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Specialty · PMOS

PMOS (formerly PCOS) 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 your board-certified OB-GYN. Care that addresses what's driving your symptoms, not just the cycle.

ForFor women who were handed a pill and a shrug
ApproachWhole-system, physician care
A woman with a dark bob, photographed against a warm terracotta backdrop
What’s included

Five steps, ongoing, physician care

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

Your PMOS panel is curated to read the full pattern: androgens and the hormones that regulate them, thyroid, three-month blood sugar, liver and kidney function, and cardiometabolic markers.

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 (formerly PCOS) 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.

CBC

Complete Blood Count with Differential

Red cells, white cells and platelets. Screens for anemia and infection, and is a baseline every treatment plan should start from.

Lipids

Lipid Panel

Cholesterol and triglycerides. The cardiometabolic side of PMOS.

InsulinConstant

Fasting Insulin

HbA1c shows the average. Fasting insulin shows how hard the pancreas is working right now, often years before glucose moves.

2.6
24.9 uIU/mL
EstradiolConstant

Estradiol, ultrasensitive

The main estrogen. Read alongside testosterone to see the full hormonal balance, not just the androgen side.

30
400 pg/mL
DHEA-SConstant

DHEA Sulfate

An androgen made by the adrenal glands rather than the ovaries. Tells us where excess androgens are coming from.

35
430 ug/dL
AMHConstant

Anti-mullerian hormone

A marker of ovarian follicle count. Often elevated in PMOS.

1.0
4.0 ng/mL
Based on published reference values for women.
Clinical approach

Treat the system, not the cycle.

PMOS (formerly PCOS) 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 with the clinical intelligence layer, Rosalyn, that supports your physician. 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. 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 (previously PCOS) care from physicians who look past the label to the whole hormonal picture.

Introductory price

One-time

Clarity

A clear read on where your health stands today.

$99one time

What’s included

  • A PMOS-specific biomarker panel covering the hormone and metabolic markers that matter, processed by a CLIA-certified lab
  • Full review by a board-certified OB-GYN
  • Written results explaining what your labs mean
  • Clear recommendation on whether ongoing care is right for you
  • Your baseline for ongoing care: step into Continuum or Constant when you are ready, with no obligation, and your results carry forward.

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

Get Clarity

Longitudinal care

Continuum

Physician care and continuous management of your PMOS

$149/ month

What’s included

  • Monthly visits, with a board-certified OB-GYN
  • A PMOS-specific biomarker panel as your baseline, re-baselined annually, timed by your physician
  • 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 care plan that evolves as your labs, medications, and symptoms change
  • Started with Clarity? That was your baseline. Your physician builds on it and times your next panel from there

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.

Start Continuum

Orchestrated care

Constant

Concierge care for when convenience matters most.

$349/ month

What’s included

  • Monthly visits, with a board-certified OB-GYN
  • An Expanded PMOS-specific biomarker panel as your baseline, re-baselined every six months timed by your physician
  • At-home blood draws included, no trip to the lab (subject to availability in your region)
  • Priority unlimited response from your physician, typically within 24 hours and support from your dedicated care navigator
  • Prescription management and adjustments, filled through licensed partner and retail pharmacies
  • Free shipping on your medications
  • A personalized plan that evolves with your labs, medications, and symptoms
  • Started with Clarity? That was your baseline. Your physician builds on it and times your next panel from there.

At-home blood draws are available in select areas.

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.

Start Constant
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.

Take the clinical assessment
Board-certified OB-GYN and obesity medicine physicians · CLIA-certified labs