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Episode Description
PCOS has a new name! What was Polycystic Ovary Syndrome (PCOS) is now Polyendocrine Metabolic Ovarian Syndrome (PMOS). Read more about this name change here: https://www.endocrine.org/news-and-advocacy/news-room/2026/pcos-name-change
PMOS is often treated like a fertility problem — but for millions of women, it impacts so much more than just getting pregnant. Acne that won’t respond to skincare. Weight gain that feels impossible to control. Hair thinning, facial hair growth, irregular periods, anxiety, depression, insulin resistance… and years of feeling dismissed by doctors who only focus on one symptom at a time.
In part two of their PMOS deep dive, Dr. Lucky Sekhon and Dr. Alicia Robbins unpack what it’s actually like to live with PMOS long-term. This week, they explore the real symptoms women experience, why weight management with PMOS is physiologically different, and how the condition affects mental health, metabolism, cardiovascular health, and even cancer risk over time. They also break down what treatment should actually look like and long-term action plans. Most importantly, this episode is about reframing PMOS as the lifelong hormonal and metabolic condition it truly is — not just something women are told to worry about when they want a baby.
IF YOU’RE TEXTING YOUR FRIENDS LIKE...
You:
Why is it SO much harder for me to lose weight than everyone else?
Also You:
Wait… could my acne and hair loss actually be hormonal?
3AM You:
If I’m not trying to get pregnant right now… do I still need to treat my PCOS???
IF YOUR GOOGLE SEARCH HISTORY LOOKS LIKE THIS…
Why is PCOS weight loss so difficult?
Does PCOS cause insulin resistance?
Why do women with PCOS get facial hair?
Can PCOS cause hair thinning?
Do I need treatment for PCOS if I’m not trying to conceive?
What are the long-term risks of PCOS?
Can PCOS increase cancer risk?
Should I take Metformin for PCOS?
Are GLP-1 medications helpful for PCOS?
Does birth control “mask” PCOS?
What supplements actually help PCOS?
What doctor should manage PCOS long-term?
Can PCOS affect mental health?
YOU’VE COME TO THE RIGHT PLACE!
In today’s chat we cover:
[02:24] Why PCOS conversations often stop at fertility
[04:02] The emotional and physical symptom burden of PCOS
[05:14] Acne, hirsutism, and hair thinning explained
[07:18] Depression, anxiety, and body image struggles with PCOS
[08:01] Why weight loss with PCOS is physiologically harder
[08:52] Long-term risks: diabetes, endometrial cancer & cardiovascular health
[11:16] Birth control, spironolactone & hormonal treatment options
[14:16] Metformin, GLP-1s & managing insulin resistance
[15:20] Lifestyle changes that actually help PCOS
[18:00] Inositol, berberine & supplement myths
[22:09] Listener questions: weight stigma, long-term care & treatment goals
[28:06] How PCOS changes during perimenopause and aging
Let’s continue the conversation! Leave us a voicemail with your questions at 754-CALLDOC (754) 225-5362. Nothing is off limits.
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