Not Broken—From PCOS to PMOS: Your Guide to Hormones, Metabolism, Weight and Fertility

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Published date May 16, 2026
Author Darine Moukalled MD
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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.
This book is designed to help you understand that pattern.

Written by an OBGYN physician, this guide explains PCOS in clear, simple language, connecting hormones, metabolism, insulin resistance, and ovulation in a way that finally makes sense. It also introduces the emerging concept of PMOS (Polyendocrine Metabolic Ovarian Syndrome), a term that better reflects the hormonal and metabolic nature of the condition and helps explain why so many seemingly unrelated symptoms are actually part of the same underlying process.

Inside, you'll discover:
• Why your symptoms are happening
• The central role of insulin resistance—and why it affects far more than blood sugar
• How hormones and metabolism work together to influence weight, energy, and overall health
• What your lab results really mean
• The different patterns of PCOS/PMOS and where you may fit
• Evidence-based treatment options and how they work
• Fertility management, ovulation induction, and strategies to improve your chances of conception
• What to expect during pregnancy, including common risks and ways to support a healthy pregnancy
• How PCOS changes during perimenopause and menopause—and why it doesn't simply disappear with age
• Long-term health risks, including diabetes, cardiovascular disease, fatty liver disease, and more
• How to build a realistic, sustainable plan that works for your life

Whether you've just been diagnosed or have been living with PCOS for years, this book will help you better understand your body, make informed healthcare decisions, and feel empowered at every stage of life.

Because you are not broken.
You've just never been given the full picture.

Specifications

FormatEPUB, PDF
Pages210
LanguageEnglish
ISBN-13979-8195997212

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Reviews

4.6★★★★★ 20
5★84%4★11%3★3%2★1%1★1%
J Joana K. Verified
★★★★★The diagrams do the teachingSeeing the concept drawn before the notation appears changed everything for me.
M Marcus T. Verified
★★★★★A set text for my classThe problem sets are graded properly and the solutions are complete.
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