PMOS: a more complete view of what PCOS misses.
Polyendocrine Metabolic Ovarian Syndrome care, led by Anna Frisch, MD, PhD, board-certified endocrinologist and physician owner of Palm Beach Cosmetic Medicine. The medical workup and the cosmetic answer, under one physician.
PCOS is the name you know. PMOS is the fuller picture.
PCOS, polycystic ovary syndrome, is the commonly known name. PMOS, Polyendocrine Metabolic Ovarian Syndrome, is the updated clinical term Dr. Frisch uses for patients whose symptoms cross the boundaries of classical PCOS: hormonal hair, cystic acne, scalp thinning, and stubborn weight. It looks at ovarian, metabolic, thyroid, adrenal, and insulin factors together, capturing the full picture that older criteria often miss.
The framework pairs the endocrine workup with the cosmetic answer: laser, skin, and hair, in a single physician-led plan. At Palm Beach Cosmetic Medicine, both happen under one roof.
Signs that often point to PMOS.
Chin, neck, jawline, abdomen: patterns that don't respond to home methods and keep returning.
Adult acne along the jaw and chin that flares with the cycle and resists topical care alone.
Diffuse thinning, widening part, or noticeable loss of density along the crown.
Weight that holds despite consistent effort, often an insulin or thyroid signal.
Cycles that skip, lengthen, or shift: a window into ovarian and broader endocrine balance.
Fatigue, sleep changes, brain fog: symptoms that touch how you feel and how you look.
Treat the source and the surface, together.
Comprehensive evaluation: thyroid, adrenal, insulin, ovarian hormones, through our PBTEW co-location. The map before the plan.
The Candela GentleMax Pro Plus is the platform top dermatologists choose. Personalized parameters for hormonal hair patterns across face and body, all skin types.
Explore Laser Hair Removal →We use ZO Skin Health exclusively for medical-grade skin protocols, chosen for cystic acne, post-inflammatory pigment, and the skin quality changes that come with PMOS.
Explore ZO Skin Health →For scalp thinning, autologous PRP supports the follicle environment as part of a non-surgical plan, paired with the medical evaluation that finds the cause.
Explore PRP Restoration →Physician-developed nutraceutical support for hair, skin, thyroid, metabolism, adrenal and cellular health, prescribed, not retailed.
Explore VitellaMD →Laser, facial, microneedling and skincare sequenced around your physiology, so each treatment builds on the last instead of competing with it.
Explore Treatment Plans →
Endocrinologist-led, not a typical med spa.
Dr. Anna Frisch is a board-certified endocrinologist with deep expertise in cosmetic medicine and longevity. She is world-renowned for hormone-aware aesthetic care. Patients fly to Wellington for the rare combination of endocrine science and refined cosmetic medicine, delivered by one physician.
That is the difference between a med spa selling treatments and a physician-led practice solving the underlying picture.
PMOS, answered.
Refined, physician-led cosmetic care in Wellington.
Schedule a private consultation to design a treatment plan around your skin, your goals, and the way you want to look and feel.