PMOS / PCOS
Polyendocrine metabolic ovarian syndrome (PMOS), formerly known as PCOS (polycystic ovary syndrome), is one of the most common hormonal conditions in women, and one of the most under-investigated. Dr. Gaucher looks beneath the diagnosis to find what is actually driving yours, then builds a plan around what your labs show.
What PMOS / PCOS is — and why it happens
PMOS / PCOS isn't a single problem. It's a pattern: elevated androgens, disrupted ovulation, and — in most cases — metabolic dysfunction working quietly underneath both.
The conventional approach manages symptoms: the birth control pill to regulate cycles, metformin for insulin, spironolactone for androgen-related symptoms. That can help, but it rarely answers the question most women are actually asking — why is this happening, and what would change it? Naturopathic medicine starts with that question.
What Dr. Gaucher investigates
- Androgens — bioavailable testosterone, DHEA-S, and additional androgens and metabolites where needed, and how they track with your cycle
- Insulin and blood sugar — insulin resistance drives the majority of PMOS / PCOS cases and is often missed on standard glucose testing
- Thyroid function — thyroid hormones influence sex hormones and ovulatory function
- Inflammation — elevated inflammatory markers such as CRP are common in PMOS / PCOS and worsen both hormonal and metabolic symptoms
- Gut health — dysbiosis influences how the body metabolizes estrogen and clears androgens
Treatment approach
Treatment is built from your lab findings, not symptoms alone. Depending on what the panel shows, your plan may include targeted nutrition for insulin regulation, botanical medicine to support androgen balance, cycle-phase nutrition and supplementation, and stress strategies — because cortisol directly influences androgen output.
Connected conditions
If you have been diagnosed with PMOS / PCOS, these connected conditions are worth investigating alongside it:
Common questions
Can a naturopath help with PMOS / PCOS in Victoria, BC?
Yes. Dr. Gaucher investigates the hormonal and metabolic drivers behind PMOS / PCOS, including insulin resistance, elevated androgens, and cycle irregularity, through lab testing, nutrition, botanical medicine, and lifestyle support, and builds a plan specific to your results.
What tests do you run for PMOS / PCOS?
Depending on your picture, some possible labs include androgens (bioavailable testosterone and other androgens), fasting insulin and blood sugar, thyroid function, inflammatory markers, and sex hormones such as estradiol and progesterone. The panel is chosen based on your presenting symptoms, to identify your specific pattern and to rule out other causes of your symptoms.
Is PMOS / PCOS curable?
PMOS / PCOS is not simply cured, but it is highly manageable. By targeting the root drivers, particularly insulin resistance and androgen balance, many women see real improvement in ovulation, cycles, fertility, symptoms, and how they feel day to day.