PCOS / PMOS (Polyendocrine Metabolic Ovarian Syndrome)
In Brief
Dr. Sanika Kshirsagar at Soma Naturopathic in Kirkland, WA treats PCOS — now also called PMOS (Polyendocrine Metabolic Ovarian Syndrome) — by addressing root causes like insulin resistance and inflammation through clinical nutrition, botanical medicine, and nutraceuticals including inositol and vitamin D, helping restore hormonal balance, regular cycles, and long-term metabolic health.
PCOS — renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS) by global consensus in 2026 — is a hormonal and metabolic disorder affecting roughly one in eight women. It causes infrequent or prolonged menstrual periods, excess androgen levels, and ovaries that develop numerous small follicles and fail to release eggs regularly. The name was changed because the so-called cysts are not cysts at all but stalled follicles, and because the old name obscured the insulin resistance and endocrine dysfunction that actually drive the condition. PCOS and PMOS are the same diagnosis; most clinics and billing codes still use PCOS.
Symptoms
- •Irregular periods or no menstruation
- •Excess androgen (male hormone) levels leading to facial hair or acne
- •Polycystic ovaries visible on ultrasound
- •Weight gain and difficulty losing weight
- •Thinning hair or male-pattern baldness
- •Darkening of skin, particularly along neck creases, in the groin, and underneath breasts
Causes & Risk Factors
- •Insulin resistance - excess insulin may increase androgen production
- •Low-grade inflammation - white blood cells produce substances to fight infection that can stimulate polycystic ovaries to produce androgens
- •Heredity - research suggests certain genes might be linked to PCOS
- •Excess androgen production by the ovaries
Naturopathic Approach
Naturopathic treatment for PCOS focuses on addressing the root causes rather than just managing symptoms. This includes improving insulin sensitivity through targeted nutrition therapy emphasizing low-glycemic foods, reducing systemic inflammation with anti-inflammatory herbs and omega-3 fatty acids, supporting hormonal balance through botanical medicine like saw palmetto and spearmint, optimizing nutrient status particularly inositol, vitamin D, and magnesium, and implementing comprehensive lifestyle modifications including stress management techniques and regular physical activity tailored to individual needs. This integrative approach aims to restore menstrual regularity, improve metabolic health, and support long-term wellness.
Related Modalities
How Each Treatment Helps PCOS / PMOS (Polyendocrine Metabolic Ovarian Syndrome)
PCOS / PMOS (Polyendocrine Metabolic Ovarian Syndrome) Care by City
Frequently Asked Questions
Is PCOS now called PMOS?
Yes. In 2026 a global consensus published in The Lancet renamed polycystic ovary syndrome to Polyendocrine Metabolic Ovarian Syndrome (PMOS). It is the same condition — your diagnosis, testing and treatment are unchanged. The name was changed because the "cysts" are not cysts but stalled follicles, and because naming it after the ovaries hid the insulin resistance and hormonal dysfunction that drive it. Most clinicians, medical records and insurance billing codes still use PCOS during the transition period, so both terms are correct right now.
Can PCOS be cured with naturopathic treatment?
While PCOS cannot be completely "cured," symptoms can be effectively managed and significantly improved through comprehensive naturopathic care. Many patients see restoration of regular menstrual cycles, improved metabolic markers, and better quality of life with consistent treatment focusing on nutrition, herbal medicine, and lifestyle modifications.
How is PCOS diagnosed?
PCOS is typically diagnosed using the Rotterdam criteria, which requires at least two of three features: irregular ovulation or anovulation, clinical or biochemical signs of excess androgens, and polycystic ovaries on ultrasound. Comprehensive lab testing including hormone panels, fasting insulin, and glucose tolerance tests help identify underlying metabolic issues.
Can I get pregnant if I have PCOS?
Yes, many women with PCOS can conceive with appropriate support. Naturopathic treatment focuses on restoring regular ovulation through improving insulin sensitivity, reducing inflammation, and balancing hormones. Preconception care typically begins 3-6 months before trying to conceive to optimize fertility and prepare the body for a healthy pregnancy.
How long does it take to see improvements with naturopathic treatment?
Most patients begin noticing improvements in energy and metabolic symptoms within 4-6 weeks. Menstrual cycle regulation typically takes 3-6 months as the body rebalances hormonally. Long-term metabolic improvements and sustained symptom management require ongoing commitment to dietary and lifestyle changes, with optimal results seen after 6-12 months of consistent treatment.
References
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Dr. Sanika Kshirsagar, ND
Doctorate of Naturopathic Medicine (ND)
Bastyr University, Kenmore, WA
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