Phase to Phase: The Hormone Health Show

PCOS is Now PMOS: The Good, The Bad, The Transition

Polycystic ovary syndrome (PCOS) got a major rebrand in May 2026, and it has taken the internet by storm. In this solo episode of Phase to Phase: The Hormone Health Show, Dr. Anne Hussain breaks down the shift from PCOS to PMOS: Polyendocrine Metabolic Ovarian Syndrome. She unpacks the science behind the new 15-syllable acronym (in plain language), why the polycystic ovary label was a misnomer and recently dropped, and how this updated terminology better reflects the multisystem, whole-body nature of the condition, especially the multiple hormones and insulin resistance involved. Dr. Anne covers what this means for your current diagnosis, whether your treatment plan will actually change, and what to expect as international guidelines get an update in 2028. She also tackles the downsides and criticisms of rebranding a condition affecting millions of people across the world. Finally, she leaves you with the most important reminder that the most important parts of the conversation, whether it’s called PCOS or PMOS, are you and your wellbeing. Key Takeaways * What does PMOS stand for? PMOS stands for Polyendocrine Metabolic Ovarian Syndrome. It is the new, official medical term for what was previously known as Polycystic Ovary Syndrome (PCOS), reflecting the true multisystem nature of the condition. * Why was the name changed from PCOS to PMOS? The term "polycystic" is misleading, reductive, and incomplete. Patients do not actually develop ovarian cysts; they develop arrested egg follicles due to altered folliculogenesis which we know as polycystic ovarian morphology. The new name acknowledges that PMOS is a full-body disorder involving widespread hormonal dysregulation (like testosterone, DHEA, GnRH), metabolic dysfunction (like insulin resistance and increased cardiometabolic risk), and ovarian dysfunction (like missing periods, anovulatory menstrual cycles). * Do I have to get re-diagnosed if I already have PCOS? Nope. PMOS is an updated name for the exact same condition. Patients already diagnosed with PCOS automatically fall under the PMOS terminology without needing new testing or a separate diagnosis. * Does the PMOS diagnosis change my treatment plan? At its core, and especially imminently, no. Our fundamental understanding of the condition hasn’t changed. However, by putting "metabolic" and "polyendocrine" right in the name, it pushes the medical community to treat root hormonal and metabolic drivers rather than just treating isolated reproductive symptoms like irregular periods, so hopefully you’ll get better care! * What are the main criticisms of the PMOS name change? While scientifically accurate, a new name doesn't fix a broken healthcare system. Criticisms include the disruption of patient-led advocacy networks due to sudden SEO and algorithmic shifts, the exclusion of people without ovaries by keeping "ovarian" in the name, and the risk of corporations and grifters profiteering off the new "metabolic" label. Ultimately, your access to care is still heavily dictated by systemic policies, your postal code, and other factors. * What is the timeline for the PMOS transition? According to the official rollout strategy published in The Lancet, there is a managed 3-year transition plan. This includes updating Electronic Health Records, engaging with the World Health Organization for new diagnostic codes, and fully integrating the PMOS framework into the International Guidelines by 2028. Chapters 00:00 PCOS is now PMOS 01:12 Name change FAQs 04:34 PMOS: The how and why 07:33 Pros of the rebrand 15:19 Criticisms and Cons of renaming 22:10 Next steps in PCOS/PMOS care References & Resources: Teede HJ et al. Polyendocrine metabolic ovarian syndrome, the new name for polycystic ovary syndrome: a multistep global consensus process. Lancet. 2026 May 12. PMID: 42119588.  [https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00717-8/fulltext] AE-PCOS Society [http://ae-society.org] Dr. Anne's links:  phasetophase.ca [http://phasetophase.ca] annehussain.com [http://annehussain.com]  Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

