PMOS in Practice: Optimizing Health for People with PMOS

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About Course

PMOS in Practice: Optimizing Health for People with PMOS

  • 4 CE / 1 RxCE
  • Practice Toolkit 
  • Live Case-Based Learning (CBL) webinars (1 live webinar required)
  • On demand recorded presentations with and without captions

Implementation Toolkit Contents

  • documentation templates for customization in EMR with evidence-based prompts
  • evidence-based after visit summary (AVS) with inclusive resources
  • coding/documentation resources to align documentation with coding and reimbursement
  • curated clinical resources
  • evidence-based screeners with links to access and associated workflows
  • access to communities of practice until course CE enrollment expires in October 2028

Learning Objectives

  • Describe the pathophysiology and multisystem nature of PMOS (formerly PCOS), including its reproductive, metabolic, dermatologic, and psychological manifestations
  • Identify signs, symptoms, risk factors, and clinical presentations that warrant evaluation for PMOS across the reproductive lifespan
  • Apply current diagnostic criteria to determine whether an adolescent or adult patient meets criteria for PMOS
  • Select an appropriate evidence-based diagnostic evaluation for suspected PMOS, including laboratory testing and appropriate use of ultrasound and/or AMH, while excluding alternative etiologies
  • Assess patients with PMOS for metabolic, cardiovascular, endometrial, psychological, and sleep-related risks using appropriate history, physical examination, laboratory testing, and validated screening tools
  • Develop an individualized longitudinal monitoring and referral plan for a patient with PMOS based on clinical findings, risk factors, symptoms, and patient priorities
  • Formulate an evidence-based, individualized management plan for a patient with PMOS who is not currently seeking pregnancy, addressing menstrual/endometrial health, hyperandrogenic symptoms, metabolic health, and long-term disease prevention
  • Apply patient-centered communication and shared decision-making strategies that support patient agency, minimize weight stigma and bias, and promote achievable health-behavior goals
  • Develop an initial preconception and fertility evaluation plan for a patient with PMOS who desires pregnancy
  • Select appropriate first-line fertility interventions for anovulatory infertility associated with PMOS, including health optimization, timed intercourse, and pharmacologic ovulation induction, and identify indications for escalation or specialty referral
  • Provide individualized, evidence-based patient education and anticipatory guidance regarding PMOS, including symptom management, lifelong health risks, reproductive goals, fertility, follow-up, and reliable patient resources
  • Integrate evidence-based PMOS care into clinical practice using appropriate screening tools, clinical workflows, patient education/after-visit resources, documentation templates, and relevant coding and billing considerations

Course Approval

Participants can earn 4 contact hours/CE with 1.0 pharmacotherapeutic hour (RxCE) included.

ANCC

This nursing continuing professional development activity was approved by Oregon Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission (ANCC) on Accreditation. 

ACNM

ACNM continuing education credit has been approved for 4 CE with 1.0 RxCEs included. Program 2026-13-EA

Summary

This comprehensive course provides healthcare professionals with an evidence-based approach to understanding, evaluating, and managing Polyendocrine Metabolic Ovarian Syndrome (PMOS), formerly known as PCOS. Learners will explore the condition’s pathophysiology, diagnostic criteria and phenotypes while developing a broader understanding of its reproductive, metabolic, cardiovascular, and psychological effects.

The course translates current evidence into practical clinical care. Learners will review appropriate diagnostic workups and differential diagnoses, long-term health screening, and individualized treatment strategies for menstrual irregularity, hyperandrogenism, metabolic health, psychological well-being, and other common concerns. The course also addresses preconception counseling, fertility evaluation, ovulation induction, and when specialty referral may be appropriate.

A strong emphasis is placed on patient-centered, inclusive, and sustainable care. Learners will leave with practical screening tools, patient education resources, documentation guidance, and strategies for incorporating comprehensive PMOS care into everyday clinical workflows.

Requirements for Successful Completion of this Educational Activity

To obtain a CE certificate for this activity, the learner must complete the following criteria:

  • Attend one of the two scheduled live facilitated case-review webinars in its entirety via Microsoft Teams. Learners who are unable to attend both live webinar sessions may view the recording of one session; a maximum of one recorded session may be used to fulfill the participation requirements.
  • Completion of all asynchronous material
  • Complete the course evaluation

Participants who successfully complete the above requirements will receive a CE certificate through the learning management system (LMS).

