PMOS (formerly known as PCOS)

Many women are told that irregular periods, acne, unwanted hair, or difficulty managing weight are simply “part of being a woman.”
In reality, these symptoms often reflect an underlying hormonal and metabolic condition that deserves deeper investigation.

Polycystic Ovarian Syndrome (PCOS), now increasingly referred to as PMOS (Polyendocrine Metabolic Ovarian Syndrome), is a complex, whole-body condition that affects far more than reproductive health.

At Womankind Natural Health, I support women to understand what is driving their symptoms and to work with their body — not against it — using personalised, evidence-informed naturopathic care.


PMOS is a common hormonal and metabolic condition affecting women of reproductive age.

While the traditional name “PCOS” focuses on ovarian cysts, we now understand that:

  • Not all women have cysts

  • Symptoms vary widely between individuals

  • The condition involves multiple systems beyond the ovaries

PMOS is better understood as a hormonal signalling and metabolic regulation condition, often involving insulin, androgens, and ovulatory function.

What is PMOS?



Symptoms can include:

  • Irregular, absent, or unpredictable periods

  • Acne or oily skin (often jawline or hormonal pattern)

  • Excess facial or body hair (hirsutism)

  • Hair thinning or scalp hair loss

  • Difficulty managing weight or unexplained weight changes

  • Irregular ovulation or fertility challenges

Other associated symptoms may include:

  • Fatigue or low energy

  • Blood sugar cravings or energy crashes

  • Digestive discomfort

  • Mood changes or low mood

Because PMOS affects multiple systems, presentation is highly individual.

Common Signs of PMOS


Root causes of PMOS

PMOS is rarely caused by a single factor. It is typically multi-system in nature, involving hormonal, metabolic, and environmental influences.

1. Insulin resistance

Insulin resistance is one of the most common drivers of PMOS. When cells become less responsive to insulin, the body produces more of it. Elevated insulin can increase ovarian androgen production, contributing to acne, irregular cycles, and other symptoms.

Supporting insulin sensitivity is often foundational in improving PMOS outcomes.

2. Chronic inflammation

Low-grade inflammation can interfere with hormone signalling, insulin regulation, and metabolic function. Over time, this can worsen hormonal imbalance and symptom severity.

3. Stress & adrenal dysregulation

Chronic stress can affect cortisol rhythms, which in turn influences reproductive hormone balance and ovulation. Many women with PMOS experience symptom flares during periods of prolonged stress or poor sleep.

4. Gut and liver function

The gut and liver are central to hormone metabolism and clearance. Imbalances in gut bacteria, digestion, or detoxification pathways can impact estrogen and androgen balance.

5. Nutrient status

Key nutrients such as magnesium, zinc, vitamin D, B vitamins, and chromium play important roles in insulin regulation, ovulation, and hormone production. Deficiencies can contribute to symptom persistence.

6. Genetic & lifestyle interaction

Genetics may influence susceptibility, but symptom expression is strongly shaped by lifestyle, diet, stress, and environmental exposures. This is where targeted support can make a meaningful difference.

Supporting PMOS Naturally

At Womankind Natural Health, my approach is personalised and rooted in functional and naturopathic principles. The goal is to address underlying drivers rather than simply manage symptoms.

Support may include:

Why a Naturopathic Approach Helps

PMOS is a whole-body condition. Treating symptoms in isolation often provides only partial or temporary relief.

A naturopathic approach aims to:

  • Identify and address root causes

  • Support multiple body systems simultaneously

  • Personalise care to your unique presentation

  • Focus on long-term hormonal and metabolic health

Many women experience improvements in:

  • Cycle regularity and ovulation

  • Skin and hair symptoms

  • Energy and mood

  • Metabolic health and weight regulation

  • Fertility outcomes

If you are experiencing symptoms of PMOS (formerly PCOS) and want to understand what is driving your hormonal imbalance, you can book a consultation at Womankind Natural Health.

During your appointment, we will review your health history, symptoms, and any relevant pathology, and develop a personalised naturopathic plan to support hormone balance and long-term wellbeing.