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PCOS (now called PMOS): symptoms, causes & treatment

PCOS, which the NHS now calls polyendocrine metabolic ovarian syndrome (PMOS), affects around 1 in 10 UK women. Irregular periods, excess hair, acne and weight difficulty are common; diagnosis needs proper assessment.

Editorial information by Kaiser Khan. Not clinically reviewed.

Symptoms

  • Irregular or absent periods
  • Acne or oily skin
  • Excess facial/body hair
  • Difficulty losing weight
  • Difficulty conceiving

Why it happens

Hormonal imbalance with higher androgens and often insulin resistance. Runs in families; not caused by ovarian cysts alone despite the name.

Treatment

Depends on goals: contraception regulates cycles; a prescriber may treat insulin resistance; fertility referral if trying to conceive; weight management where appropriate.

Self-care that helps

Regular exercise, balanced diet with low-GI choices, track cycles, and seek assessment rather than guessing from symptoms alone.

When to get help

No periods for 3+ months, signs of diabetes, or trying to conceive for 12 months (6 if over 36) — GP or specialist review.

See our pcos (now called pmos) support →