PCOS, Now Called PMOS
PCOS and PMOS Care in Dallas, TX. The Whole Picture.
Irregular periods. Hair on your chin and less on your head. Acne that never left after high school, and weight that settles around your middle no matter what you eat. You were told it was PCOS and handed birth control, or told your labs were fine and sent home. PCOS now has a new name, PMOS, because it was never only about your ovaries. We test it as the hormone and metabolic condition it is, and we treat all of it. PCOS and Androgen Evaluation $249, testing and results review included. Adults 18 and over, in Dallas or remotely in 9 states.
results review
the accurate way
APRN, FNP-C, ENP-C
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Why the Name Changed
PCOS Is Now PMOS. Same Condition, Honest Name.
In May 2026, The Lancet published a global consensus renaming polycystic ovary syndrome. The new name is polyendocrine metabolic ovarian syndrome, or PMOS. It took fourteen years, 56 organizations, and surveys of thousands of patients and clinicians to get there.
The old name pointed at cysts. Most women with the condition do not have true cysts at all, and plenty were told they could not have PCOS because their ultrasound looked clean. The old name also left out the part that matters most over a lifetime: insulin resistance, cholesterol, type 2 diabetes, fatty liver, sleep apnea and heart risk. PMOS puts the hormones and the metabolism in the name, where they belong.
But how it is diagnosed did not change. Irregular ovulation, signs of high androgens, and ovarian findings by ultrasound or AMH. Two of the three, with look-alike conditions ruled out first.
"If your care only ever covered your period, it covered a third of the condition."
What Brings Women In
Not sure yet? Take the free PMOS Symptom Check, three minutes, scored on your own device. Or read PCOS Is Now PMOS: What Changed, and What Didn't.
How We Evaluate It
Testing That Answers the Question.
Standard testosterone tests were built for men and read poorly at female levels. We measure total, free and bioavailable testosterone by mass spectrometry with SHBG, plus DHEA-S, the adrenal androgen. A woman with a normal total testosterone and a low SHBG can still have high free testosterone, and that is the number driving her hair and skin.
Thyroid disease, high prolactin and nonclassic congenital adrenal hyperplasia all cause irregular cycles and androgen symptoms, and each is treated completely differently. A full thyroid panel, prolactin and 17-OH progesterone are on the panel for exactly that reason. Pregnancy is ruled out first, every time.
Fasting insulin rises years before glucose or A1c moves. Insulin pushes the ovaries to make more testosterone, which is why weight, cycles and acne travel together. We check fasting insulin, A1c and a lipid panel so the metabolic side is measured, not guessed.
With irregular cycles and high androgens, the diagnosis is made without an ultrasound. We order imaging when it would change what we do, not by reflex.
Your results are reviewed with you, number by number, against your cycles, your skin, your weight history and your goals. And you leave with a plan, not a pamphlet.
PMOS After 40
This is the part nobody mentions. Cycles often settle in your forties, so women assume it went away. But it did not. Insulin resistance, cholesterol and heart risk keep running, and perimenopause can push them higher. Unwanted hair and scalp thinning usually stay. If you were diagnosed at 22 and nobody has checked your insulin or ApoB since, that is the visit you need now. Read more on perimenopause care.
Double board-certified FNP and ENP. Post-master's cardiovascular subspecialty. Every PCOS and PMOS visit at Navara is with her, from the first consult to the follow-up.
Physician oversight for clinical protocols at Navara Health.
How It Is Treated
Treatment Built Around What Bothers You Most.
There is no single PCOS pill. Treatment is chosen by symptom and by goal, and most women need more than one piece. Your results review decides the order.
Insulin and Weight
Nutrition and movement sequencing first, then insulin-sensitizing medication where it fits, and GLP-1 medication when weight and insulin call for it.
Learn More →Cycle Regulation
Hormonal and non-hormonal options to bring cycles back and protect the uterine lining. Birth control is one option here, not the whole plan.
Learn More →Hair Growth and Acne
Anti-androgen treatment for unwanted hair and jawline acne, prescribed with the monitoring it needs.
Learn More →Scalp Thinning
Androgen-pattern thinning is common in PMOS. Prescription treatment, with in-clinic PRP in Dallas where it fits.
Learn More →Evidence-Based Support
Inositol, vitamin D and the few supplements with real data behind them, through our Fullscript dispensary.
Learn More →Self-Order Labs
Want the panel first and the plan later? The PCOS and Androgen Evaluation is on our flat-rate lab menu.
Learn More →Pricing
Two Ways to Start
Most women start with the PCOS and Androgen Evaluation. Already have labs from the last 90 days? Book the Start Visit and we will tell you what is missing. Every price includes the provider time to go through your results with you.
| PCOS and PMOS | |
| PCOS and Androgen Evaluation
Consultation · Panel at Quest · Results review
|
$249
|
| Start Visit, with recent labs
Labs from the last 90 days · Results review included
|
$199
|
| Start Visit, labs ordered
We order your panel · Results review included
|
$349
|
Drawn at any Quest location. See what every panel includes on Self-Order Labs.
| After Your Results | |
| Follow-Up, pay per visit
Dose changes and follow-ups are included for members
|
$150
|
| Lab Review, pay per visit
Included for members
|
$100
|
| Medication Refill Visit
Established patients
|
$50
|
Financing available through Cherry. HSA and FSA accepted for eligible services. Superbills on request. Full terms are in our Patient Policies.
