Today's episode is a little different because there is breaking news in the women's health world, and I think this is one of the more important shifts we've seen in a long time when it comes to how we understand female physiology.

As of May 12th 2026, PCOS, which stands for Polycystic Ovarian Syndrome, has officially been renamed PMOS or Polyendocrine Metabolic Ovarian Syndrome. And before anybody rolls their eyes and thinks, okay, okay, so they changed the name. I want you to stay with me for a minute here, because this matters then what most people realize.

This came from a massive international consensus published in The Lancet involving researchers, clinicians, advocacy groups, and over twenty two thousand voices globally over the course of about fourteen years. And the reason this matters is because the old name PCOS centered the conversation almost entirely around the ovaries, when clinically, the condition has always been much bigger than that.

For years, women have been told you don't have cysts, your ultrasound looks normal, your labs are fine, and meanwhile they are struggling with a plethora of symptoms like fat loss, resistance, irregular cycles, acne, hair thinning, blood sugar dysregulation, fatigue, fertility issues, mood shifts, sleep disruption inflammations, and symptoms that clearly extended far beyond reproductive health alone.

And what I appreciate about this shift is that the biology did not suddenly change overnight. The language finally caught up with the physiology because many women diagnosed with PCOS never had visible ovarian cysts in the first place, and many women with ovarian cysts never had PCOS. Which tells us something very important.

The ovaries were never the entire story, and I've spoken of this on previous podcasts. This new terminology, polyendocrine, metabolic ovarian syndrome, reflects something we've been discussing for years inside the SF coaching method, which is that women's health is deeply interconnected.

Think hormones, metabolism, stress, physiology, sleep. These do not function in isolation.

Everything speaks to everything. These systems work together and this shift toward PMOS finally acknowledges the crosstalk between the endocrine system, metabolism, reproductive function, inflammation, nervous system regulation, and overall physiological health.

So today I want to break down what changed and why it matters.

Time Stamps:

(0:40) Breaking News In Women's Health

(3:45) Why PCOS Was Confusing

(6:45) The Shift To PMOS

(12:25) Names Influence Clinical Focus

(20:10) Previous Women's Health Shift I Previously Covered

(24:10) The Systems Lens

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Complimentary Health Content

https://sarahfechter.ac-page.com/Health_Wellness_Community

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Follow Me On Instagram - https://www.instagram.com/sarahfechter.ifbbpro/

Check Out My Website - https://www.sarahfechter.com

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This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, other professional health care services, or any professional practice of any kind. Any reliance on the information provided in this Podcast is done at your own risk and Sarah Fechter Fitness LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual use of, reference to, reliance on, or inability to use, this Podcast or the information presented in this Podcast. All contents and design for this Podcast are owned by Sarah Fechter Fitness LLC. Always consult your professional team before beginning any exercise or nutrition program.

Today's episode is coming the day after Mother's Day, and I want to use that timing intentionally because many women just spent a weekend pouring into everyone else coordinating plans, showing up, hosting, texting, calling, making sure everyone around them felt loved, seen, included, celebrated, fed, remembered, and taken care of.

And listen, I love that. I love women who care deeply. I love women who lead their families well, and women who show up with a full heart.

But today, I want to bring that same level of ownership back to you, because after twenty five plus years of coaching women from beginners who have never touched weights before, to athletes to women who have been training for decades, to high level physique athletes, busy moms, business owners, executives, and women who are already doing a lot right.

I can tell you something with full confidence. I have never met one woman who has all five of these inputs fully dialed in.

Not one.

And I don't say that as criticism. I say that because this is where so much opportunity exists.

In this episode, we'll discuss those opportunities and I'll give you real life examples you will probably see yourself in as well.

Time Stamps:

(4:32) Going Deeper With Progressive Overload

(12:05) Muscle Requires Fuel

(13:15) Division 1 Athlete Example

(14:01) 40 Year Old Woman Example

(14:41) The High Achiever Example

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Apply for SF Coaching Method

https://sarahfechter.ac-page.com/sfhq-cc

Complimentary Health Content

https://sarahfechter.ac-page.com/Health_Wellness_Community

----------

Follow Me On Instagram - https://www.instagram.com/sarahfechter.ifbbpro/

Check Out My Website - https://www.sarahfechter.com

----------

This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, other professional health care services, or any professional practice of any kind. Any reliance on the information provided in this Podcast is done at your own risk and Sarah Fechter Fitness LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual use of, reference to, reliance on, or inability to use, this Podcast or the information presented in this Podcast. All contents and design for this Podcast are owned by Sarah Fechter Fitness LLC. Always consult your professional team before beginning any exercise or nutrition program.

I want you to think about someone in the early phase of coaching, or even someone further along, who needs a reframe and a new perspective in how they're looking at their coaching process.

They're asking good questions. They're excited. They're paying attention. They're engaged in what they're doing. And when I hear certain questions around fat loss, I can quickly tell where the disconnect is.

The question itself gives insight into how fat loss is being understood, and that understanding drives the decisions and the emotions that follow. It shapes whether you're making choices that move you forward into a stronger, more informed version of yourself, or whether you're stepping back into recognizable patterns that keep you repeating the same old cycle.

So today, I want to walk you through some of the most common fat loss questions that came directly from a recent Zoom we hosted inside the SF coaching method for both new and current clients. And more importantly, I want to show you how much those questions actually reveal.

Because when you start looking at fat loss through the right lens, everything about your expectations, your timeline, and your decisions begin to shift.

Time Stamps:

(0:42) The Early Stages of Coaching

(5:40) Our Added Layer of Support

(7:02) Why Isn't The Scale Moving Yet?

(11:54) A More Capable System

(16:10) Finding Maintenance Calories

(18:35) Interpretation

----------

Apply for SF Coaching Method

https://sarahfechter.ac-page.com/sfhq-cc

Complimentary Health Content

https://sarahfechter.ac-page.com/Health_Wellness_Community

----------

Follow Me On Instagram - https://www.instagram.com/sarahfechter.ifbbpro/

Check Out My Website - https://www.sarahfechter.com

----------

This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, other professional health care services, or any professional practice of any kind. Any reliance on the information provided in this Podcast is done at your own risk and Sarah Fechter Fitness LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual use of, reference to, reliance on, or inability to use, this Podcast or the information presented in this Podcast. All contents and design for this Podcast are owned by Sarah Fechter Fitness LLC. Always consult your professional team before beginning any exercise or nutrition program.