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