PCOS has a new name—but does that change how it's diagnosed or treated?
In this episode, Dr. Lorne Brown is joined by board-certified urologist and nutrition expert Dr. Mark Ratner to unpack the transition from PCOS (Polycystic Ovary Syndrome) to PMOS (Polyendocrine Metabolic Ovarian Syndrome). They discuss why the name changed, what it means for patients, and why this condition is much more than an ovulation disorder.
The conversation explores the connection between insulin resistance, hormones, fertility, metabolic health, and long-term wellness. Dr. Ratner and Dr. Brown also discuss evidence-based lifestyle strategies, supplements like myo-inositol and D-chiro-inositol, the importance of individualized care, and emerging research on the vaginal microbiome's role in fertility.
Key Takeaways:
- PMOS better reflects the hormonal and metabolic nature of the condition previously known as PCOS.
- Insulin resistance plays a central role in hormone imbalance, ovulation, and fertility.
- Lifestyle changes, nutrition, exercise, and targeted supplements can improve metabolic health and reproductive outcomes.
- PMOS is a lifelong health condition—not just a fertility diagnosis—and requires a holistic approach.
- Emerging research suggests the vaginal microbiome may also influence fertility and reproductive health.
Where to find Dr. Mark Ratner:
Dr. Mark Ratner’s Bio:
Dr. Ratner is a board-certified urologist and the Chief Science Officer of Theralogix, which markets micronutrient supplements with a focus on reproductive health. Dr. Ratner did his undergraduate and graduate studies in nutrition at Cornell University. He received his M.D. and residency training at Tulane University School of Medicine.
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