PMOS, Infertility, and Finding Answers ft. Hannah Brown

In this episode of SheMD, hosts Mary Alice Haney and Dr. A sit down with Hannah Brown to unpack her long and complex health journey with PMOS, fertility challenges, and a recently discovered uterine septum.

Hannah shares how years of irregular periods, cystic acne, weight fluctuations, and anxiety were repeatedly overlooked before she finally received a clear diagnosis. She opens up about navigating public life while silently struggling with her health, and how getting the right medical support completely changed her trajectory.

Dr. A breaks down the science behind PMOS, insulin resistance, and hormone disruption, explaining how metabolic health impacts ovulation, fertility, and long-term well-being. The conversation also explores uterine anomalies, surgical treatment options, and why early diagnosis is critical for reproductive health.

The episode also highlights Hannah’s mental health journey, including therapy and EMDR, and how addressing trauma and inflammation helped her rebuild both her physical and emotional health.

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What You’ll Learn

• Why PMOS is often missed or misdiagnosed for years
• How insulin resistance drives hormonal imbalance and symptoms
• The connection between PMOS, inflammation, and fertility challenges
• What a uterine septum is and how it affects pregnancy outcomes
• Treatment options including metformin, GLP-1s, and surgical correction
• Why mental health and trauma can amplify physical symptoms
• How to advocate for proper diagnostic testing and care

Key Timestamps

00:00 Why Most Women With PMOS Are Never Properly Diagnosed

02:24 Hannah Brown Opens Up About Her PMOS Journey

03:48 How It All Started With Her Very First Period

05:01 The Moment A Dermatologist Changed Everything

07:16 Finally Getting Real Answers About PMOS

10:30 What Hannah Did To Start Feeling Better

13:37 What Is PMOS And How Common Is It

14:41 The Brain Ovary Loop Nobody Explains To You

16:19 Why Your Ovaries Stop Releasing Eggs

17:18 The Insulin Resistance Loop Making Everything Worse

19:00 How High Insulin Destroys Your Hormones

20:24 How Metformin And GLP1s Actually Fix The Root Cause

25:37 Why GLP1s Gave Hannah Her Period Back Every 30 Days

27:13 How Hannah Became Her Own Health Advocate

29:06 The Uterine Septum Nobody Warned Her About

31:12 What A Septate Uterus Is And Why It Matters

33:30 The Fertility Risks Of An Untreated Septum

36:28 Hannah's Full Treatment Plan Before Trying To Conceive

41:11 Why You Must Always Get A 3D Ultrasound

43:47 Septate vs Bicornuate Uterus What Every Woman Should Know

47:22 The Surgical Technique That Changes Everything

53:02 Why Hannah Is Sharing Her Story Publicly

55:00 Always Ask For A 3D Ultrasound At Your Appointment

1:00:07 How PMOS Affected Hannah During The Bachelorette And DWTS

1:03:42 Hannah's Experience With EMDR Therapy

1:05:28 How EMDR Actually Works In Simple Terms

1:07:43 The Moment Hannah Knew She Had To Change Everything

1:11:05 How Hannah Completely Transformed Her Health

1:13:18 Hannah's Advice For Every Woman Struggling Right Now

1:15:10 Take The Free PMOS Quiz And Find Your Answers

Key Takeaways

• PMOS is a metabolic and hormonal condition, not just a reproductive one
• Insulin resistance plays a central role in worsening symptoms and fertility issues
• Many women go years without proper diagnosis despite clear symptoms
• Uterine septums can significantly increase miscarriage risk but are often treatable
• Proper diagnosis and intervention can dramatically improve ovulation and fertility outcomes
• Mental health, stress, and trauma can intensify physical inflammation and symptoms
• Self-advocacy and persistence in seeking care can change long-term health outcomes

Guest Bio

Hannah Brown is a television personality, bestselling author, and former lead of The Bachelorette. She first gained national recognition as a contestant on The Bachelor before starring in The Bachelorette, winning Dancing with the Stars, and later competing on Special Forces: World's Toughest Test.

In addition to her television career, Hannah is a New York Times bestselling author. Her books include the memoir God Bless This Mess and the romance novels Mistakes We Never Made, The Four Engagement Rings of Sybil Rain, and Reasons to Be Loved by You.

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