Before booking, please review our Patient Policies and Financial Agreement and our Virtual Care and Communication Policies. New patients also complete the General Intake and Consent Form before their appointment. By scheduling, you acknowledge that you have reviewed and agree to these policies.
Questions
PCOS and PMOS, Answered
What is PMOS?
PMOS stands for polyendocrine metabolic ovarian syndrome. It is the new name for polycystic ovary syndrome, adopted through a global consensus published in The Lancet in May 2026. The condition is the same one. The new name describes it more accurately: a hormone and metabolic condition that affects the ovaries, insulin, skin, hair, weight, mood and long-term heart health.
Did the diagnosis criteria change with the new name?
No. The name changed. How the condition is diagnosed did not. Diagnosis still rests on irregular or absent ovulation, signs of high androgens on your skin or in your blood, and ovarian findings on ultrasound or by AMH, after other causes are ruled out. You need two of those three, and many women never need an ultrasound at all.
I don't have cysts. Can I still have PCOS or PMOS?
Yes. That is exactly why the name changed. The so-called cysts are follicles that stalled before releasing an egg, and many women with the condition never show them. Irregular cycles plus high androgens is enough for the diagnosis.
How much does a PCOS evaluation cost at Navara Health?
The PCOS and Androgen Evaluation is $249. That covers your consultation, the lab panel drawn at Quest, and a results review where every number is explained. If you already have labs from the last 90 days, the Start Visit is $199. HSA and FSA cards are accepted for eligible services, and financing is available through Cherry.
What labs do you order for PCOS?
Total, free and bioavailable testosterone measured by mass spectrometry with SHBG, DHEA-S, LH, FSH and prolactin, 17-OH progesterone to rule out an adrenal condition that looks identical, fasting insulin and A1c, a full thyroid panel, and a lipid panel. Pregnancy is ruled out first. Each test either confirms the diagnosis, rules out a look-alike, or measures your metabolic risk.
Can I have PMOS after 40, or in perimenopause?
Yes. It does not end when your cycles change. Cycles often become more regular in your forties, which makes it easy to assume it went away, but insulin resistance, cholesterol changes and heart risk keep going and can climb through perimenopause. Unwanted hair and scalp thinning often persist too. Women over 40 with this history need metabolic monitoring, and many were never told that.
Can you treat PCOS by virtual care?
Yes. Consultations and results reviews happen remotely for adults in Texas, Arizona, Colorado, Florida, Iowa, New Mexico, Oklahoma, Vermont and Washington. Labs are drawn at any Quest location. You can also be seen at our Dallas clinic.
Do you treat teenagers with PCOS?
No. Navara Health provides PCOS and PMOS care for adults 18 and over only. For anyone under 18, we recommend a pediatrician, pediatric endocrinologist or adolescent gynecologist.
I want to get pregnant. Can you help?
We can evaluate you, treat the metabolic side, and help regulate your cycles. If you are actively trying to conceive, we coordinate with a fertility specialist, because some medications used for PCOS symptoms are not safe in pregnancy and the plan has to be built around that goal from the start.
How Care Works Here
Start with answers. Stay with a plan.
Every new patient begins the same way. One consultation, the right labs, and a full results visit where we walk through every number and build your plan together. Then you decide how your care continues.
01
Your Start Visit
Your symptoms, your history, your medications and what you have already tried. Your lab order goes out the same day.
02
Your Results Review
Every result explained in plain language, what it means for you, and exactly what happens next.
03
You Choose
Membership or pay per visit. Both are laid out below, so you know exactly what you are getting before you book.
Start Visit: $199 with labs from the last 90 days, or $349 with your labs ordered for you. Your Results Review is included either way.
Recommended
Membership
- Your Start Visit counts as your first month. Weight loss programs bill from your first medication order.
- Message your provider, answered the same or next business day
- Refills handled by message, no visit needed
- Dose changes and scheduled follow-ups included
- Six-month labs included in hormone and enclomiphene memberships
- Lab reviews included
For stable patients
Pay Per Visit
- Start Visit paid in full, separately
- No portal messaging with your provider
- Refills at a booked refill visit, $50
- Dose changes and follow-ups, $150 each
- Labs ordered and paid separately
- Lab reviews, $100 each
A forty-minute phone call is a medical visit. It deserves a chart, a real plan, and your provider's full attention, so clinical questions are answered at a scheduled visit or, for members, by message. And membership means you never wait for an appointment to ask.
Booking, pricing or billing questions? Text (469) 653-3124. Medical questions are answered at your visit.
Ready to Start?
See the Whole Picture.
PCOS and Androgen Evaluation $249, with your consultation, lab panel and results review included. With Jessica Boggs, APRN. Adults 18 and over, in Dallas or remotely in 9 states.
Financing available through Cherry · Booking or billing questions? For the quickest reply, text (469) 653-3124
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Written and clinically reviewed by Jessica Boggs, MSN, APRN, FNP-C, ENP-C, founder of Navara Health. Medical oversight by Simal Patel, MD.
Last reviewed November 10, 2026. This page is general information, not medical advice, and does not create a provider relationship.
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