Adenomyosis: The Heavy Flow and Period Pain Diagnosis That’s Often Missed

Spotting between periods, heavy flow, and period pain–a few gynaecologic conditions can cause these symptoms. In fact, some of these conditions come bundled like a package. In this solo episode of Phase to Phase: The Hormone Health Show, Dr. Anne Hussain covers one of these conditions: Adenomyosis. She breaks down what adenomyosis actually is (in plain language), why it's so often missed, what it means for you and your fertility, and risk factors worth paying attention to. She also tackles the fertility conversation that rarely gets enough airtime, the diagnostic delays that leave so many people missing out on life, and management options, from the hormonal IUD and surgical approaches to the integrative strategies and physical therapies like pelvic floor physio (often borrowed from endometriosis data as research has historically lumped these conditions together). She also covers the often-overlooked definition of heavy and abnormal bleeding, the costs associated with adenomyosis, and how to advocate for yourself so that you get the care you deserve. Key Takeaways * What is adenomyosis? Adenomyosis is a condition where tissue similar to the uterine lining grows into the muscular wall of the uterus, often causing heavy menstrual bleeding, painful periods, and sometimes a tender or enlarged “boggy” uterus. It affects an estimated 20–35% of premenopausal menstruators and frequently coexists with endometriosis, fibroids, and polyps. * What are the symptoms of adenomyosis? The hallmark symptoms are heavy flow and painful periods (dysmenorrhea), but adenomyosis can also cause chronic pelvic pain, painful sex, bloating, and fatigue from iron deficiency. Around 30% of cases are asymptomatic. * What counts as heavy bleeding or abnormal uterine bleeding? Heavy menstrual bleeding is clinically defined as losing more than 80mL per period, periods lasting longer than 7-9 days, clots bigger than an inch across, flooding, or needing to double up on period products. Significant changes from your own baseline also matter, even if your numbers technically still fall within "normal" range. The cost of heavy bleeding and period pain–money spent on period products, days of work and life that are missed, energy and time spent to find appropriate care–are under-supported aspects of menstrual health. * How is adenomyosis diagnosed? Transvaginal ultrasound is now a highly accurate diagnostic tool for adenomyosis, with closer to 90% sensitivity and specificity, making it more accessible and affordable than MRI. Advocate for imaging if your symptoms fit, and/or ask for a referral to a gynaecologist. * How does adenomyosis affect fertility and pregnancy? The numbers aren’t super clear because adenomyosis often occurs with other gynaecologic conditions. That said, adenomyosis is associated with higher rates of pregnancy loss, preeclampsia, preterm delivery, and complications in assisted reproductive technology (ART) settings. Early referral to a fertility clinic and understanding your individual health are important. * What are the treatment options for adenomyosis? There’s no one-size-fits-all solution for adenomyosis. Options include painkillers like NSAIDs for period pain, combined oral contraceptives for pain and flow, the hormonal IUD (currently considered first-line), progestin-only therapies, conservative surgery, and hysterectomy. Integrative strategies are usually borrowed from endometriosis research (nutrition, exercise, pelvic physiotherapy, acupuncture, and supplements like ginger, omega-3s, addressing a vitamin D deficiency, ensuring iron adequacy, PEA) can support symptom management and long-term health alongside conventional care. This should be a shared decision made based on your goals, health status, values, and symptoms. Chapters 00:00 Adenomyosis stats 01:30 What is adenomyosis? 5:58 Risk factors 6:53 Diagnotic imaging 7:42 Infertility and fertility considerations 8:53 Conventional treatment 10:59 Integrative treatment options 14:39 Self-advocacy and tips Dr. Anne's links: What is a Normal Period Podcast Episode [https://annehussain.com/podcast/episodes/decoding-your-menstrual-cycle-what-is-a-normal-period] phasetophase.ca annehussain.com References PMID: 30969690, 37837497, 37809195, 39718325 Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

