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102:: PCOS is dead. Meet the new & improved PMOS.
Episode 13025th May 2026 • Wellness Big Sis: The Pod • Dr. Kelsy Vick
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On May 12th, 2026, a landmark paper published in The Lancet officially renamed polycystic ovary syndrome to polyendocrine metabolic ovarian syndrome — PMOS. The result of 14 years of work, 56 international organizations, and 22,000 voices from around the world.

This is not a cosmetic rebrand. This is a clinical correction — and it changes how this condition affecting 170 million women worldwide will be diagnosed, treated, and researched for generations to come.

In this episode, Dr. Kelsy Vick breaks down everything:

  • Why the old name PCOS was clinically inaccurate and actively harmful
  • What PMOS actually stands for and why every word matters
  • The real biology of this condition — far beyond ovarian cysts
  • Why 70% of women with PMOS are undiagnosed — and how the name contributed to that
  • What changes in diagnosis, treatment, and research globally
  • What this means practically if you have a diagnosis, suspect you might, or have ever been dismissed

This is the episode 170 million women deserve to hear.

  • Teede et al. (2026) — The Lancet — Official global consensus name change 📎 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00717-8/fulltext
  • STAT News (May 12, 2026) — Full renaming process coverage 📎 https://www.statnews.com/2026/05/12/pcos-now-called-pmos-polyendocrine-metabolic-ovarian-syndrome/
  • University of Colorado Anschutz (May 12, 2026) — U.S. researcher involvement 📎 https://news.cuanschutz.edu/news-stories/pcos-new-name
  • Endocrine Society — Official statement on PMOS 📎 https://www.endocrine.org/news-and-advocacy/news-room/2026/pcos-name-change
  • Contemporary OB/GYN — Clinical implications of PMOS 📎 https://www.contemporaryobgyn.net/view/global-consensus-renames-pcos-to-polyendocrine-metabolic-ovarian-syndrome-pmos-
  • CNN Health — Patient-facing reporting on the name change 📎 https://www.cnn.com/2026/05/13/health/pcos-name-change-pmos-wellness
  • PMC — From ovarian to endocrine-metabolic roots 📎 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12748392/

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Transcripts

Speaker:

Welcome to Wellness Fixes the Pod, a

by Maven Media production, where we

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believe you deserve real education

from real experts, delivered

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in a way you can actually use.

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I'm Dr.

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Kelsey Vick, your board certified

orthopedic doctor of physical therapy, and

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this podcast was built for the girl who

is done feeling overwhelmed and frustrated

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by conflicting health noise and is ready

for something she can actually trust.

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Every week, we have honest, science-backed

conversations about your health,

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your hormones, your brain, your

body, and everything in between.

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No fluff, no fear-mongering,

just the truth.

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Because understanding your

body is the most powerful

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thing you can do for yourself.

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A table full of experts built for

the curious girl who wants the truth.

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So welcome.

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Your seat is waiting for you.

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If you have PCOS or think you might,

this might be the most important episode

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that I've recorded all year because as

th,:

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The name is a misnomer, and that misnomer

has plagued so many girls and prevented

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so many women from getting a diagnosis for

what's truly going on within their bodies.

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It's a very important step in the right

direction because a lot of girls have been

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misunderstood and misdiagnosed because

of the actual name of this condition.

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According to the World Health

Organization, an estimated 10 to 13%

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of reproductive-age women worldwide

have this condition, and an estimated

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70% of them do not have a diagnosis.

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This is not an ovarian problem that

happens to have metabolic side effects.

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It is an endocrine problem that has

metabolic, reproductive, dermatological,

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neurological, and psychological effects.

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170 million women, 70% undiagnosed, 14

years of trying to get the name right.

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PCOS is not just a new acronym.

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It is a clinical correction

that was overdue by decades.

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And now that we have the right

name, we can finally start

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having the right conversations

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If you have PCOS or think you might,

this might be the most important episode

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that I've recorded all year because as

th,:

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It has a new name, a new definition,

a new clinical framework, and

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a completely new understanding

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of what it actually is

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And the reason it was renamed changes

everything about how this condition

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has been diagnosed, treated,

and dismissed for decades

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PCOS has been renamed PMOS One letter

changed 14 years of work, 22,000 voices

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going into that one letter change

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And it's a scientific correction

that is long, long overdue.

