1 · What PMOS Actually Is
Why the name changed from PCOD to PCOS to PMOS, and what the new framing reveals about the metabolic side. What PMOS is — and is not.
12 chapters · 19 pages · ESHRE 2023 guidelines
Reclaim your cycle. Reclaim you.
Polycystic Metabolic Ovarian Syndrome — the updated, more accurate name for what was once PCOD and PCOS — is the most common hormonal disorder Dr. Shafali sees in OPD. 1 in 5 Indian women have it, and most do not even know. This is the 90-minute consult, written down: built on the 2023 ESHRE / ASRM / Monash guidelines, in plain Hindi-English. ₹155.
What's inside
Twelve chapters. One whole-body view.
PMOS is not a life sentence. With the right lifestyle, the right supplements, and (when needed) the right medication, you can have regular cycles, clear skin, a healthy weight, and a baby.
2 · Diagnosis · Rotterdam Criteria
The 2-of-3 rule. The 2023 AMH update. The full work-up Dr. Shafali orders, plus the look-alikes to rule out (thyroid, prolactin, CAH).
3 · Symptoms Most Women Miss
Beyond skipped periods — acanthosis nigricans, skin tags, sugar cravings, 4 PM energy crashes, mood swings. Plus Lean PMOS, the most-missed diagnosis.
4 · The Root Cause
Insulin resistance and androgen excess, the two forces that drive everything else. Lower insulin = lower androgens = restored ovulation = clearer skin.
5 · Lifestyle, the First-Line
The PMOS plate in Indian context. Exercise numbers from ESHRE 2023 (150 min aerobic + resistance training). Sleep, stress, and the cortisol-insulin axis.
6 · Supplements That Work
Myo-inositol + D-chiro (40:1), Vitamin D, Omega-3, NAC, magnesium — exact doses and Indian brands. And what Dr. Shafali does NOT recommend.
7 · Medications, When & Why
OCPs, Metformin, anti-androgens, Letrozole for fertility, and GLP-1 agonists (the new player). Written so you understand what your doctor prescribes.
8 · PMOS and Fertility
The good news: ovarian reserve in PMOS is usually HIGHER, not lower. The 5-step fertility ladder, from lifestyle to IVF. Pregnancy after PMOS, what changes.
9 · PMOS & Mental Health
The 3-to-4× higher rate of depression and anxiety the 2023 guideline made mandatory to screen for. Therapy, strength training, and when to ask for help.
10 · Long-Term Risks
Type 2 diabetes, cardiovascular disease, endometrial cancer, sleep apnea. The annual screening checklist every woman with PMOS should ask for.
11 · Brand & Dose Reference
The exact products Dr. Shafali prescribes — Velmy, Glycomet, Yamini, Femara, Calcirol, Maxepa — with doses and timing.
12 · Red Flags · Come See Me
No period for 3+ months, sudden weight gain, severe acne or hair changes, dark velvety neck. The symptoms that need an appointment this week.
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PDF · Hindi + English · 19 pages
PMOS Guide · Reclaim Your Cycle
₹155
One-time · download to keep
- 12 chapters built on the 2023 ESHRE/ASRM/Monash guidelines
- Diagnostic work-up + exact tests to ask for
- Indian-kitchen PMOS plate + ESHRE exercise numbers
- Supplement + medication brand-and-dose reference
- Fertility ladder section · planning a baby with PMOS
- Lifetime access · re-download anytime
Secure payment via Razorpay. UPI, cards & net banking accepted.
19 yrs
Clinical practice
1 in 5
Indian women have PMOS
2023
ESHRE-aligned
₹155
One-time · lifetime access
FAQ
Quick answers
Why is it called PMOS now and not PCOS?
The medical community has shifted to ‘Polycystic Metabolic Ovarian Syndrome’ to better reflect that this is a whole-body metabolic condition, not just an ovary problem. Chapter 1 of the guide explains the name change and why it matters for how you're treated.
I already have a PMOS diagnosis. Is this still useful?
Yes — most patients tell Dr. Shafali their original diagnosis came with very little explanation. This guide is the explanation in detail, plus the lifestyle + supplement + medication sections clinicians rarely have time to walk through.
I think I might have PMOS but I'm not sure. Is this for me?
Especially for you. Chapters 2 and 3 cover diagnosis criteria and the symptoms most women miss — including ‘lean PMOS’ which is often dismissed because the woman ‘doesn't look like PCOS’. Read it, then bring it to your next gyne visit.
Is this for diagnosis or treatment?
Neither directly. It's an educational guide to help you understand what's happening, what tests to ask your gyne for, and what protocols are evidence-based. For your specific case, please see a doctor in person.
What language is it in?
Hindi and English, side-by-side. Same way Dr. Shafali speaks to patients in OPD.
Refund policy?
Because the PDF is delivered instantly, the guide is non-refundable. If you have a payment issue or didn't receive the email, reply to your payment confirmation and we'll fix it.