Stop Blaming Cortisol with Dr. Jordan Robertson

"Cortisol Face." "Cortisol Belly." If you spend any time in the wellness corner of the internet, you’d think cortisol was the ultimate villain ruining our health, bodies, and lives. But is this misunderstood stress hormone actually to blame, or is wellness culture just capitalizing on women’s fatigue in a world in which we’re under-resourced and over-extended? In this episode of Phase to Phase, Dr. Anne Hussain is joined by Dr. Jordan Robertson, ND, founder of The Confident Clinician, to inject some much-needed critical thinking into the cortisol conversation. They break down why cortisol is actually a vital player in keeping you alive, why paying for routine cortisol testing is essentially throwing money into a bonfire, and what you should actually be testing for instead (hint: sleep apnea and iron deficiency). Dr. Jordan introduces the concept of allostatic load, your body's true capacity to handle stressors. Together, they challenge the current narrative telling women to "do less" and avoid high-intensity workouts to protect their hormones. Instead, they offer a refreshing, empowering reframe: true nervous system regulation isn't about avoiding hard things; it's about adequately fueling and resourcing your body so you can push your boundaries, build resilience, and operate at your best. Takeaways * Cortisol is not the enemy. It’s a necessary buffering system that helps your body mount a response to physiological and psychological demands. It doesn't cause the distress; it just shows up to help you survive it. * Cortisol testing doesn’t tell you much (unless you are being screened for overt adrenal diseases (like Cushing's or Addison's)). Routine cortisol testing for general fatigue is virtually useless due to massive inter-individual variability. It won't explain your symptoms, and it shouldn't dictate your treatment.  * Focus on “allostatic load," not the actual individual hormone. Instead of trying to "fix" your cortisol with trendy supplements, focus on your body's overall capacity to handle stress. True resilience is built through foundational resources: adequate sleep, solid nutrition, and periodized recovery. * Stop fearing high-Intensity exercise. Women are increasingly being told to avoid hard workouts to "protect their cortisol." In reality, you should exercise as hard and as often as you can adequately recover from. Intentional physical stress builds long-term metabolic resilience and better cortisol responses in the long run.  * Look for the real culprits first before blaming your adrenal glands for your sluggishness. Iron deficiency, sleep apnea, and chronic under-fueling (like running on nothing but coffee and a banana until noon) perfectly mimic the symptoms of nervous system dysregulation (and will make your PMS worse too!).  * Burnout makes your capacity feel small, like living inside a tight electric fence where every minor stressor zaps you. The goal isn't to stay inside that tiny fence forever by doing less; it’s to resource your body so you can push those boundaries outward and confidently take on hard things. This is hard, but not impossible, to do when we already have a high burden of responsibility. Get help! Chapters 00:00 Cortisol online 01:44 Jordan's intro and mission 06:40 Cortisol's role 11:00 Allostatic load and building resilience 21:19 Intentional stress and coping 23:20 HIIT and recovery 27:37 Cortisol testing 35:45 Habits that help for stress 42:50 Changing your mind Links: Dr. Jordan Robertson’s Links:  Follow Jordan on Instagram [https://www.instagram.com/drjordannd/%E2%81%A0] Learn about The Confident Clinician https://www.instagram.com/theconfidentclinicianclub/ [https://www.instagram.com/theconfidentclinicianclub/] https://confidentclinicianclub.com/ [https://confidentclinicianclub.com/] Dr. Anne’s Links:  phasestophase.ca [http://phasestophase.ca] annehussain.com [http://annehussain.com] More About Jordan Robertson: Jordan Robertson is on a mission to elevate integrative and naturopathic medicine to the standards of care that conventional medicine practices while simultaneously solving the unpaid research-labour crisis of Naturopathic Doctors. With a 15-year career in facilitation, research inquiry and critical appraisal at McMaster University, Jordan has taught thousands of students how to be better communicators, work in teams and research nutrition, integrative care, medicine and “space medicine” (that last one while co-facilitating a course with NASA). Jordan is the founder of The Confident Clinician, a database, clinical decision-making tool and home for over 700 full-time members, 60 fellows in her leadership program and over 5000 clinician subscribers to her free integrative magazine, The Stacks. She’s known for helping clinicians see their own potential, inspiring curiosity, vulnerability and “mind-changing” and for giving clinicians the push they need to become the best at what they do. Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