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Let's talk about it.

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Welcome back to Wellness Fix with the Pod.

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I'm your host, Dr.

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Kelsey Vick, a board-certified

orthopedic doctor of physical therapy,

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a pelvic floor physical therapist, and

a women's health physical therapist.

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And this is an episode that sort

of came out of the blue because

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this is a very recent change.

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I am still seeing girls talk

about PCOS, and the goal is to

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make PMOS the new standard over

the next three years worldwide.

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So it's a very recent change, and I wanted

to talk about why it is so, so important.

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If you know anyone who has had PCOS,

if you yourself have had PCOS, chances

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are it has taken a long time to get a

diagnosis for it or to truly understand

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what's happening within your body.

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And one of the reasons is

that the name is a misnomer,

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polycystic ovarian syndrome, PCOS.

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Polycystic, the very first few terms

indicate that there are multiple cysts

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on the ovaries, and that misnomer has

plagued so many girls and prevented

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so many women from getting a diagnosis

for what's truly going on within their

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bodies because newsflash, PCOS, you

do not have cysts on your ovaries.

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By having a name that better reflects the

entire diagnosis, it makes it that much

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easier, or the goal is to make it that

much easier for girls to get a diagnosis

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earlier on and understand what their

bodies are going through when they have

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PMOS and have treatment options that

are more tailored to this polymetabolic

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nature of the entire condition

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So this episode is for everyone,

whether you have a diagnosis, whether

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you know someone who has the diagnosis,

or whether you're just trying to

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better understand the female body.

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And as a little side note, we'll

talk about it later in the episode,

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but the majority of people who were

asked on this name change chose PMOS.

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But two of the leading voices in the

field of PCOS/PMOS actually voted for

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different options, and one of the reasons

that someone voted for a different

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option is because there might be a male

presentation of this diagnosis as well.

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So a little precursor, a little

foreshadowing of what's to

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come later in the episode.

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But it's a very important change.

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It's a very important step in the

right direction, because a lot

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of girls have been misunderstood

and misdiagnosed because of the

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actual name of this condition

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So for quick context, on May 12th,

:

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The Lancet officially renamed PCOS,

polycystic ovarian syndrome, to PMOS

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polyendocrine metabolic ovarian syndrome

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And this was not just a casual

rebrand to try and confuse people.

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This study is 14 years in the making.

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There were 22,000 people who were able

to add input, and the final selection

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of three names that were chosen were

voted on by 90 professionals worldwide

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within the field of women's health,

specifically PCOS, PMOS related

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So today we'll cover why the old name was

not just inaccurate, but actually harmful,

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what PMOS actually is And the real biology

behind the condition, why the name change

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is more than just cosmetic, and what

this means practically for women who have

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this diagnosis or think that they might

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So what was the actual problem with

PCOS, polycystic ovarian syndrome?

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The first problem was

what it actually implies.

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Polycystic ovarian syndrome implies that

there are multiple cysts on the ovaries

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But the problem is there are no cysts.

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What appear as cysts on imaging

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are actually just small, immature

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egg follicles that did not

fully develop and release

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So this is a fundamental biological

distinction that the medical community

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or those involved in women's health and

PCOS, PMOS treatment and diagnosis have

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known about for years, But it's never

been corrected on this global of a scale

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And there are a lot of clinical

consequences for this diagnosis.

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For those not involved in the field

of women's health, when they hear

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PCOS and hear polycystic ovarian

syndrome, and they're looking at

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their patient in front of them, if

they do not have that women's health

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expertise and are just the patient's

first line of contact, they think if

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they don't see cysts that they are

automatically not in the category of PCOS.

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But if you have PCOS, this is

probably one of the biggest

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frustrations is that you understand

what's happening within your body.

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Some of the signs and symptoms might

line up with PMOS symptoms or previously

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PCOS symptoms, but you don't necessarily

have these multiple cysts that the

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name implies so there's a clinical

consequence for this misnaming.

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When doctors were looking at imaging

and they didn't find cysts, PCOS was

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immediately pushed off the table, even

if the girl was reporting other symptoms

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that lead to a PCOS or now PMOS diagnosis,

which only contributed to that lengthened

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time between when someone sought out care

for some of the issues and challenges

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they were facing to an actual diagnosis

A lot of women report being dismissed

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by their doctors because they don't have

cysts, so of course, they don't have PCOS.

