Not Broken—From PCOS to PMOS: Your Guide to Hormones, Metabolism, Weight and Fertility
by Darine Moukalled MD · 2026
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Description
PCOS is one of the most common conditions affecting women — and one of the most misunderstood. Many people are told they have PCOS but leave with more questions than answers. Irregular cycles, weight changes, acne, unwanted hair growth, and fertility struggles can feel confusing and disconnected. But they are not random. They are part of a larger pattern. Written by a physician, this book explains PCOS in clear, simple language, helping you understand hormones, insulin resistance, metabolism, ovulation, and treatment options in a way that finally makes sense. It also explores the growing shift from the term PCOS to PMOS (Polyendocrine Metabolic Ovarian Syndrome), a name that more accurately reflects the hormonal and metabolic nature of the condition. For years, the term “polycystic ovary syndrome” placed most of the focus on the ovaries, even though the condition affects far more than ovarian cysts alone. PMOS better captures the bigger picture — including insulin resistance, metabolism, inflammation, hormone signaling, weight regulation, fertility, and long-term health risks. Inside, you’ll learn: • Why your symptoms are happening • How hormones and metabolism are connected • What your lab results actually mean • The different patterns of PCOS • How insulin resistance affects the body • How PCOS can affect fertility and pregnancy • What PCOS may mean for long-term health • What treatments really do, and what they don’t • Practical ways to support your health without perfection Whether you were recently diagnosed or have been struggling with symptoms for years, this book is designed to help you better understand your body, feel more informed, and feel less alone. You are not broken. You deserve answers.
