Not Broken—From PCOS to PMOS: Your Guide to Hormones, Metabolism, Weight and Fertility

Have you ever felt like your body is working against you?

Maybe you've struggled with irregular periods, weight gain that seems impossible to lose, acne, unwanted hair growth, fertility challenges, fatigue, or symptoms that never quite seemed to fit together. You've tried diets, searched for answers online, and left doctor's appointments with more questions than clarity.

You may have wondered why losing weight feels harder for you. Why your hormones seem out of balance. Why getting pregnant isn't as easy as you expected. Or why no one has been able to explain how all of these symptoms could be connected.

Written by board-certified OB-GYN Dr. Darine Moukalled, Not Broken—From PCOS to PMOS provides a clear, evidence-based guide to understanding what's really happening beneath the surface. In straightforward, easy-to-understand language, you'll learn how hormones, insulin resistance, metabolism, ovulation, fertility, pregnancy, menopause, and long-term health are all connected.

The book introduces the emerging concept of PMOS (Polyendocrine Metabolic Ovarian Syndrome), a term that better reflects the hormonal and metabolic nature of the condition and helps explain why so many seemingly unrelated symptoms are actually part of the same underlying process.

Inside, you'll discover:

• Why your symptoms are happening

• The central role of insulin resistance—and why it affects far more than blood sugar

• How hormones and metabolism work together to influence weight, energy, and overall health

• What your lab results really mean

• The different patterns of PCOS/PMOS and where you may fit

• Evidence-based treatment options and how they work

• Fertility management, ovulation induction, and strategies to improve your chances of conception

• What to expect during pregnancy, including common risks and ways to support a healthy pregnancy

• How PCOS changes during perimenopause and menopause—and why it doesn't simply disappear with age

• Long-term health risks, including diabetes, cardiovascular disease, fatty liver disease, and more

• How to build a realistic, sustainable plan that works for your life

Whether you've just been diagnosed or have been living with PCOS for years, this book will help you better understand your body, make informed healthcare decisions, and feel empowered at every stage of life.

Because you are not broken.

You've just never been given the full picture.