Key Facts About the Renaming

  • New Name: Polyendocrine Metabolic Ovarian Syndrome (PMOS)
  • Effective Date: May 2026
  • Duration of Effort: 14 years of global advocacy

Reasons for the Change to PMOS

Scientific Accuracy

  • The term "cysts" was considered misleading
  • The condition does not involve abnormal ovarian cysts
  • Instead, affected individuals have arrested follicular development that appears cyst-like on ultrasound

Multi-systemic Nature

  • Reflects the disorder's broader endocrine, metabolic, and ovarian dysfunction
  • Includes insulin resistance, hormonal imbalance, and reproductive abnormalities
  • Moves away from portraying it solely as a gynaecological disorder

Global Prevalence

  • Global: Affects 1 in 8 women
  • Undiagnosed: 70% of affected individuals remain undiagnosed
  • Aim: Reduce delayed diagnosis and ensure holistic treatment

Significance for India

  • Prevalence: 16-18% of women in India affected
  • Critical Factor: Inclusion of "metabolic" in the name is crucial for Indian population
  • Thrifty Genotype Hypothesis: Genetic predisposition to store energy efficiently, increasing risk of obesity and Type 2 diabetes

Clinical Characterization

  • Primary Identification: Chronic anovulation
  • Symptoms:
  • Irregular periods
  • Hirsutism (excessive hair growth)
  • Weight gain
  • High androgen levels

Risk Factors

  • Non-modifiable: Genetics, neuroendocrine disruptions
  • Modifiable: Sedentary lifestyle, poor diet, obesity

Treatment Approaches

  • Synthetic Drugs: Metformin and Oral Contraceptive Pills (OCPs) are standard
  • Emerging Research: Significant shift toward traditional and herbal medicines due to side effects of synthetic drugs