Polyendocrine metabolic ovarian syndrome (PMOS), formally know as PCOS is a common, complex hormonal condition which affects 8-13% of women of reproductive age. Unfortunately, up to 70% of affected women go undiagnosed.
PMOS can be associated with problems such as irregular periods, obesity, reduced fertility, acne, excessive facial and body hair growth, and an increased risk of diabetes and cardiovascular disease.
There are reproductive, metabolic and emotional implications of PMOS, so it’s a complex condition of which there is no set cause. While there is also no cure, increasingly there is promising research and ways to treat the condition.
PMOS encompasses a wide range of topics related to women’s health and fertility.
- PMOS and fertility (explored in this blog)
- PMOS symptoms and treatments Part 1
- PMOS symptoms and treatments Part 2
- PMOS and the effect it has on your mental health.
It is hoped these guides will help broaden people’s understanding of the condition which affects so many women in Australia. Our Eve Health team of doctors, gynaecologists and clinicians offer a holistic approach to treating PMOS. Phone 07 3332 1999 to make a confidential appointment.
Read on to learn more about the effects PMOS has on fertility and wellbeing.
Polyendocrine metabolic ovarian syndrome (PMOS), and Fertility
PMOS affects women of reproductive age. It is the leading cause of female infertility and many people don’t know they have it until they try to get pregnant.
And while sufferers can struggle to fall pregnant, it’s a misconception to think pregnancy isn’t going to happen at all. Fortunately – through lifestyle changes or infertility treatment – most women with PMOS can become pregnant and have a healthy baby.
What are the effects on fertility and wellbeing?
As women with PMOS don’t ovulate monthly, it can be hard to fall pregnant. Infertility along with the other symptoms of androgen excess – including abnormal hair growth, acne or weight gain – can have a negative overall effect on a woman’s mental health and wellbeing, sometimes causing anxiety and depression.
Unfortunately PMOS can have long term health consequences. Women with PMOS have a higher association with obesity, gestational or type 2 diabetes as well as endometrial hyperplasia and metabolic syndrome. It’s important to have a diagnosis early on to minimise these long term risks.
Key symptoms for diagnosis
Some key features that form a diagnosis of PMOS include having polycystic ovaries on an ultrasound scan, an irregular period and clinical or biochemical evidence (on blood test) of hyperandrogenism (high testosterone levels).
Treatment to improve fertility
Treatment includes a healthy lifestyle (such as healthy eating and exercising for 30 minutes a day), potential weight loss and targeted hormone therapy and medication. Monitoring ovulation and timing sexual intercourse around the ovulation window can also help increase fertility. Surgery may have a role in improving fertility.
The type of treatment will depend on what stage you are in life, and when you might be planning a pregnancy.
Regardless of where you are on your fertility journey, early management is key. If you suspect something is not right, please speak with one of our gynaecologists about your individual circumstances to find out more. With an early diagnosis the symptoms of PMOS can be treated and the risks of complications can be reduced.
More information on possible treatment options can be found here: https://www.evehealth.com.au/articles/polycystic-ovarian-syndrome/
For further support if you do have PMOS, the Polyendocrine metabolic ovarian syndrome (PMOS), (formally known as Polycystic Ovary Syndrome Association of Australia may be a helpful community: https://www.facebook.com/PCOSAustralia/
Sources & further reading:
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