PMOS in Practice
Optimizing Health
for People with PMOS

This course was built by practicing midwives for the realities of your patient panel.

• Describe the pathophysiology and multisystem nature of PMOS (formerly PCOS), including its reproductive, metabolic, dermatologic, and psychological manifestations.
• Identify signs, symptoms, risk factors, and clinical presentations that warrant evaluation for PMOS across the reproductive lifespan.
• Apply current diagnostic criteria to determine whether an adolescent or adult patient meets criteria for PMOS.
• Select an appropriate evidence-based diagnostic evaluation for suspected PMOS, including laboratory testing and appropriate use of ultrasound and/or AMH, while excluding alternative etiologies.
• Assess patients with PMOS for metabolic, cardiovascular, endometrial, psychological, and sleep-related risks using appropriate history, physical examination, laboratory testing, and validated screening tools.
• Develop an individualized longitudinal monitoring and referral plan for a patient with PMOS based on clinical findings, risk factors, symptoms, and patient priorities.
• Formulate an evidence-based, individualized management plan for a patient with PMOS who is not currently seeking pregnancy, addressing menstrual/endometrial health, hyperandrogenic symptoms, metabolic health, and long-term disease prevention.
• Apply patient-centered communication and shared decision-making strategies that support patient agency, minimize weight stigma and bias, and promote achievable health-behavior goals.
• Develop an initial preconception and fertility evaluation plan for a patient with PMOS who desires pregnancy.
• Select appropriate first-line fertility interventions for anovulatory infertility associated with PMOS, including health optimization, timed intercourse, and pharmacologic ovulation induction, and identify indications for escalation or specialty referral.
• Provide individualized, evidence-based patient education and anticipatory guidance regarding PMOS, including symptom management, lifelong health risks, reproductive goals, fertility, follow-up, and reliable patient resources.
• Integrate evidence-based PMOS care into clinical practice using appropriate screening tools, clinical workflows, patient education/after-visit resources, documentation templates, and relevant coding and billing considerations.