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PCOS (Now PMOS) Support in Ottawa
NutriChem’s clinic on Carling Avenue provides naturopathic care for polycystic ovary syndrome, renamed polyendocrine metabolic ovarian syndrome in May 2026. Both names describe the same condition, and both remain in use during the transition. A PCOS naturopath treats it as what the evidence has long shown it to be, an endocrine and metabolic condition rather than an ovarian one, which means looking at insulin, androgens, cycles, skin, mood, and long-term cardiometabolic risk together.
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Why PCOS Is Now Called Pmos
On 12 May 2026, the condition known for almost ninety years as polycystic ovary syndrome was renamed polyendocrine metabolic ovarian syndrome. The consensus, published in The Lancet and led by Professor Helena Teede of Monash University, was endorsed by the Endocrine Society and more than 50 patient and professional organizations.
The reason is accuracy. Cysts were never the defining feature. An ultrasound shows immature follicles rather than pathological cysts, and many patients are diagnosed without them at all. The old name pointed attention at the ovaries and away from the insulin resistance, androgen excess, and cardiometabolic risk that drive most of what patients live with, which contributed to delayed diagnosis and fragmented care.
What The Name Change Means For Your Diagnosis
Nothing about your diagnosis changes. PMOS describes the same condition as PCOS; the diagnostic criteria have not moved, and your treatment does not need revisiting because of a name. A three-year transition runs to 2028, and both names stay in circulation throughout it. You will still see PCOS on lab requisitions, medical records, and insurance paperwork. At the same time, classification systems catch up, and the practical phrasing most clinics use in the meantime is PMOS, formerly PCOS. Full adoption is expected with the 2028 update to the international guideline used in 195 countries.
What The Condition Actually Involves
Irregular or absent periods, difficulty conceiving, acne, unwanted hair growth, scalp hair thinning, weight that will not shift, energy crashes after meals, anxiety, and low mood. Insulin resistance is common, including in patients at a normal weight, which was one of the clearest arguments the renaming panel made. The condition affects roughly one in eight women worldwide, and a large share remains undiagnosed.
How Our Naturopathic Approach Works
There is no packaged program. Care is arranged as individual consultations with a naturopathic doctor, and the course of treatment depends on what is found.
The first appointment is a full intake. Your practitioner reviews cycle history, skin and hair changes, weight history, energy after meals, mood, sleep, digestion, family history of diabetes and cardiovascular disease, current medications, and any bloodwork or ultrasound reports you already have.
From there, the work is identifying which drivers are active in your case. Insulin resistance, androgen excess, inflammation, thyroid function, stress and cortisol, and gut health all show up in different combinations. This is functional medicine applied to an endocrine condition, which means treating the driver rather than chasing each symptom separately.
Naturopathic doctors in Ontario are regulated health professionals. Care runs alongside your family doctor, endocrinologist or fertility specialist rather than in place of them, which matters if you already take metformin, hormonal contraception or fertility medication.
Testing We Use
We test with purpose: only when the results will inform or change your plan.
Metabolic bloodwork includes fasting glucose and fasting insulin, HbA1c, and lipids. Because insulin resistance is common even at a normal weight, it is assessed whether or not weight is a concern for you.
Hormone panels cover total and free testosterone, DHEA-S, SHBG, LH and FSH, prolactin, and anti-Mullerian hormone.
A full thyroid panel is included, since thyroid disease often overlaps with this condition and can help rule it in or out.
Testing such as stool testing or inflammatory markers can be tested if your practitioner deems it necessary
We review the ultrasound and lab work you already have rather than repeat it.
What Treatment Can Look Like
Nutrition is usually the foundation for improving insulin sensitivity rather than restriction. That means adequate protein, adequate fiber, and meal timing that keeps blood sugar steady through the day. Severe restriction is not what we advise, and it tends to work against the metabolic picture over time. Where dedicated dietary support is wanted, your practitioner will make any necessary dietary recommendations.
Supplementation is prescribed based on results rather than guesswork. Inositol is widely used for insulin sensitivity and cycle regularity, and magnesium, vitamin D, and omega-3s are commonly used when testing supports them. Evidence varies between individual supplements, and your practitioner will be direct with you about what is reasonable to expect from each.
When insulin resistance and weight are central to your case, that work overlaps with our weight-loss and metabolic-health support.
Cycle regularity, acne, and unwanted hair growth are addressed by targeting the hormonal and metabolic drivers underlying them. These respond over months rather than weeks, and results vary.
Where fertility is the goal, care is coordinated with your fertility specialist, and where a prescription is involved, your practitioner works with your prescriber rather than around them.
