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PCOS/PMOS Treatment in Charlottesville, VA
Get expert, compassionate care for PCOS/PMOS.
What is PMOS (formerly known as Polycystic Ovary Syndrome)?
PMOS (Polyendocrine Metabolic Ovarian Syndrome), previously referred to as Polycystic Ovary Syndrome (PCOS), is a hormonal condition that affects how the ovaries function. It often leads to irregular menstrual cycles, excess androgen (male hormone) levels, and multiple small cysts on the ovaries.
The newer term PMOS reflects the fact that the condition affects more than just the ovaries.
PCOS/PMOS is one of the most common causes of infertility, but it can also influence metabolism, insulin response, high blood pressure, skin health, weight, and hair growth patterns. Many people with PCOS/PMOS find that symptoms change over time, especially with lifestyle shifts or treatment.
PCOS/PMOS Symptoms
The symptoms of PCOS/PMOS can vary widely from person to person. You might experience:
- Irregular menstrual periods or missed menstrual periods
- Excess hair growth on the face, chest, or abdomen
- Acne or oily skin
- Weight gain or difficulty losing weight
- Thinning hair on the scalp
- Fatigue or low energy
- Difficulty becoming pregnant
If these symptoms are disrupting your daily life, treatment can help. Every case of PCOS/PMOS is unique, and the best approach depends on your specific hormonal patterns and goals. Our team will work closely with you to create a plan that helps restore balance and long-term wellness.
How is PCOS/PMOS Treated?
At The Center For Advanced Gynecology, our treatment for PCOS/PMOS focuses on managing symptoms and addressing the underlying hormonal imbalance. The right approach depends on your specific needs, including whether you’re trying to regulate your menstrual cycle, manage acne or excess hair growth, or support fertility. PCOS/PMOS treatment options can include:
- Hormonal birth control to regulate menstrual cycles
- Progesterone therapy to trigger regular periods
- Medications to support insulin sensitivity
- Fertility treatments, like ovulation induction for those trying to conceive
- Anti-androgen medications to reduce acne and unwanted hair growth
- Lifestyle and nutrition counseling to help with weight management and hormone regulation
With the right combination of care, many patients see improved cycle regularity, clearer skin, and restored fertility.
Who Needs PCOS/PMOS Treatment?
You might need treatment for PCOS/PMOS if you experience:
- Irregular or missed menstrual periods
- Difficulty becoming pregnant
- Excess facial hair or body hair
- Acne that doesn’t improve with skincare treatments
- Weight gain or metabolic changes
- Fatigue, mood swings, or hormonal imbalances affecting daily life
Even if your symptoms feel mild, early detection can help prevent long-term health issues sometimes related to PCOS/PMOS.
What are the Risks of Leaving PCOS/PMOS Untreated?
Untreated PCOS/PMOS can lead to a range of complications beyond irregular periods. Ongoing hormonal imbalance can increase the risk of infertility, endometrial thickening, type 2 diabetes, and cardiovascular problems. Many people also experience persistent acne, unwanted hair growth, and mood fluctuations that affect confidence and well-being.
If symptoms interfere with your daily routine or overall health, receiving treatment early can help protect fertility, balance hormones, and reduce the risk of future complications.
What To Expect
If your provider suspects PCOS/PMOS, they will discuss your symptoms, menstrual patterns, and medical history in detail. You’ll have the opportunity to share any concerns and ask questions before moving forward with testing.
Your provider will typically perform a physical and pelvic exam to check for signs of hormonal imbalance, such as acne, excess hair growth, or enlarged ovaries. Blood tests are often ordered to measure hormone levels, including testosterone, LH, FSH, and insulin. An ultrasound may also be performed to look for multiple small follicles on the ovaries and to assess their size.
After the evaluation, your provider will review the findings with you and outline a treatment plan that's best for your current health and symptoms.
Why Choose The Center For Advanced Gynecology
The Center for Advanced Gynecology, established in 2018, is dedicated to improving your health by offering expertise in various areas, with a specific focus on gynecological care and advanced surgical techniques when surgery is needed.
Our team provides specialized expertise in non-surgical treatment of chronic pelvic pain, painful intercourse, pudendal neuralgia, and vaginal, vulvar, and bladder pain.
Since opening our doors, we have recognized the need in our community for more than just specialty care and have a growing practice in routine gynecologic care, cancer screening, Pap smears, menopausal management, hormonal imbalances, hormone replacement therapy, breast care, contraceptive care, urinary incontinence, and pelvic organ prolapse.
Frequently Asked Questions
The exact cause of PCOS/PMOS isn’t fully understood, but it’s linked to a combination of genetic and hormonal factors. Many people with PCOS/PMOS have higher levels of androgens (which are male hormones) and insulin resistance, which can disrupt normal ovulation and lead to irregular menstrual cycles.
Yes. PCOS/PMOS can make it more difficult to ovulate regularly, which can impact your ability to get pregnant. That said, many people with PCOS/PMOS do conceive, especially with the right support. Treatments that encourage ovulation, along with lifestyle adjustments, often lead to positive outcomes. Not everyone with PCOS/PMOS will experience fertility challenges.
PCOS/PMOS does not typically go away, but symptoms can become much more manageable with treatment. Hormone levels can stabilize over time, and many people see noticeable improvements. Ongoing care helps keep symptoms under control and supports long-term health.
No. PCOS/PMOS affects more than just your reproductive system. It often connects to metabolic and hormonal changes throughout the body. You might notice symptoms like insulin resistance, weight fluctuations, acne, or a higher risk of conditions such as diabetes and heart disease.
Doctors look at a combination of factors when diagnosing PCOS/PMOS. This usually includes your medical history, symptoms, and lab work. Blood tests can reveal hormone imbalances or signs of insulin resistance, and an ultrasound may show multiple small follicles on the ovaries, which is a common indicator of Polycystic Ovarian Syndrome.
Unwanted facial hair caused by PCOS/PMOS can be managed with a few options. While some might turn to laser hair removal, birth control pills can regulate hormones and slow hair growth over time.
Yes. Regular exercise and a balanced diet can make a big difference for people with PCOS/PMOS. These lifestyle changes can support a healthy weight, potentially improve insulin sensitivity, and promote more regular menstrual cycles. Even modest weight loss can sometimes help balance hormones and reduce symptoms (like acne and excessive hair growth).
Yes, it can. Hormonal imbalances and insulin resistance often make weight loss more challenging for people with PCOS/PMOS. However, combining consistent physical activity with nutrition guidance and medical support can help you reach and maintain a healthy weight.