PMOS / PCOS Care
PMOS Care, the Condition You May Know as PCOS
Whole-Body Care for PMOS (Polyendocrine Metabolic Ovarian Syndrome), Formerly Known as PCOS
Physician-led care for women across Illinois living with PMOS, the hormonal and metabolic condition recently renamed from polycystic ovary syndrome (PCOS).
If you have spent years being told to lose weight and come back, bounced between doctors for irregular periods, acne, unwanted hair, mood changes, or trouble getting pregnant, and never given a plan that tied it all together, you are not imagining it. That is how this condition has been handled for far too long.
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You may know it as PCOS, polycystic ovary syndrome. As of 2026, it has a new and more accurate name: PMOS, polyendocrine metabolic ovarian syndrome. The change reflects what women with the condition have long sensed. This is not just about the ovaries, and most women who have it do not even have true cysts.
PMOS affects about one in eight women, yet an estimated 70 percent do not know they have it. Many go years without a clear diagnosis.
At Sina Medical Direct Primary Care, PMOS is treated as the whole-body hormonal and metabolic condition it actually is. Under the care of Dr. Ali, the focus is on the full picture, your hormones, your metabolism, your symptoms, and your goals, in one connected plan.
PCOS Is Now PMOS, and the Change Matters
For decades, the name "polycystic ovary syndrome" caused confusion. It suggested the problem was cysts on the ovaries, when those are not true cysts and are not what drives the condition. The old name also hid the bigger reality, that PMOS affects hormones, metabolism, weight, skin, mood, and the heart, not just the reproductive system.
In May 2026, a global group of more than 50 medical and patient organizations officially renamed the condition polyendocrine metabolic ovarian syndrome, or PMOS. Both names will be used during a transition period, so you will see PCOS and PMOS referring to the same condition.
The new name matters because it points care in the right direction. PMOS is best treated by looking at the whole body, which is exactly how we approach it.
Why Most PMOS Care Falls Short
Most PMOS care fails because it treats one symptom at a time and never connects them.
A woman with PMOS might see one doctor for irregular periods, another for acne or weight, and hear nothing about the insulin resistance underneath it all. Visits are short. Symptoms get managed in isolation. The metabolic risks, including type 2 diabetes and heart disease, go unaddressed.
Worse, many women are simply told to lose weight and sent away, with no help, no plan, and no one explaining why the weight is so hard to lose in the first place. The frustration is real, and it is not your fault.
PMOS is a connected condition. It needs connected care.
What Ongoing PMOS Care Actually Means
PMOS is a hormonal and metabolic condition. In most women, the body produces higher levels of certain hormones and does not respond well to insulin. That combination drives the familiar symptoms and the long-term risks.
The signs vary, but often include irregular or missing periods, acne, excess facial or body hair, thinning scalp hair, weight that resists effort, and difficulty getting pregnant. Underneath it, insulin resistance raises the risk of type 2 diabetes, high cholesterol, fatty liver, and heart disease over time.
Confirming the diagnosis through your history, an exam, hormone and metabolic blood tests, and imaging when needed.
Treating the root, since improving insulin sensitivity often improves periods, skin, weight, and fertility together.
Managing the symptoms that matter to you, whether that is regular cycles, clearer skin, hair concerns, or planning for pregnancy.
Protecting long-term health, by watching for and helping prevent diabetes, cholesterol problems, and heart risk.
Supporting mental health, since anxiety and low mood are common with PMOS and deserve real attention.
When care is connected this way, many women see several symptoms improve at once.
Meet Your Physician
Dr. Ali's Approach to PMOS
PMOS sits right at the center of Dr. Ali's expertise. She is a triple board-certified physician in Internal Medicine, Obesity Medicine, and Lifestyle Medicine, with a focus on women's hormonal and metabolic health. Because PMOS is driven by hormones and insulin resistance, this is exactly the combination the condition calls for.
Her PMOS care includes:
A clear diagnosis using hormone and metabolic testing
Treatment of the insulin resistance that underlies many symptoms
Help with cycle regulation, skin, and hair concerns
Physician-guided nutrition and activity built around your life
Screening for and prevention of diabetes, cholesterol problems, and heart risk
Support for mood and mental wellbeing
Coordination with gynecology or fertility specialists when you are planning pregnancy
What We Help You Manage
PMOS shows up differently in every woman, so our care covers the full range.
How Our PMOS Program Works
Full Evaluation
We start with your complete picture, your symptoms, history, and goals, along with hormone and metabolic testing and imaging when needed, so the diagnosis is clear.
A Plan Built Around You
Based on that, we create a connected plan that targets the root cause and the symptoms that matter most to you, shaped around your life and your priorities.
Treating the Whole Condition
We work on insulin resistance, cycles, skin, weight, and mood together, since improving the core often improves the rest.
Ongoing Follow-Up
PMOS changes across life stages, so we stay involved, recheck your labs, and adjust your plan, with direct access to your physician between visits.
What You Can Expect
With consistent, physician-led care, many women with PMOS find they have:
The goal is steady improvement across the symptoms that affect your life, and protection for your long-term health.
Take the First Step
You deserve more than being told to lose weight and come back. PMOS is real, it is connected, and it is manageable with the right plan.
Start physician-led PMOS care that treats the whole condition and protects your long-term health.
Frequently Asked Questions
Is PMOS the same as PCOS?
