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Women with irregular periods should be checked for PMOS, NHS says

Women with irregular periods should be checked for PMOS, NHS says

Summary

The NHS has issued new draft guidance recommending that up to 4 million women with irregular periods should be checked for polyendocrine metabolic ovarian syndrome (PMOS). PMOS, which affects hormone levels and can cause health problems, is often missed or treated inconsistently. The guidance covers testing and yearly health reviews to better manage the condition.

Key Facts

  • PMOS affects about 13% of women of reproductive age worldwide, according to the World Health Organization.
  • Symptoms include irregular or no periods, high testosterone, and ovaries with many small follicles.
  • PMOS is linked to higher risks of diabetes, heart disease, sleep problems, liver disease, mental health issues, and pregnancy complications.
  • The NHS guidance applies to girls over 10, adult women, trans men, and non-binary people not undergoing gender reassignment.
  • Diagnosis involves blood tests for hormone levels and sometimes ultrasounds.
  • People with PMOS should have an annual health review to monitor symptoms and associated risks.
  • Treatments like IVF may be offered if criteria are met, but laser hair removal is not recommended due to cost and health impact.
  • The guidance is based on international studies and aims to improve early diagnosis and consistent care.
  • Consultation on the draft guidance is open until August 2026, with final guidelines expected in December 2026.
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