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When now we understand PMOS is a more

accurate term because someone does

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not have to present with these cysts.

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They can have a lot of these other

clusters that fall under this PMOS

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diagnosis and will help them get

that diagnosis quicker than a lot of

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other women who have this diagnosis.

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That's their story.

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A lot of women, it takes them so long

to come in with symptoms and challenges

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and then finally get that diagnosis

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According to the World Health

Organization, an estimated ten to

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thirteen percent of reproductive-age

women worldwide have this condition.

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That's approximately a hundred and seventy

million women, and an estimated seventy

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percent of them do not have a diagnosis.

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The name is one of the

documented reasons why.

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So it's not just a

rebrand for PCOS to PMOS.

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It's not just a bunch of smart,

educated, brilliant people who came

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together and decided, "You know what?

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PCOS has been around for too long.

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We need to switch."

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There is an actual reason, and it's

going to help so many more women

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get the diagnosis they need sooner.

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The other problem with

the name was syndra.

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What did it actually imply and

what does biology actually show?

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so syndrome suggests a collection

of loosely identified symptoms

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PCOS often implied a vague sort

of cluster of symptoms, oftentimes

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thinking that it relates only to the

ovaries and cysts on the ovaries and

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symptoms related to that, where PMOS,

polyendocrine metabolic ovarian syndrome,

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starts to integrate more of this

multi-system approach to the treatment

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of what used to be known as PCOS.

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we know that PMOS touches a lot

of different systems within our

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bodies, not just the ovaries and our

reproductive system It touches the

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endocrine system, the metabolic system.

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It touches the reproductive

system, the dermatological system

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The neurological symptom

and psychological health.

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It touches all of those systems and

they all play off of each other.

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So the new term polyendocrine metabolic

ovarian syndrome starts to encompass

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the overarching broader nature of this

entire condition The Lancet paper found

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that the term PCOS was creating a stigma,

particularly around fertility, because

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it only talked about the reproductive

system, leading to women believing the

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condition was primarily about their

ability to have children, when it is

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actually a major metabolic and endocrine

disorder with lifelong health implications

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that extend far beyond just reproduction

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So how did this naming process go about?

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Because getting 22,000 people from

around the world to try and agree

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on a name is very, very challenging

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So the journey started in October 2015,

where a symposium was held in Sicily

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looking to rename PCOS to incorporate

the broader systems that it affects and

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help with girls getting that diagnosis

a lot quicker over the next decade, the

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most extensive disease renaming process

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In medical history unfolded.

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In 2017, there was the first

international survey of stakeholders,

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followed in twenty twenty-three by

the second survey expanding the reach.

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Twenty twenty-five, the third survey

administered to nearly fifteen thousand

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stakeholders and approximately twenty-two

thousand people across the globe sharing

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their perspectives, from doctors,

researchers, patients, patient advocates,

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charities from every region of the world.

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The process

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Was led by Professor Teede at Monash

University in Australia alongside

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fifty-six patient and professional

organizations, including the Endocrine

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Society, the International Androgen Excess

and PCOS Society, and Verity PCOS UK.

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So what did all of these people say that

they wanted when it came to renaming PCOS?

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Above everything else, 22,000 people

said the new name needed to stop

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causing harm, whether that was the

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associations created with having PCOS and

patients thinking if they had PCOS, they

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were going to have reproductive issues,

or whether it was delayed diagnosis.

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There were a lot of ways that the actual

term, actual name of PCOS was causing harm

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The second priority was

ease of communication.

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The third priority was scientific

accuracy, and they wanted the endocrine

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system explicitly named in the new

terminology because the hormonal nature

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of the condition was the most invisible

and most misunderstood aspect of PCOS.

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The reproductive system was getting

highlighted, which caused a lot of

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fear and which still causes a lot

of fear in people who have PCOS or

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people who have friends who have PCOS.

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The reproductive system is really shining

in that name, When in reality, the

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endocrine system underlies all of this.

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So they wanted to make sure that

the endocrine system was explicitly

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named in the new So three finalist

names were put to a vote of

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ninety panel members, clinicians,

researchers, patients, and advocates.

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Polyendocrine metabolic ovarian

syndrome won in a landslide.

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Eighty-seven and ninety voters

supported it immediately with an

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eighty-eighth coming around before the

manuscript was actually submitted So

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what's the real biology behind PMOS?

