The Truth About PCOS, PMOS & GLP-1s :: Dr. Kamilia Smith [Ep 575]

Dr. Kamilia Smith joins us for an eye-opening conversation about the evolving understanding of PCOS, and why it was renamed PMOS (Poly Endocrine Metabolic Ovarian Syndrome), and what this shift means for women’s health, hormones, fertility, and treatment moving forward. For years, PCOS has been treated primarily as an ovarian or reproductive disorder, but Dr. Smith explains why the ovaries may actually be the messenger — not the root cause. We explore the growing understanding of the metabolic, hormonal, and whole-body factors that impact women’s health. We also discuss GLP-1 medications, insulin resistance, body composition, fertility, migraines, depression, movement, and how moms can support their daughters without fear or overreacting to symptoms. This conversation is packed with practical insight, hope, and a much more compassionate approach to women’s health. In this episode, we cover: - Why PCOS has been misunderstood for decades - The connection between hormones, metabolism, insulin resistance, and inflammation - Why the ovaries may be signaling a deeper metabolic issue - Common symptoms like weight struggles, excess hair growth, irregular periods, and prediabetes - How GLP-1 medications are changing women’s healthcare - Fertility improvements women are experiencing with metabolic treatment - Small lifestyle shifts that can make a major impact - Advice for moms navigating hormone concerns with their daughters Connect with Dr. Kamilia Smith:  - Website: Kamilia Smith Voted Best Dallas Gynecologist | Charleston House - Instagram: Charleston House - Whole Woman Care (@charlestonhousegyn) - Facebook: Charleston House Gynecology Related Episodes: - [Perimenopause Guide: Managing Symptoms, Emotional Changes, and Weight Gain During Hormonal Shifts :: Dr. Kamilia Smith \[Ep 511\]](https://heathermacfadyen.com/2025/02/24/perimenopause-guide-managing-symptoms-emotional-changes-and-weight-gain-during-hormonal-shifts-dr-kamilia-smith-ep-511/) - [Is This Normal? A Women’s Health Conversation  :: Dr. Kamilia Smith \[Ep 447\]](https://heathermacfadyen.com/2024/01/15/is-this-normal-a-womens-health-conversation-dr-kamilia-smith-ep-447/) - [Overcoming Barriers to Sexual Intimacy :: Nancy Houston \[Ep 206\]](https://heathermacfadyen.com/2018/05/14/overcoming-barriers-to-sexual-intimacy-nancy-houston-ep-206/) Featured Sponsors:  - **Thrive Causemetics:** Amplify your spring look with Thrive Causemetics. Go to thrivecausemetics.com/DMA for an exclusive offer of 20% off your first order. - **Green Chef:** Where fad diets fail, Green Chef delivers real food and recipes that make healthy eating easy…and lasting. Head to greenchef.com/50alone and use code **50alone** to get 50% off your first month, then twenty percent off for two months. - **Honeylove:** Treat yourself to the most advanced bras and shapewear on the market. Use our exclusive link to save 20% off Honeylove at honeylove.com/DMA.