🌸 PMOS Explained

Episode 7

🌷 PMOS Through Different Life Stages

💡 PMOS does not look exactly the same throughout a woman’s life.

Its features, priorities, and health risks can change with age.

👧 During Adolescence

Irregular menstrual cycles can be part of normal puberty, especially during the first year after menarche.

🔍 That is why diagnosing PMOS in teenagers requires extra care.

In adolescents, both of the following are required for diagnosis:

• Ovulatory dysfunction
• Hyperandrogenism

⚠️ Ultrasound and AMH are not recommended for diagnosing PMOS in adolescents because normal pubertal development can mimic its features.

🌸 During the Reproductive Years

PMOS may present with:

• Irregular or absent periods
• Acne or excess hair growth
• Difficulty with ovulation
• Fertility concerns
• Weight or metabolic problems

💊 Management depends on the woman’s symptoms, metabolic health, and whether pregnancy is currently desired.

🤰 During Pregnancy

Women with PMOS may have a higher risk of certain pregnancy complications, including:

• Gestational diabetes
• Hypertensive disorders of pregnancy

🩺 Preconception health, blood pressure, weight, glucose status, lifestyle, and other medical conditions should therefore be optimized before pregnancy whenever possible.

🌷 During Perimenopause

Menstrual cycles naturally become more irregular during this stage, making previous PMOS symptoms harder to interpret.

Some androgen-related symptoms may persist, while long-term metabolic and cardiovascular health become increasingly important.

🔔 The Important Message

PMOS is a lifelong condition, but its expression changes over time.

💗 Care should therefore evolve with the woman — from adolescence, through the reproductive years and pregnancy, and into later life.

The goal is not only to manage current symptoms but also to protect long-term health and quality of life.

🔜 Next Episode: PMOS Myths vs Facts

#DrRababCares

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