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Now that we have a name that reflects

what the actual condition really is

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Let's actually try and understand

the biology and physiology of PMOS

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So for starters, let's

break down the new name.

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Poly meaning multiple.

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So it's not one hormonal disturbance,

it's multiple interacting Hormonal

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disturbances simultaneously.

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Lancet paper specifies insulin,

androgens, and neuroendocrine hormones

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all dysregulated together and all

influencing each Moving on to endocrine,

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the actual hormonal system, one of the

communication systems within our bodies.

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This is the single most

important word in the new name

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People with PMOS have a disturbance

in the endocrine system, in their

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hormonal system, in one of the

communication systems of the body

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It's the entire body's chemical messenger

network, And it affects so many other

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different systems within our bodies,

which is why endocrine and relating

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PMOS back to this communication system,

is going to make the diagnostic tools

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and the cluster of symptoms that people

experience a lot better understood

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because we know the endocrine system

affects so many other systems within

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our body, not just our reproductive

system, which is what PCOS previously

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implied because the endocrine system is

affected, this helps people understand

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why the symptoms can be so varied

person to person and system by system

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This is not an ovarian problem that

happens to have metabolic side effects

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It is an endocrine problem that has

metabolic Reproductive, dermatological,

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neurological, and psychological effects

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Moving to the M, metabolic

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This word is what changes the

entire clinical treatment approach.

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If you think about it from a layperson's

perspective, when you hear PCOS,

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polycystic ovarian syndrome, you think

of multiple cysts on the ovaries.

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So naturally, one would think, that

removing those cysts is going to help

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the issue when we look at it as a

polyendocrine metabolic ovarian syndrome

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instead, we start to understand that we

can't just impact the reproductive system.

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We have to take an overarching approach

that's going to positively impact our

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communication signals within our body.

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That's that overall hormonal song and

dance that we have that happens day to

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day, month to month, but it also implies

the metabolic approach where We need

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to make sure that the things going into

treating the health of our metabolic

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system are also getting looked at as well.

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Things like insulin, blood sugar

regulation, all of these things that

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people at the forefront of the PCOS

field knew about, but for people who

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didn't necessarily understand it,

they didn't know that could positively

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affect their previously PCOS symptoms

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So insulin resistance is one of the

central mechanisms of PCOS and it

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is present even in lean, non-obese

women with the condition The old

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name never truly captured the

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importance of the metabolic system

in treatment of previously PCOS

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which is why women with PMOS were

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consistently dismissed or missed

entirely The metabolic side of PMOS

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links PMOS to elevated risk of impaired

glucose tolerance, type 2 diabetes,

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gestational diabetes, dyslipidemia,

high blood pressure, cardiovascular

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disease, and liver disease.

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This is not just a fertility problem that

sometimes comes with weight gain This

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is a metabolic disorder that sometimes

affects fertility Moving on to ovarian,

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which is that reproductive component.

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The ovaries are involved, but

it's one part of a complete system

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not the defining feature

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And then lastly, the word syndrome.

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Still present, but redefined a little bit.

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Rather than a casual cluster of symptoms

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We now understand the reason

for the variety of symptoms

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that girls might present with.

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It's not just "Oh, I have

this and this," and there's a

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casual sort of loose grouping.

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It's now better understood that the

endocrine system affects our entire body.

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The metabolic system

affects our entire body.

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So the term syndrome remains, but

rather than being a casual sort

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of loose grouping of symptoms

that some girls might experience

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It recognizes the full complexity

that having something that affects

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the endocrine system, our hormonal

system, the communication system, the

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metabolic system, the effects that

all of that has on our entire bodies

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So what can PMOS look like?

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And these are not overarching everyone

has to have them, but it helps to have

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this sort of understanding of what

girls with PMOS might present with.

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And now that we have this name change,

polyendocrine metabolic ovarian syndrome,

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we're better able to understand why girls

who have PMOS have such a variety of So

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starting with hormonal symptoms, you might

have irregular or absent periods, absent

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or irregular ovulation, excess androgens

causing acne, excess facial or body hair,

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and hair thinning or loss on the scalp.

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For the metabolic symptoms,

people might experience insulin

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resistance, even in thin women.

