Because there is such a wide range of signs and symptoms, do you think that this condition goes undiagnosed sometimes?

Yes.

So actually there's quite a bit of literature on PMOS is underdiagnosed, but there's also a lot of delays in diagnosis.

And so there's a couple of reasons for that.

So one, because PMOS presents with that highly variable range of symptoms, And also there's just a lack of clinical awareness surrounding the condition and the diagnostic criteria.

And so I can talk a little bit about how PMOS is diagnosed.

So it's based on the 2006 Rotterdam criteria, and that requires presence of at least two out of the three following cardinal features.

with both pmos and ha there can be disturbances in having a regular cycle we obviously talk a lot about ha on this podcast and that's a lot of what steady state performance nutrition does one of the things that we require before working with anybody is having them visit a doctor getting labs done and making sure that there isn't something else that's contributing to the lack of their cycle what are maybe some common similarities or differences between these two things? Because a lot of the questions that we get asked, like, could this be HA or could this be PMOS that's contributing to irregularity with menstrual cycle?