lot of times such patients, after all the investigations and the mental toll it's going to take, just end up being told that you need to lose weight. And this paper definitely clears out a lot of confusions because now we know that hormonal acne is not just linked with gynecological or fertility issues, but also a wider range of metabolic diseases including blood pressure, diabetes, obesity, metabolic syndrome, and insulin resistance. Something that we as physicians have been suspecting all along. PMOS doesn't just affect your skin and physical health, but it can also have psychological implications.

[00:01:41]Once a diagnosis has been made, PMOS is very much treatable. That's why if you're suffering from hormonal acne, predominantly painful cystic pustular acne, adult onset over the jawline, please do visit either your dermatologist or an endocrine specialist because treatments are available.