PCOS Has Had A Name Change! Here's What PMOS Means for You with Dietitian Sara from Your Monthly Club

She's had a rebrand. And it's been a long time coming.

In this episode, Jess sits down with Sara, New Zealand registered dietitian, women's health expert, and founder of Your Monthly Club, to unpack one of the biggest developments in women's health in recent years.

PCOS has officially been renamed PMOS, Polyendocrine Metabolic Ovarian Syndrome, and Sara is here to explain exactly what that means, why it matters, and what it changes for the one in ten women living with this condition.

Sara breaks down the name change from the ground up. Why the word "cysts" was always misleading, why so many women were being misdiagnosed or dismissed because they didn't have cysts visible on ultrasound, and why the new name is a far more accurate reflection of what PMOS actually is.

A full-body, metabolic, endocrine experience, not just a reproductive one. She explains why the change took over 14 years of global consultation to get right, and why the online community's response felt, in her words, like a feminist moment.

They go deep into insulin resistance, the driving force behind 70 to 90% of PMOS symptoms and Sara dismantles some of the most common nutrition myths that women with PCOS have been living by for years. Cutting carbs, going gluten-free, skipping meals, and fasting.

She reframes the conversation entirely. It's not about taking foods away, it's about what you add alongside them. Her practical rule of four (protein, fat, fibre, and carbohydrate together) is one of the most accessible and genuinely useful pieces of nutrition advice we've had on the show.

Jess shares her own experience of years of unexplained weight gain before her endometriosis diagnosis, the self-blame, the guilt, the constant comparison to friends who seemed to lose weight easily, and Sara explains exactly why that experience makes complete biological sense for women with insulin resistance, and why the weight loss advice most women receive is actively working against their physiology.

They also touch on inositol and its role in improving insulin signalling, GLP-1 medications and Sara's honest and nuanced view on their place in PMOS management, and what she hopes the name change will actually change in terms of how women are diagnosed, informed, and cared for long term.

This is a rich, reassuring, and genuinely eye-opening episode for anyone who has a PCOS or PMOS diagnosis, suspects they might, or has ever been made to feel like their symptoms are their own fault.

Find Sara at yourmonthlyclub.co.nz and on Instagram @yourmonthlyclub

Follow and connect

Instagram: @wearethecyclist

Website: wearethecyclist.com

Hit play. Your hormones aren't broken. You just haven't been given the full picture yet.