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Conditions We Treat  ยท  Winter Garden, FL

PMOS care that
gets to the why.

Polyendocrine Metabolic Ovarian Syndrome (PMOS), also known as PCOS, affects roughly one in ten women, yet it's too often reduced to a single prescription and a rushed visit. Dr. Megan Luciano takes the time to understand your full picture, your hormones, metabolism, cycles, and goals, and builds a plan around it.

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What it is

Understanding
PMOS.

Polyendocrine Metabolic Ovarian Syndrome (PMOS), also known as polycystic ovary syndrome (PCOS), is one of the most common hormonal conditions in women of reproductive age. Despite the older name, it isn't really about cysts. It's a hormonal and metabolic imbalance in which the ovaries produce higher-than-typical levels of androgens, which can interfere with regular ovulation and throw your cycle off balance.

Because PMOS touches hormones, metabolism, and ovulation all at once, it can look very different from one woman to the next. Some women notice irregular or missing periods. Others come in for acne, unwanted hair growth, hair thinning, weight changes, or difficulty getting pregnant. Many have been told for years that everything looks normal without ever getting a real answer.

PMOS is also closely linked to insulin resistance, which is why it deserves more than a surface-level conversation. Left unaddressed, it can raise the long-term risk of type 2 diabetes, high cholesterol, and other metabolic concerns. The encouraging part: with the right evaluation and a plan tailored to you, PMOS is very manageable.

Source: American College of Obstetricians and Gynecologists (ACOG)

Common signs

Symptoms we
look beyond.

PMOS rarely looks the same twice. These are the signs Dr. Luciano evaluates together, as one full picture, rather than in isolation.

Our approach

How Dr. Luciano
treats PMOS.

There's no one-size-fits-all prescription for PMOS. Treatment starts with truly understanding your body, then building a plan around your symptoms and your goals, whether that's regular cycles, clearer skin, fertility, or long-term health.

01
A complete evaluation
A thorough history, exam, and the right bloodwork and imaging to confirm PMOS and rule out look-alike conditions, so you finally get a clear answer.
02
A plan built for you
Options may include cycle regulation, hormonal or non-hormonal therapies, management of insulin resistance, fertility support, and targeted lifestyle and nutrition guidance.
03
Ongoing partnership
PMOS changes over time, and so does your plan. Dr. Luciano stays with you, adjusting as your symptoms, goals, and stage of life evolve.
PMOS FAQ

Common
questions.

What are the symptoms of PMOS?+
PMOS can show up as irregular or missing periods, acne, excess hair growth, scalp hair thinning, weight changes, and difficulty getting pregnant. Many women also have signs of insulin resistance, like fatigue and sugar cravings. Because the symptoms vary so much, Dr. Luciano evaluates them together rather than one at a time.
How is PMOS diagnosed?+
There's no single test for PMOS. Diagnosis is based on a combination of your symptoms, blood work to check hormone and metabolic levels, and sometimes a pelvic ultrasound, while ruling out other conditions that can look similar. A careful, thorough evaluation is the most important step, and it's one Sparrow takes the time to do properly.
Can PMOS be managed without medication?+
For some women, at least in part, yes. Nutrition, movement, sleep, and stress management can meaningfully improve PMOS symptoms and insulin resistance. For others, medication to regulate cycles, manage hormones, or support ovulation is helpful. Dr. Luciano builds a plan around what fits your symptoms and your goals rather than defaulting to a single approach.
Can I still get pregnant with PMOS?+
Yes. PMOS is one of the most common causes of irregular ovulation, which can make conceiving harder, but many women with PMOS go on to have healthy pregnancies, often with support to regulate ovulation. If fertility is your goal, Dr. Luciano will walk you through your options and coordinate further care when it's needed.
Is there a cure for PMOS?+
PMOS is a long-term condition rather than something that's cured, but it's very manageable. With the right plan, most women see real improvement in their cycles, skin, energy, and overall health, and lower their long-term risks. The goal is to manage it well and adjust care as your life changes.
Does PMOS cause weight gain?+
PMOS and insulin resistance can make weight gain easier and weight loss harder, which is genuinely frustrating and not a matter of willpower. Addressing the underlying hormonal and metabolic imbalance, not just the number on the scale, is part of how Dr. Luciano approaches care.

Ready for healthcare
that's actually for you?

Schedule your first visit with Dr. Luciano today — unhurried appointments, direct answers, and care built around you from day one.

We intentionally maintain an unhurried schedule so every patient receives the time and attention she deserves.

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