PMOS
Most patients left their diagnosis with a brief explanation, a prescription, and a referral back to gynecology. Many women with PCOS are treated only for irregular periods or fertility concerns, while the underlying insulin resistance, metabolic dysfunction, and long-term cardiovascular risk go unaddressed.
Book a ConsultationPolycystic Ovary Syndrome is now
Polyendocrine Metabolic Ovarian Syndrome.
The old name reduced a multisystem condition to one anatomical finding that isn't even consistently present. Many women with PCOS don't have cysts. Many were told they couldn't have PCOS because of this. The name contributed directly to delayed diagnoses, fragmented care, and missed metabolic risk.
PMOS reflects what the condition actually is: a hormonal disorder involving excess androgen production, insulin resistance, and disrupted ovulation. The downstream consequences — cardiovascular disease, metabolic syndrome, type 2 diabetes — are not complications. They are features of the condition that require a care plan.
If you were diagnosed with PCOS, your diagnosis is the same condition. You now have a more accurate name for it.
PMOS Affects Six Body Systems
This is not a reproductive condition that happens to cause metabolic problems. It is a multisystem disorder. Each of the six areas below has implications for long-term health and requires a care plan that goes beyond symptom management.
Symptoms That Are Routinely Dismissed
PMOS overlaps with other conditions and is frequently attributed to stress or lifestyle. Many patients spend years seeking an explanation before receiving one.
"Telling a patient to lose weight without treating the insulin resistance driving their weight gain is not a care plan."Dr. Sobia Sadiq • Well Endocrinology
Why PMOS Is So Often Undertreated
The standard response to PMOS in primary care is oral contraceptives and a dietitian referral. For some patients, that is a reasonable start. For most, it doesn't go far enough.
PMOS requires time to manage well. Time to assess insulin resistance accurately — it doesn't appear on a standard metabolic panel. Time to distinguish ovarian from adrenal androgen excess, which changes the treatment approach. Time to evaluate GLP-1 therapy, track cardiometabolic risk over years, and adjust as the picture shifts.
A 15-minute appointment cannot do that work.
A gynecologist can manage the reproductive symptoms. Managing the full condition — the metabolic dysfunction, the cardiovascular risk, the insulin resistance that worsens with age — requires an endocrinologist.
PMOS at Well Endocrinology
Every new patient visit starts with a full metabolic and endocrine workup: insulin resistance markers, total and free androgens, DHEAS, thyroid function, lipids, and body composition via InBody scan. The picture that comes from that workup is frequently different from anything you have seen on a prior lab report.
From that baseline, we build a plan specific to your presentation. That may include a targeted metabolic strategy, oral medications, GLP-1 therapy, or a combination. For patients approaching perimenopause, PMOS management and hormonal transition are addressed together.
Ongoing care is through membership: $300 per month. Follow-up visits, direct physician messaging, prescription management, and quarterly InBody tracking. Prescriptions require active membership.
Is Well Endocrinology Right for You?
You may be in the right place if:
No insurance accepted. Pricing is transparent. No referral needed.
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60 minutes. Reviewed lab history. A clear care plan. 30-day direct access to Dr. Sadiq after your visit.
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