Long-term cardiometabolic monitoring matters, meaning blood pressure, glucose, and lipids are tracked over years. This is what the new name was meant to bring forward, and the old framing made it too easy to postpone.
The NutriChem difference
At NutriChem, your practitioner and pharmacist work under one roof. Custom-compounded prescriptions and made-for-you vitamin formulas, not off-the-shelf supplements.
If your plan calls for a strength that is not manufactured, a formulation without a filler you react to, or a nutrient blend matched to your bloodwork, it is prepared in our own Ottawa Compounding lab.
Meet your Practitioner
Dr. Emma Pollon-MacLeod, B.Sc., N.D.
CEO, Naturopathic Doctor, Menopause Society Certified Practitioner
Dr. Emma Pollon-MacLeod, ND, is a Menopause Society Certified Practitioner (MSCP) specializing in perimenopause and menopause care. She addresses both symptoms and long-term health risks like osteoporosis, cardiovascular disease, and cognitive decline. Her treatment plans combine hormone therapy, nutraceuticals, and lifestyle strategies, grounded in a whole-body, personalized approach. With a background in biochemistry and naturopathic medicine, Dr. Emma empowers women with evidence-based care tailored to their needs and values.
Dr. Sophie Pollon-MacLeod, B.Sc., N.D.
Naturopathic Doctor, Menopause Society Certified Practitioner
Dr. Sophie Pollon-MacLeod, ND, takes the time to explain the “why” behind your symptoms, helping you feel informed and empowered in your care. With a background in kinesiology and certification as a personal trainer, she offers a unique perspective on how hormonal changes impact metabolism, body composition, and overall health. She specializes in supporting women through perimenopause, menopause, and thyroid conditions, addressing shifts in energy, weight, cardiovascular health, and bone density. Her care is holistic, personalized, and grounded in the belief that women deserve to feel strong, vibrant, and well at every stage of life.
Dr. Laeticia Domagalski, N.D.
Naturopathic Doctor, Menopause Society Certified Practitioner
Dr. Laeticia Domagalski, ND, is known for offering a clear, evidence-based approach to care. With a B.Sc. in Nutrition and culinary training from Le Cordon Bleu, she brings a unique blend of science and food expertise to her naturopathic practice—particularly valuable for women navigating hormonal transitions like perimenopause and menopause. She focuses on supporting metabolic health, digestive function, and skin integrity during these shifts, addressing concerns like bloating, constipation, and skin conditions such as eczema and acne. Certified in facial rejuvenation acupuncture, Dr. Laeticia also offers a holistic approach to skin health that supports both internal balance and external radiance
Dr. Holly Paraschuk, N.D.
Naturopathic Doctor, Menopause Society Certified Practitioner
Dr. Holly Paraschuk’s practice focuses on integrative care for women through key life transitions, including perinatal and postnatal care. She has a special interest in hormonal and menstrual health, supporting women with conditions like PCOS, irregular cycles, painful periods, and PMS. Her goal is to help patients understand their cycle as a vital sign and use it as a tool for deeper health insight. With additional focus on digestive health, Dr. Holly blends clinical expertise with personalized strategies to help women feel balanced, informed, and empowered in their care.
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Frequently Asked Questions
Yes. Polyendocrine metabolic ovarian syndrome is the new name for polycystic ovary syndrome, agreed by international consensus in May 2026. Same condition, same diagnostic criteria, more accurate name.
No. Your existing diagnosis stands, and nothing needs to be redone on account of a name. If your care has only ever addressed your cycles, though, the rename is a fair prompt to ask whether your insulin, lipids, and cardiometabolic risk have been looked at.
A naturopathic doctor works on the underlying drivers of the condition, commonly insulin resistance, androgen excess, inflammation, and stress. Results vary between patients. Many tell us the difference was that they were being treated for a metabolic condition rather than a menstrual one.
No. You can book directly, and the free 15-minute discovery call lets you ask questions before committing to a full consultation.
Yes. Care is delivered within the naturopathic scope of practice and coordinated with your other providers. Tell your practitioner about every medication and supplement you take so the plan accounts for them.
No. Care is delivered as individual consultations rather than a fixed program, because the drivers differ from patient to patient.
Book A Free 15-Minute Discovery Call
The discovery call is free, takes fifteen minutes, and is the quickest way to find out whether naturopathic care suits your situation before booking a full appointment. Our patient coordinators will walk you through what to expect and help you select a practitioner who aligns with your health goals.
NutriChem Clinic, 2599 Carling Avenue, Ottawa, ON K2B 7H7. Call 613.721.3669 to book. We see patients from Carlingwood, Westboro, Nepean, Kanata, and across Ottawa. Explore the rest of our naturopathic clinic services.
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