31 Jul Exercise Physiology And PMOS (Formerly PCOS): Movement As A Powerful Tool
In 2026, Polycystic Ovary Syndrome (PCOS) was officially renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS) following an international consensus process involving researchers, clinicians and people living with the condition. The new name better reflects the complex hormonal and metabolic nature of the condition, rather than focusing solely on the ovaries or the presence of “cysts,” which many people with the condition do not actually have. While the name has changed, the symptoms, diagnosis and management approaches remain the same.
PMOS affects one in eight women and people assigned female at birth. It typically develops during adolescence or early adulthood and may cause irregular periods, high levels of androgens (like acne or excess hair growth), and polycystic ovaries on ultrasound, but not everyone will experience all of these features.
PMOS is so much more than reproductive health; it is also intrinsically linked to insulin resistance, metabolic dysfunction and mental health challenges, which is why Exercise Physiology can play an important role in supporting long-term health.
How PMOS Affects The Body
Everyone experiences PMOS differently, but some of the more common features include:
- Irregular or absent periods
- Difficulty managing weight
- Insulin resistance and an increased risk of type 2 diabetes
- Elevated cholesterol and blood pressure
- Fertility concerns
- Anxiety, depression and body image concerns
- Reduced energy levels and ongoing fatigue
Exercise and nutrition continue to be recommended as first-line treatments in Australian and international guidelines and are often used alongside medical care where appropriate.
How Exercise Helps In PMOS
Improving Insulin Sensitivity
One of the major advantages of consistent exercise for those with PMOS is improved insulin sensitivity.
As your muscles become more efficient at using glucose, your body doesn’t need to produce as much insulin. Over time, this can improve energy levels, support weight management where appropriate, reduce the long-term risk of type 2 diabetes, and improve overall metabolic health.
Supporting Hormonal Health
PMOS is a complicated condition that affects many body systems. Exercise is not a cure, but improving insulin sensitivity and reducing visceral fat may help to support more regular ovulation and menstrual cycles for some people, especially when paired with nutrition strategies and appropriate medical management.
Supporting Mental Wellbeing
Living with PMOS can also affect mental wellbeing. Research consistently shows higher rates of anxiety and depression among women with PMOS, regardless of body weight.
Regular exercise may help improve mood, support better sleep, reduce stress and build confidence. Many people also find that focusing on what their body can do, rather than how it looks, helps create a healthier relationship with exercise.
Supporting Cardiometabolic Health
PMOS is increasingly recognised as a metabolic condition rather than simply a reproductive condition, making cardiovascular health an important focus.
Regular exercise can help manage blood pressure and cholesterol, improve cardiovascular fitness and reduce the long-term risk of heart disease.
What An Exercise Physiologist-Designed Program Looks Like
At Sydney Injury Specialists, every exercise program is tailored to your symptoms, goals, lifestyle and any co-existing conditions, such as joint pain, back pain or previous injuries.
Movement Throughout The Day
If you spend long hours sitting at work or studying, small bursts of movement throughout the day can make a real difference.
This might include:
- Taking a short walk
- Climbing the stairs
- Completing a few mobility exercises
- Stretching regularly
These simple habits can support better metabolic health and blood glucose regulation without feeling overwhelming.
We also help you understand how to progress your exercise safely and when to adjust your training around fatigue, stress, injury flare-ups or other health considerations.
Working With Your Broader Health Team
Managing PMOS is often most effective when healthcare professionals work together.
Depending on your needs, your healthcare team may include:
- GP
- Endocrinologist
- Gynaecologist
- Dietitian
- Psychologist
- Exercise Physiologist
As Exercise Physiologists, we work alongside your broader healthcare team to ensure your exercise program supports your overall treatment plan. This may include working with clients who are using medications such as metformin, hormonal contraceptives or fertility treatments, collaborating with dietitians, and considering factors such as mental health, body image and previous experiences with exercise.
Our approach is always supportive, evidence-based and tailored to the individual.
Key Takeaways
- PMOS (formerly PCOS) is a common endocrine-metabolic condition that affects much more than reproductive health.
- Exercise Physiology can help improve insulin sensitivity, metabolic health, cardiovascular fitness, mental wellbeing and overall quality of life.
- Every exercise program should be tailored to your symptoms, goals and lifestyle to help you build sustainable habits for the long term.
Contact Us
If you are living with PMOS (formerly PCOS), contact Sydney Injury Specialists to make an appointment with one of our Accredited Exercise Physiologists.