Hyperandrogenism

No ovulation, no corpus luteum, no progesterone.

So in PMOS, progesterone is low, not because of menopause, not because of stress, but because the whole system that produces it is being blocked upstream by androgen excess.

And estrogen, here's the part that surprises most people, estrogen levels in PMOS are often actually normal on a blood test, but, and this is important, it's a flat non-cyclical estrogen.

There's no beautiful rise and fall across a healthy cycle.

That distinction is everything when it comes to treatment.

If you chase estrogen when the real driver is testosterone and insulin, you're treating the wrong thing entirely.

The real targets in PMOS are androgen excess and insulin resistance, and when you address those, the downstream hormone picture often starts to correct itself.

I wanna spend just a couple minutes on this because I think it matters, and because I think people often get this advice without understanding why it works.