Polycystic ovary syndrome has been renamed polyendocrine metabolic ovarian syndrome (PMOS) to reflect its metabolic core. Patients and colleagues will use both names for some time. When a woman of reproductive age attends with obesity, prediabetes or a family history of diabetes, ask directly about irregular cycles and a prior PCOS or PMOS diagnosis, and write it in the problem list. It changes when you test glucose in pregnancy, it is a reason to discuss contraception and preconception planning if she is starting a GLP-1 receptor agonist, and it is easily lost because it is usually diagnosed by a gynaecologist rather than the diabetes team.
- PMOS (polyendocrine metabolic ovarian syndrome) is the new name for PCOS.
- Ask about irregular cycles and a prior PCOS diagnosis in women of reproductive age with metabolic risk.
- Record it on the problem list so the obstetric team sees it at booking.
- Discuss contraception before starting a GLP-1 receptor agonist, and stopping it before planned pregnancy.
Why it matters
A diagnosis made in gynaecology often never reaches the diabetes record, where it changes decisions.
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