Polyendocrine Metabolic Ovarian Syndrome

During their reproductive years, approximately 12% of women develop a hormonal disorder called polyendocrine metabolic ovarian syndrome (PMOS). Previously known as polycystic ovarian syndrome (PCOS), this condition was renamed to more accurately describe the condition.

Women with PMOS often have insulin resistance (the body does not use insulin well), resulting in too much insulin in the body. Increased production of androgens, or male hormones, also is a hallmark of PMOS. These hormonal abnormalities can cause metabolic and reproductive disruptions.

Symptoms of PMOS

PMOS tends to run in families, but the exact cause is not known. Symptoms may include:

• Infrequent menstrual periods, no menstrual periods and/or irregular bleeding
• Infertility due to lack of ovulation
• Increased hair growth on the face, chest, stomach, back, thumbs or toes
• Acne, oily skin and dandruff
• Weight gain, especially around the mid-section
• Thinning hair on head
• Pelvic pain

If you are having symptoms you believe are related to PMOS, see your physician. Individuals with PMOS are at increased risk for Type 2 diabetes, increased blood pressure and cholesterol, depression, anxiety and endometrial cancer.

Diet and PMOS

Research has shown healthy eating habits and regular physical activity help to manage PMOS. Eating patterns such as the Mediterranean Diet or Dietary Approaches to Stop Hypertension (DASH) may be helpful. Include a variety of healthful foods with a focus on whole grains, fruits, vegetables, lean protein foods and low-fat or fat-free dairy to help manage both your weight and blood sugar.

A healthy eating plan for women with PMOS may include:

• Four to five meals or snacks daily, including breakfast
• Adequate amounts of dietary fiber from fruits, vegetables and whole grains
• Sources of omega-3 fatty acids such as walnuts, flaxseed and fatty fish
• Protein at meals and snacks, including nut butters, lean meats, fish, tofu, beans, lentils and low-fat dairy products
• Beverages such as water, low-fat or fat-free milk or a fortified soy beverage

Physical Activity and PMOS

Regular physical activity can help alleviate symptoms of PMOS. Get moving with at least 30 minutes of moderate-intensity physical activity most days of the week. Increase muscle mass with strength-training activities at least two times per week.