Financial Relationship Disclosures: The planners and presenters for this activity have no relevant financial relationships to disclose.

Expiration Date of enduring materials: 10/4/2028

Course Content

Welcome to the Course
This comprehensive course provides healthcare professionals with an evidence-based approach to understanding, evaluating, and managing Polyendocrine Metabolic Ovarian Syndrome (PMOS), formerly known as PCOS. Learners will explore the condition’s pathophysiology, diagnostic criteria and phenotypes while developing a broader understanding of its reproductive, metabolic, cardiovascular, and psychological effects. The course translates current evidence into practical clinical care. Learners will review appropriate diagnostic workups and differential diagnoses, long-term health screening, and individualized treatment strategies for menstrual irregularity, hyperandrogenism, metabolic health, psychological well-being, and other common concerns. The course also addresses preconception counseling, fertility evaluation, ovulation induction, and when specialty referral may be appropriate. A strong emphasis is placed on patient-centered, inclusive, and sustainable care. Learners will leave with practical screening tools, patient education resources, documentation guidance, and strategies for incorporating comprehensive PMOS care into everyday clinical workflows.

  • Welcome and CE Overview
    14:08

PMOS Overview – Definition, History, Naming
Presented by: Heather Carrion MSN, CNM, MSCP, RNFA This presentation introduces learners to Polyendocrine Metabolic Ovarian Syndrome (PMOS), formerly known as PCOS, and establishes why the condition should be understood as more than a reproductive or ovarian disorder. Learners will gain an understanding of the prevalence and common presentations of PMOS, as well as its broader metabolic, psychological, cardiovascular, and long-term health implications. The presentation helps learners recognize the wide range of ways PMOS may affect patients, including menstrual and reproductive concerns, hyperandrogenic symptoms, insulin resistance and metabolic dysfunction, mental health concerns, and obstructive sleep apnea. It also emphasizes that PMOS can present differently across individuals and that symptoms and treatment priorities should not be assumed. By the end of the overview, learners will have a foundation for viewing PMOS as a lifelong, multi-system condition requiring comprehensive and individualized care. This introductory knowledge prepares learners for the subsequent course content on PMOS pathophysiology, diagnosis, clinical evaluation, treatment, fertility, and practical implementation.

PMOS Pathophysiology, Diagnosis and Phenotypes
Presented by: Heather Carrion MSN, CNM, MSCP, RNFA This presentation provides learners with a deeper understanding of the complex pathophysiology and varied clinical presentations of Polyendocrine Metabolic Ovarian Syndrome (PMOS). Learners will explore how hyperandrogenism, insulin resistance and hyperinsulinemia, inflammation, and altered neuroendocrine signaling interact to contribute to the development and progression of PMOS. The presentation introduces the four recognized PMOS phenotypes based on the presence or absence of hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphology. Learners will understand how these phenotypes differ clinically, including differences in metabolic risk, while recognizing that metabolic abnormalities can occur across all phenotypes. By the end of the presentation, learners will be better prepared to recognize the diverse ways PMOS can present and understand why a one-size-fits-all approach is insufficient. This foundation supports more individualized evaluation, risk assessment, and management based on each patient's clinical presentation and health needs.

PMOS Evaluation
Presented by: Lori Swain DNP, CNM, MSCP, FACNM This presentation provides learners with a practical approach to assessing patients with suspected or established Polyendocrine Metabolic Ovarian Syndrome. Learners will review the diagnostic process, including the clinical history, physical examination, laboratory testing, and assessment of hyperandrogenism and ovulatory dysfunction. The presentation emphasizes that PMOS is a diagnosis of exclusion and prepares learners to evaluate for other potential causes of menstrual irregularity and androgen excess, including thyroid disorders, prolactin abnormalities, nonclassic congenital adrenal hyperplasia, androgen-secreting tumors, and other endocrine conditions. Learners will also review metabolic assessment, including glucose and lipid screening, and recognize the importance of evaluating associated health risks. By the end of the presentation, learners will be better equipped to perform an appropriate PMOS workup and develop a plan for ongoing monitoring. This includes assessing metabolic and cardiovascular risk, menstrual and endometrial health, obstructive sleep apnea, and pregnancy intentions to support comprehensive, longitudinal care.

