PCOS / PMOS
PCOS remains under-recognised beyond its reproductive signs. Insulin resistance, androgen excess and long-term metabolic risk sit at the centre of the picture, which is why the newer language of PMOS (polyendocrine metabolic ovarian syndrome) is useful.
Conventional management often focuses on cycle control or a single insulin-sensitising medicine. Those tools can be useful. They are not the whole plan.
In clinic the first hour is a full obstetric and gynaecological consultation with a lifestyle and precision-health lens: what is driving the symptoms, which tests would change decisions, and which levers (food pattern, movement, sleep, stress load, and medication) belong in writing.
A longer article sets out the four lifestyle pillars used in PMOS care, with references. It is education, not a protocol to follow on your own.
Two consultations and a written plan. Investigations only if they would change treatment, timing or safety. Face-to-face at The Richmond House Clinic, Penarth, and video consultations for the UK, Isle of Man and Gibraltar.
See what is includedA structured online course is in preparation. The course is separate from clinic consultations. You can join the waitlist without booking an appointment.
Join the waitlistJournal notes
Occasional writing from clinic: cycle health, midlife change, and lifestyle medicine. No daily emails.
