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⏱ 3-MINUTE CHECK

PMOS Self-Check

A quick screening tool for women aged 16–40

This is not a diagnosis. It helps you understand if you may have signs of Polyendocrine Metabolic Ovarian Syndrome (PMOS).

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Please answer the questions below, NOT INCLUDING any time spent pregnant, receiving birth control pills or injections, after menopause, or after having both ovaries or the uterus surgically removed:

1

Between the ages of 16 and 40, about how long was your average menstrual cycle (time from first day of one period to the first day of the next period)? (select ONE only)

2

During your menstruating years (not including during pregnancy), did you have a tendency to grow dark, coarse hair on your (tick ALL that apply)

Score 1 if you selected 3 or more sites.

3

Were you ever obese or overweight between the ages of 16 and 40? (tick ONE)

4

Between the ages of 16 and 40, have you ever noticed a milky discharge from your nipples (not including during pregnancy or recent childbirth)? (tick ONE)

This tool is a preliminary self-check only and does not replace a medical diagnosis. If you're concerned about your health, please consult your doctor for further evaluation.

Adapted from: Pedersen SD, Brar S, Faris P, Corenblum B. Polycystic ovary syndrome: validated questionnaire for use in diagnosis. Can Fam Physician. 2007 Jun;53(6):1042-7, 1041.

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