Pediatric & Young Adult Endocrinology
PMOS (formerly PCOS)
Irregular periods, acne and unwanted hair growth are common reasons to come in. They are also the point where a careful evaluation matters most.
When families notice
- Periods that are irregular, infrequent or absent
- Acne or hair growth that is new or increasing
- Weight changes, or laboratory results suggesting insulin resistance
- Hair thinning on the scalp
- A diagnosis of PCOS that was made quickly and never fully explained
What it usually means
PMOS, previously known as PCOS, is diagnosed after other causes have been considered. In adolescents the criteria are different from adults, because irregular cycles are common in the first years after the first period.
The evaluation also covers thyroid, prolactin, adrenal causes and, when appropriate, the possibility of primary ovarian insufficiency.
What I look at
- The pattern of cycles since the first period
- Timing of the laboratory tests within the cycle
- Physical examination findings
- Metabolic results, including glucose and lipids
- Medications, including hormonal contraception, which can change several results
How I approach it
My aim is that you leave understanding why the diagnosis does or does not fit, and what each treatment option is for.
Care is directed at the concerns that brought you in: cycles, skin, hair and metabolic health. Not at a label alone.
When to see me
If your cycles are irregular, if a diagnosis was made without explanation, or if you want a second look at the evaluation, a consultation can clarify it.
At a glance
- In person in New York City
- Telehealth
- English & Español
- No referral needed
Dr. Luisa F. González Ballesteros, MD
Conditions families ask about next
Still not sure this is the right question
If the explanation you were given does not fit what you are seeing, a consultation can help you understand the pattern.