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this is a huge misunderstanding in

PCOS, where people assume if someone

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has metabolic issues, they assume weight

gain or slightly overweight, when in

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reality there are so many people who

don't match that body type who have PMOS.

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So having this name change will also

help women who might not fit the

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picture of a metabolic disorder get

the diagnosis that they need of PMOS

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so continuing with the metabolic

symptoms, you might have blood sugar

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dysregulation and cravings, difficulty

losing weight or unexplained weight

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gain, particularly around the midsection.

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You might have an elevated risk of

gestational diabetes during pregnancy

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and an elevated long-term risk of type

2 diabetes and cardiovascular disease.

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For the neurological and psychological

symptoms, you'll, you might have

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sleep apnea, depression, anxiety

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Or body dysmorphia.

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And the dermatological symptoms, acne

driven by those excess androgens,

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not just by diet or skin type alone.

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Skin changes including darkening around

the neck, armpits or groin and excess

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hair growth in androgen-sensitive areas

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You do not need to have all of these

signs and symptoms to be diagnosed

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with PMOS, but these just go to show

the overarching nature a lot of the

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symptoms that girls with PMOS might have

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I know a name change

sounds like paperwork.

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I know anytime something very slight

is changed, especially when it's just

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one letter, PCOS compared to PMOS,

but They've combined certain things.

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So polycystic ovarian syndrome compared

to polyendocrine metabolic ovarian

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syndrome, you can see how it adds

more of this overarching nature to it.

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So why the name change?

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It's not just paperwork When it comes

to clinical care the diagnosis of PMOS

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becomes broader and more inclusive

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There's no requirement

anymore to present with cysts.

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So now people who don't present with cysts

are not immediately dismissed because

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they don't have the cysts that people

thought were characteristic of PCOS.

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PMOS encompasses a broader

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picture condition actually is Treatments

can now target the actual problem.

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As I mentioned earlier, just

from a layperson's perspective,

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you can see how PCOS, remove the

cysts, remove the problem, when

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that's not necessarily the case.

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There is an underlying endocrine

and metabolic component to PMOS.

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So now physicians, clinicians, patients

themselves can start to understand

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their bodies and understand what

helps that endocrine component of PMOS

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and that metabolic component of PMOS

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The Lancet paper explicitly states

that the therapeutic framing now

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shifts towards targeting upstream

metabolic and neuroendocrine drivers,

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specifically insulin resistance,

alongside different reproductive goals.

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This means treating the root cause,

not just managing the symptoms

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Mental health also now comes

as part of the clinical picture

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Depression, anxiety, and body

dysmorphia are now formally

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recognized features of PMOS, meaning

that they'll also be addressed.

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It's not just let's treat the

reproductive problems and the other

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ones are just pushed to the side.

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It's now looked at as this more

full body encompassing to where

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each system can be treated

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the way they're treated in

other conditions as well

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I mentioned this one earlier,

but lean women also now get taken

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seriously because insulin resistance

is now recognized as central to the

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condition regardless of body weight.

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Thin women with PMOS symptoms can

no longer be dismissed on the basis

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of not looking like the So how

does this name change in research?

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The new name and framework can open up

research into the full systemic picture

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More research tracking

cardiovascular health, liver health

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:

neurological effects and

better understanding the

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male expression of the condition that's

still being studied Research funding and

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prioritization are also expected to shift

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to reflect both that new root cause of

the metabolic system and our endocrine

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systems Globally, the rollout of

this new name change is expected over

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the next three years with updates

to clinical guidelines used in a

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hundred and ninety-five countries.

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Electronic health records, medical

education systems, university curricula,

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textbook publishers, pharmaceutical

industry, and insurance classification

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systems will all update their terminology.

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the systematized nomenclature

of medicine clinical terms, the

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Universal Medical Coding System,

will incorporate PMOS, meaning the

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name will flow through every level

of healthcare documentation worldwide

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Dr.

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Kree, a pediatric endocrinologist at

the University of Colorado Anschutz

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and one of only two US-based pediatric

endocrinologists involved in this

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process, said, " Renaming this

condition is more than semantics.

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It's about finally recognizing the full

reality of what patients experience.

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:

language matters in medicine."

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So here's what the PMOS name

change actually means for women

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:

who are navigating this right now

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:

If you have a PCOS diagnosis,

your diagnosis is still valid.

