The recent recategorisation of polycystic ovarian syndrome (PCOS) to polyendocrine metabolic ovarian syndrome (PMOS) solidifies something that those living with the condition and allied health professionals have been saying for years: this condition is far more than a gynaecological disorder.
Those living with PMOS deal with a unique combination of metabolic, dermatological, reproductive and psychological symptoms. As further research is conducted seeking out broader, non-pharmacological treatment options, exercise is consistently put forward as a key pillar in the future of PMOS management.
Figure 1. Exercise provides wide-ranging benefits for people living with PMOS, supporting metabolic, cardiovascular, reproductive and psychological health.
Structured exercise is a well-researched and supported treatment for various metabolic conditions, including high blood pressure, diabetes, hyper-lipidemia or high cholesterol, and cardiovascular disease.
In terms of PMOS, exercise offers benefits in both the short and long term; moderate intensity aerobic exercise can acutely improve insulin sensitivity while also contributing to improved blood glucose control in the long term, having a similar effect on blood pressure.
These positive changes in combination with other long terms changes such as improvements in cholesterol, lead to a decreases risk of chronic health conditions and a decrease in systemic inflammation in the body.
Structured supervised exercise offers those living with PMOS a proven, natural treatment option to manage their symptoms and improve their overall quality of life. Aerobic exercise at a moderate to vigorous intensity, such as walking, jogging or cycling, has been shown in research to decrease insulin resistance, fatigue and other symptoms of PMOS, while also having a positive effect on weight and fertility.
Targeted resistance training improves overall muscle quality and mass, resulting in lasting positive changes in overall metabolic health and activities of daily living. Further, the anti-inflammatory effects of exercise assist in decreasing and managing the systemic low-grade inflammation associated with metabolic conditions, including PMOS.
Fertility complications and hormonal disturbances are common symptoms of PMOS. Thankfully, there is a growing body of evidence showing how exercise can both improve ovulatory function and decrease hyperandrogenism associated with hormonal dysregulation.
Starting a new exercise routine can seem daunting. Exercise Physiologists (EPs) have the education, knowledge and scientific understanding to ensure your efforts are not wasted. EPs ensure your programming aligns with the latest in scientific literature, while also understanding that no two people living with PMOS present with the same symptoms, concerns or goals.
Exercise Physiologists can tailor your program to address other common co-occurring conditions such as endometriosis, chronic fatigue and mental health conditions, treating you as a whole person, and not a single diagnosis.
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