PMOS Treatment Options
Presented by: Jennifer Ham DNP, CNM, MSCP, FACNM This presentation provides learners with a practical, individualized approach to managing Polyendocrine Metabolic Ovarian Syndrome. Learners will explore treatment strategies based on each patient’s symptoms, metabolic health, reproductive goals, and personal priorities, with lifestyle interventions serving as a foundation for care. The presentation reviews management options for key features of PMOS, including menstrual irregularity and endometrial protection, insulin resistance and metabolic concerns, weight management, and hyperandrogenic symptoms such as hirsutism and acne. Learners will examine the roles of combined hormonal contraceptives, progesterone-based therapies, metformin, antiandrogen therapy, and other treatment options, along with important considerations for selecting and monitoring therapy. By the end of the presentation, learners will be better prepared to develop patient-centered PMOS treatment plans that address both current symptoms and long-term health risks. The presentation emphasizes matching treatment to the patient’s goals, reassessing response over time, and integrating reproductive, metabolic, and psychological health into comprehensive PMOS care.

PMOS Optimizing Fertility
Presented by: Jennifer Ham DNP, CNM, MSCP, FACNM The Optimizing Fertility for PMOS presentation provides learners with a practical, stepwise approach to supporting patients with PMOS who are planning pregnancy or experiencing infertility. Learners will explore preconception assessment, including evaluation of metabolic and endocrine health, medication safety, recommended screening, genetic carrier screening, and consideration of the sperm-contributing partner. The presentation reviews evidence-based approaches to ovulation induction, with letrozole presented as the preferred first-line treatment for anovulatory infertility associated with PMOS. Learners will also examine alternatives such as clomiphene and metformin, along with patient education related to medication timing, cycle tracking, ovulation, intercourse, and pregnancy testing. By the end of the presentation, learners will be better prepared to provide individualized fertility care that begins with the least invasive appropriate treatment and progresses when needed. Learners will also understand when to consider additional fertility interventions or referral to reproductive specialists while maintaining a patient-centered approach to reproductive goals and preconception health.

PMOS Practice Toolkit
Presented by: Jennifer Ham DNP, CNM, MSCP, FACNM Practice toolkit contains: -After Visit Summary (AVS)(2): PMOS Health Optimization in English & Spanish, PMOS Fertility Instructions in English & Spanish -Patient Information Infographic Handout: PMOS Fertility Cycle Instructions with Letrozole and Provera in English & Spanish -Patient Information Handout: Fertility Cycle Tracker Worksheet in English & Spanish -Professional Resources -Billing and Coding Resources -Sample Note Templates (2): Note Template and Fertility Note Template -Screeners (3): Berlin Questionnaire (English & Spanish), Modified Ferriman-Gallwey Score, SCOFF Questionnaire in English & Spanish The PMOS Practice Toolkit presentation helps learners translate the course’s evidence-based recommendations into practical, everyday clinical care. Learners are introduced to resources designed to support consistent PMOS assessment and management, including screening instruments, patient education materials, documentation guidance, coding resources, and tools that can be incorporated into clinical workflows. The presentation reviews practical screening tools for common concerns associated with PMOS, including depression, anxiety, disordered eating, obstructive sleep apnea, and hirsutism. Learners will also explore strategies for creating PMOS-specific templates, smart groups, and order sets that can streamline laboratory testing, imaging, referrals, screening, documentation, and patient education. By the end of the presentation, learners will have practical resources for implementing comprehensive PMOS care in their own practice. The toolkit emphasizes creating sustainable workflows that support appropriate screening, consistent documentation, patient education, and individualized follow-up while making evidence-based PMOS care easier to integrate into routine clinical practice.

PMOS Live Webinar Registration Links and Recordings

PMOS Course Evaluation (required to receive completion certificate)

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