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:

Just think of this new name as a

way to better encompass all of the

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:

symptoms that you might experience

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:

you have a better name, a better

framework, and will have better research

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:

To start to better understand the

underlying systems that are at play

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:

within your body and within the PMOS

diagnosis as a whole You can also

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:

use this as an opportunity to revisit

the provider who is overseeing your

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:

care and this diagnosis as a whole

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:

Ask about insulin resistance screening,

especially if you are lean and

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:

maybe have previously been dismissed

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:

Ask about the metabolic and

cardiovascular monitoring that is now

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:

formally recommended, and you

can also ask about mental health

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:

as a recognized component of this

condition You're not just someone

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:

with irregular periods or ovary issues

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:

You have a complex multi-system

endocrine and metabolic condition

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:

and you deserve care that reflects

that If you have symptoms but no

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:

diagnosis, the 70% undiagnosed

statistic exists in part because the

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:

old name and the diagnostic biases

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:

it created.

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:

With PMOS, the diagnostic framework

is broader If you have these

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:

symptoms, it's definitely worth

discussing with your provider.

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:

Irregular or absent periods, acne that

doesn't respond to typical treatments,

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:

excess hair growth, hair thinning,

difficulty managing weight, blood sugar

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:

instability, persistent anxiety or

depression, sleep issues, or fatigue.

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:

You do not need cysts.

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:

You do not need to be

a particular body size.

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:

You do not need to be trying to conceive

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:

You just need to advocate for a complete

metabolic and endocrine evaluation If

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:

you have been dismissed before, the

research is now formally on your side

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:

The Lancet paper validates what patients

have been saying for decades The old name

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:

created a narrow and inaccurate picture

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:

of this condition that led to real

diagnostic harm If you have been told

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:

your symptoms don't fit or that you can't

have PCOS because you don't have cysts

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:

or because you're thin or because your

periods are only slightly irregular,

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:

find a provider who is working with the

updated framework You were not wrong.

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:

The name was the three-year rollout means

that you will still hear PCOS, but the

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:

idea is that PMOS will trickle down and

start to become the new name that a lot

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:

of people Reference when they're talking

about the previous condition of PCOS

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:

So I mentioned 88 of 90 final experts

voted in favor of the PMOS name change.

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:

The two that didn't have important reasons

for why, and I think it's important

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:

that we touch on those reasons as well

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:

Two of their primary concerns with--

was that the name didn't go far enough.

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:

It still didn't account for the emerging

research suggesting that there may be

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:

a male expression of the condition.

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:

And changing the acronym from PCOS

to PMOS requires a significant global

404

:

education and awareness effort, and the

PCOS acronym had decades of recognition

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:

that will take time to rebuild.

406

:

So the male expression of this metabolic

and endocrine condition is one of the,

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:

hold-ups with their not voting for the

PMOS name change and then the length

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:

of time that PCOS has been around.

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:

It'll be challenging to change

the entire global world view

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:

of what this condition is.

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:

But what's that phrase?

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:

The best time to plant a

tree was twenty years ago.

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:

The second-best time is now.

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:

So I think that's where the other

eighty-eight people were is like,

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:

if not now, then when, right?

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:

170 million women, 70% undiagnosed, 14

years of fighting to get the name right.

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:

PMOS is not just a new acronym,

it is a clinical correction

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:

that was overdue by decades.

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:

And now that we have the right

name, we can finally start

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:

having the right conversations

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:

I hope this episode, if you have PCOS

or some of these symptoms, gave you

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:

language for what you're experiencing

423

:

PMOS is a complex, multi-system

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:

endocrine and metabolic condition

that has been minimized, misnamed

425

:

and misunderstood for decades

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:

You were not too sensitive

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:

You were not imagining it

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:

The name was wrong.

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:

Now it's right.

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:

Now you know, and if you want

to share this episode with other

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:

friends who you might think are

in the same boat as you please do.

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:

I think it's an important terminology

shift, and I think the more people that

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:

understand that, the more women that

understand that, can help change that

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:

statistic of seventy percent undiagnosed

to, nonexistent, where everyone who might

435

:

have PMOS and might have these underlying

hormonal and metabolic root causes of

436

:

their symptoms can start to get the

treatment that they absolutely deserve

437

:

I hope you guys enjoyed this episode.

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:

I hope you learned a lot, and

I'll see you guys again on the

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:

next episode of Wellness Fixes the

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