Michael O'Reilly

speaker

46 appearances 1 recordings 1 series first heard May 2026 last heard 22 May

Michael O'Reilly’s voice in public audio — every appearance, attributed to the second.

Trend

recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in May 2026 with 1.

Appearances

newest first · ▶ plays the moment

Today with David McCullagh · Why changing the name of PCOS to PMOS is a big deal for women's health · 22 May 2026 podcast

And, you know, some patients do need to see multiple specialists, but primarily for patients

Patients who are struggling with some of the metabolic complications, the weight issues, they need to see an endocrinologist.

In the past, patients might have been sent inappropriately to a gynecologist when they would have had no real gynecological problem as such.

And as Helena alluded to,

you know, this misnomer, the name polycystic patients were in gynecology clinics concerned that they had, you know, large cystic lesions on their ovaries without any focus on the actual underlying metabolic disturbances.

So the hope would be with this name change that, you know, that will lead to a kind of a paradigm shift in how we manage it and how it is perceived.

So a scan can be part of the diagnostic workup, but actually it's frequently not needed.

And there's huge variability in ultrasound reporting from one sonographer or radiologist to the next.

So a patient could have PCOS or PMOS, I should say, and they could have a completely normal pelvic ultrasound.

Equally, patients can have cysts

on their ovaries and not meet criteria for diagnosis of the condition.

So there is a role for imaging in selected cases, but actually this is really a clinical diagnosis, a combination of irregular periods with, you know,

clinical and biochemical signs of elevated testosterone, that is usually sufficient to secure a diagnosis.

So I suppose the first thing is, you know, women with PMOS don't need to be alarmed, you know, so I suppose getting a diagnosis is important.

And there's research out there that suggests that the average number of clinicians that a woman has needed to see traditionally is between three and four before they secure a diagnosis.

So that's the first thing.

I suppose in terms of suspicious clinical features, irregularity of the menstrual cycle.

So if menstrual cycles are prolonged by 35 days or more, in other words, 35 days from the start of one menstrual bleed to the next, that would be suspicious for what we call oligomenorrhea.

If they have, along with that, issues with weight, but there are also lean variants or phenotypes of PCOS,

And if they have skin manifestations, so lots of unwanted hair growth that they need to wax or shave or pluck on a weekly basis or sometimes more frequently, troublesome acne, they're the kind of combination of clinical features that really raise the suspicion of underlying PMOS.

Showing 21–40 of 46 · page 2 of 3