Every year during PMOS Awareness Month, we focus on raising awareness about one of the most common hormonal conditions affecting women of reproductive age.
PMOS (Polyendocrine Metabolic Ovarian Syndrome), previously known as PCOS, is not simply an ovarian disorder. The new name better reflects the fact that it is a complex condition affecting hormonal balance, metabolism, and a woman’s reproductive health.
Despite being very common, many women are unaware that they have the condition. Symptoms can vary significantly — some women experience irregular menstrual cycles, others deal with skin problems or weight changes, while some only discover they have PMOS when they begin trying to conceive.
How Does PMOS Affect Fertility?
One of the main ways PMOS can affect conception is through irregular ovulation.
During a typical menstrual cycle, an egg matures inside a follicle and is then released. In women with PMOS, this process can be disrupted — ovulation may be irregular or may not occur at all.
This can make it more difficult to determine the optimal time for conception.
It is important to emphasize:
PMOS does not mean that a woman cannot become pregnant.
Many women with this diagnosis conceive naturally, while others may only need support with ovulation or assistance through fertility treatments. The appropriate approach always depends on each woman’s individual situation, including her age, hormone profile, ovarian reserve, and other factors affecting fertility.
Why Is Proper Diagnosis Important?
PMOS can present differently in every woman. There is no single universal pattern of symptoms.
Common signs may include:
- irregular or absent menstrual cycles,
- ovulation disorders,
- elevated androgen levels,
- acne or increased body hair growth,
- metabolic changes,
- difficulty becoming pregnant.
Diagnosis is therefore not based on a single test. A doctor evaluates the overall picture — including medical history, hormone levels, menstrual cycle patterns, ultrasound examination, and, when needed, additional metabolic parameters.
PMOS and IVF: How Can Reproductive Medicine Help?
If a woman with PMOS is unable to conceive naturally, there are options available to help her.
Depending on the individual situation, treatment may include:
- ovulation support,
- planning the optimal timing for conception,
- intrauterine insemination (IUI),
- IVF treatment.
With IVF, an individualized approach is essential. Women with PMOS may often have a higher number of follicles, which is why it is important to carefully adjust hormonal stimulation and closely monitor the ovaries’ response.
The goal is not simply to collect the highest possible number of eggs, but above all to provide safe treatment and maximize the chance of creating high-quality embryos.
What Can You Do for Your Reproductive Health?
If you have been diagnosed with PMOS or suspect that it may affect you, there is no need to wait until you start trying to become pregnant.
Understanding your body can help you make informed decisions about your future.
Important steps may include:
- tracking the regularity of your menstrual cycle,
- addressing long-term irregular periods,
- discussing hormonal imbalances with a specialist,
- taking care of your lifestyle and metabolic health,
- knowing your ovarian reserve.
The First Step? Learn More About Your Fertility
If you have PMOS and are planning a pregnancy, or if you have questions about your fertility, you do not need to wait until a problem arises.
At Unica Clinic, our specialists can help you assess your situation and recommend the next steps.
Book a consultation and discover more about the options available on your journey to parenthood.
