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Specialty · PMOS

PMOS care that treats the whole picture.

Polyendocrine Metabolic Ovarian Syndrome (formerly known as PCOS). Androgens, insulin, cycle, mood, skin, and quality of life, read as one system by a board-certified OB-GYN. Care that gets at root drivers, not just the cycle.

ForFor women who were handed a pill and a shrug
ApproachWhole-system, specialist-led
A woman in an olive jacket looking back on a softly lit city street
What’s included

Five steps, one care team.

Every plan begins the same way and adapts from there. Transparent pricing, no surprises, no add-on fees.
i.

Tell us about you

A clinical assessment maps your symptoms, history, and goals to the right care pathway.

ii.

Consult with a physician

A board-certified OB-GYN reviews your symptoms, history, and goals.

iii.

Complete your baseline labs

PMOS panel including androgens, insulin sensitivity markers, and inflammation.

iv.

Receive care, including medication if appropriate

Your physician builds a plan around your hormone and metabolic profile, including medication when appropriate.

v.

Receive ongoing care

Regular check-ins and remeasurement to confirm what's working and adjust what isn't.

Complete your baseline labs

What we measure.

PMOS is a syndrome, not a single hormone, so the panel tests it that way. Androgens, insulin sensitivity, inflammation, and the full reproductive axis read together.
LH

Luteinizing Hormone

An LH:FSH ratio above 2:1 is a classic PMOS pattern.

1.8
11.8 IU/L
FSH

Follicle-Stimulating Hormone

Paired with LH to read the upstream signal to the ovaries.

3.0
8.1 IU/L
Total T

Total Testosterone

The headline androgen. Elevated levels drive many of the visible symptoms.

15
70 ng/dL
SHBG

Sex Hormone Binding Globulin

How much testosterone is actually free to act, not just how much is present.

18
144 nmol/L
TSH

Thyroid-Stimulating Hormone

Thyroid dysfunction mimics PMOS symptoms, so it is ruled in or out from the start.

0.4
4.5 mIU/L
HbA1c

Hemoglobin A1c

Insulin resistance sits underneath many PMOS cases. This is the three-month average.

4.0
5.6 %
Vitamin D

Vitamin D, 25-Hydroxy

A common deficiency that affects metabolic and hormonal health.

30
100 ng/mL
CMP

Comprehensive Metabolic Panel

Kidney and liver function, electrolytes, and a fasting glucose in one draw.

Lipids

Lipid Panel

Cholesterol and triglycerides. The cardiometabolic side of PMOS.

Based on published reference values for women.
Clinical approach

Treat the system, not the cycle.

PMOS is rarely one thing. It's an interaction between androgens, insulin signaling, inflammation, and the hypothalamic-pituitary axis. Your physician works the system.

Treatment is matched to your phenotype rather than a default protocol. For some women that's metformin or inositol. For others it's hormonal therapy, GLP-1, or a focused metabolic plan. For many, it's a thoughtful combination of all of the above.

Your plan changes as your biology and your priorities do. Trying to conceive, managing skin and cycle, and addressing weight are different phases of the same long care relationship.

Plans

Choose your level of care.

2 months free with annual billing.

PMOS care from specialists who look past the label to the whole hormonal picture.

One-time

Clarity

A clear read on where your health stands today.

$99one time

What’s included

  • PMOS-curated lab panel covering the hormone and metabolic markers that matter, processed by a CLIA-certified lab
  • Full review by a board-certified OB-GYN who specializes in your condition
  • Written results and care plan explaining what your labs mean and what to do next
  • Clear recommendation on whether ongoing care is right for you
  • A natural next step into Continuum or Constant when you are ready, with no obligation

Labs and specialist review are included in the $99 price. Clarity does not include prescriptions or ongoing visits.

Join the waitlist

Longitudinal care

Continuum

Specialist care and continuous management of your PMOS.

$149/ month

What’s included

  • 4 OB-GYN visits a year, one each quarter, with a board-certified specialist
  • Full lab panel at the start, then re-baselined once a year, plus targeted labs when your treatment changes
  • Prescription management: your OB-GYN prescribes and adjusts medications when clinically appropriate, filled through licensed partner and retail pharmacies
  • Care between visits: message your care team anytime, with clinical review of your questions
  • A personalized plan that evolves as your labs and symptoms change

Medications are billed at cost with no markup, you pay exactly what they cost, and every charge is itemized. They are not included in the membership price.

Join the waitlist

Orchestrated care

Constant

Concierge care for when convenience matters most, with at-home lab draws.

$349/ month

What’s included

  • 6 OB-GYN visits a year, one every other month, with a board-certified specialist
  • Full lab panel at the start, then re-baselined every six months, plus targeted labs when your treatment changes
  • At-home blood draws included, no trip to the lab
  • Priority response from your care team, typically within 24 hours
  • Prescription management and adjustments, filled through licensed partner and retail pharmacies
  • Free shipping on your medications
  • Unlimited messaging with your care team, with clinical review
  • A personalized plan that evolves with your labs and symptoms

Medications are billed at cost with no markup, you pay exactly what they cost, and every charge is itemized. They are not included in the membership price.

Join the waitlist
FAQ

Questions, answered.

If yours isn’t here, your physician will answer it directly in your first consult.

You can upload documents such as labs, visit summaries, or records from your patient chart, from your OB-GYN, primary care physician, or endocrinologist.

Lifestyle is part of it, but PMOS is a measurable hormonal and metabolic condition with real diagnostic markers. A physician addresses both sides.

Sometimes. Often medication is the right call; sometimes it isn't. Your physician walks you through the trade-offs.

A general OB-GYN visit covers a wide range of women's health concerns. SPHERE HEALTH delivers focused, ongoing PMOS care, including the testing, the patterns over time, and the long-term picture, through OB-GYNs who concentrate on this condition.

Begin

The plan starts with a baseline.

A clinical assessment to tell us about you. A board-certified OB-GYN, real labs, and a plan built around your hormones.

Join the waitlist
Board-certified OB-GYN · CLIA-certified labs