Yes. PMOS, polyendocrine metabolic ovarian syndrome, is the new name for the condition long known as PCOS, polycystic ovary syndrome. It was renamed in 2026 to better reflect its hormonal and metabolic nature. The condition itself has not changed.
Why was PCOS renamed?
Because the old name was misleading. Most women with the condition do not have true ovarian cysts, and the name hid its wider hormonal, metabolic, and long-term health effects. The new name reflects what the condition actually is.
Can PMOS be cured?
There is no cure, but PMOS is very manageable. The right plan can regulate cycles, improve symptoms, support fertility, and lower long-term health risks.
I was told to just lose weight. Is that all I can do?
No. Weight is one piece, and it is often hard to lose because of the insulin resistance behind PMOS. Real care addresses that root cause and your other symptoms together, with proper support.
Can PMOS affect my fertility?
It can, because it often disrupts ovulation. Many women with PMOS conceive with the right care, and we coordinate with gynecology or fertility specialists when you are planning pregnancy.
What health risks come with PMOS?
PMOS raises the long-term risk of type 2 diabetes, high cholesterol, fatty liver, and heart disease, which is why ongoing monitoring is an important part of care.
How is PMOS diagnosed?
Through your symptoms and history, a physical exam, hormone and metabolic blood tests, and imaging when needed. We put the full picture together rather than relying on a single test.
Can you manage my PMOS virtually?
Yes. Much of PMOS care, including reviews, lab results, and follow-ups, can be handled through telemedicine across Illinois.
Do I need insurance to be seen?
No. Our Direct Primary Care model does not require insurance and gives you direct, straightforward access to your physician.
How often will I be seen?
It depends on your symptoms and goals. PMOS care usually involves regular follow-ups with lab rechecks, all included in your membership.
Medically Reviewed by Dr. Syeda Farheen Ali, MD Triple Board-Certified Physician in Internal Medicine, Obesity Medicine, and Lifestyle Medicine Last updated: July 2026
The Problem
Why the Traditional System Fails Patients
What an ER or urgent care bills for issues we treat the same day
The average appointment in traditional, insurance-driven care
Of patients delay or skip care over cost, wait times, or access
A flat Sina membership — everything included, no copays, no surprise bills
What's Covered
Everything Included In Your Membership
One flat monthly membership covers comprehensive care across every category below — with no copays, no hidden fees, and direct access to Dr. Ali.
- Unlimited same-day and next-day visits
- Telehealth across Illinois
- Direct text and call access to Dr. Ali
- Annual physicals and preventive care
- Acute and urgent care (flu, UTI, strep, rash, ear infections)
- Chronic disease management (diabetes, hypertension, thyroid, COPD, sleep apnea)
- Women's health: HRT, menopause care, Pap smears, breast exams
- Men's health: testosterone, preventive care, cardiovascular health
- GLP-1 prescriptions (Semaglutide, Tirzepatide)
- Medical weight loss management
- Labs at wholesale cost (70 to 90 percent off retail)
- Generic medications at cost
- Specialist referral coordination
- Sick Visits
- Cold, Flu & Viral Illness Treatment
- Sore Throat & Strep Testing
- Sinus Infections
- Pneumonia Evaluation & Treatment
- Urinary Tract Infection (UTI) Treatment
- STI Testing & Sexual Health Screening
- Skin Rashes & Minor Skin Conditions
- Minor Lacerations & Wound Care
- Suture/staple Removal
- Muscle Strains & Sprains
- Joint Pain Evaluation
- Ear Wax Removal
- Return-to-Work Clearance Visits
- Stomach Flu & Digestive Illnesses
- Well-Woman Exams, Pap Smear
- Menopause & Perimenopause Care
- Hormone Replacement Therapy (HRT)
- Bioidentical Hormone Therapy (BHRT)
- Pap Smears & Cervical Cancer Screening
- Insulin Resistance & Metabolic Health Support
- Thyroid Hormone Optimization
- Fatigue & Hormonal Imbalance Treatment
- Weight Loss for Women
- Preventive Women's Health Care
- Men's Preventive Care
- Testosterone Replacement Therapy (TRT)
- Hormone Optimization for Men
- Men's Weight Loss Programs
- Andropause / Male Menopause Support
- Metabolic Health & Energy Optimization
- Physician-Guided Weight Loss Programs
- GLP Therapy (Semaglutide / Tirzepatide)
- Personalized Nutrition Counseling
- Exercise & Lifestyle Planning
- Metabolic Syndrome Management
- Insulin Resistance & Prediabetes
- Ongoing Progress Monitoring
- Bariatric Surgery Referrals When Appropriate
- Diabetes & Prediabetes
- High Blood Pressure (Hypertension)
- High Cholesterol (Dyslipidemia)
- Thyroid Disorders
- Asthma & COPD
- Coronary Artery Disease
- Congestive Heart Failure
- Sleep Apnea
- Fatty Liver Disease & IBS
- Osteoarthritis & Osteoporosis
- Heartburn & Acid Reflux
- Atrial Fibrillation
- Lifestyle Medicine Counseling
- Sustainable Habit Development
- Disease Prevention & Risk Reduction
- Long-Term Wellness Planning
- Nutrition & Exercise Coaching
- Functional & Root-Cause Focused
- Stress & Sleep Optimization
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