The Real Problem with Ultra-Processed Foods: It’s Not the Dye

What do a tub of protein powder, a bag of salt and vinegar chips, and a can of chickpeas have in common? They’re all processed foods. If you listen to the extreme corners of wellness TikTok, processed foods are “toxic” and you should feel terribly guilty about eating them (and feeding them to your family!). But is that actually true? In this solo episode of Phase to Phase, Dr. Anne Hussain tackles the ultimate health buzzword: Ultra-Processed Foods (UPFs). She goes over what actually makes a food processed or ultra-processed using the NOVA Classification System, she takes you through the science and impact of UPFs on your health, breaks down the massive difference between a flash-frozen vegetable and a hyper-palatable cookie, and why panicking over a drop of artificial dye while ignoring the systemic impact of cheap palm oil completely misses the forest for the trees (pun intended!). This episode will take you through why craving chips isn't a failure of your willpower, how to navigate our current food environment, and how to build flexible and resilient nutrition strategies when life is busy and shelf-stable snacks are everywhere.  Key Takeaways * Are all processed and ultra-processed foods bad? Lumping all packaged and processed foods together as “unhealthy” or “toxic” is a mistake. Protein powder, canned beans, and fruit yoghurt are technically processed, but offer nutritional value and much-needed convenience for our busy lives. We do want to minimize or avoid the sugar- and salt-ladened, hyperpalatable, low-on-nutrition UPFs because they tend to replace nutrient-dense foods, but not all UPFs are made equal. * Do I need to avoid all UPFs? A small amount of candy or artificial dye on occasion isn’t going to make a huge difference in your health (unless you’re allergic to it!). The real culprits driving chronic disease are a lack of fibre, excess sugar and salt, and cheap, environmentally destructive refined oils like palm oil that are contributing to deforestation. So, definitely minimize and avoid UPFs when possible, but focus more on adding nutrient-dense whole and minimally-processed foods as much as possible.  * What is the NOVA Food Classification System and what is a processed food anyway? Researchers categorize food by the purpose of its processing. Group 1 includes whole foods (like frozen berries, fresh spinach, oats, etc.), while Group 4 includes UPFs that are industrial formulations designed to be hyper-palatable and/or convenient, replacing other food groups (like candies, chips, and hot dogs, but also protein powder and fruit yoghurt). * Why are ultraprocessed foods everywhere and often cheaper than fresh produce? UPFs are scientifically designed in labs with the perfect ratio of sugar, fat, salt, and carbs to make you want them more. Craving them isn't a moral failure; it's a multi-billion dollar success of the global food industry that lobbies for corporate profits at the expense of the health of average people and our planet.  * What should I focus on in my own nutrition? We need a sprinkling of flexibility to create room for enjoyment, tradition, nostalgia, and convenience, so you don’t need to fear the occasional UPFs (frequency and quantity matters!). Our bodies are quite resilient, especially if we lay down some solid nutritional foundations. So, focus on balanced meals that have carbs (including fibre), protein, healthy fats and offer vitamins, minerals, and antioxidants.  Heart & Stroke Foundation on UPFs [https://www.heartandstroke.ca/what-we-do/media-centre/news-releases/ultra-processed-foods-cause-third-of-heart-and-stroke-deaths] NOVA Food Classification System Adaptation: Food, Nutrition & Fitness I: The Digestion Journey Begins with Food Choices (Compiled in 2018 by EduChange with guidance from NUPENS, Sao Paulo) [https://ecuphysicians.ecu.edu/wp-content/pv-uploads/sites/78/2021/07/NOVA-Classification-Reference-Sheet.pdf] phasetophase.ca [http://phasetophase.ca] annehussain.com [http://annehussain.com] Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]

Breast Cancer Risk: Alcohol, HRT, and Soy with Dr. Ashley Chauvin

Breast cancer is a diagnosis that carries immense weight, fear, and uncertainty. With statistics telling us that 1 in 8 women in Canada will be diagnosed in their lifetime, it is easy to feel powerless. But what if we shifted the conversation from fear to action? In this episode of Phase to Phase, Dr. Anne Hussain is joined by Dr. Ashley Chauvin, ND, a Menopause Society Certified Practitioner who specializes in helping patients navigate life after cancer. Together, they break down the nuance behind breast cancer risk factors, moving past the sensationalized headlines to focus on what the evidence actually says. Dr. Chauvin explains the concept of "stacking the deck" in your favor, why breast cancer is never a punishment, and how to understand the magnitude of different risk factors. They dive deep into the uncomfortable truth about alcohol consumption, the reality of dense breast tissue, and the often-misunderstood relationship between menopausal hormone therapy and breast cancer risk. They also tackle the lingering fear around soy and explain why your non-organic vegetables are perfectly safe (and necessary!). Whether you are looking to reduce your risk or are navigating a diagnosis, this episode offers a compassionate, evidence-based guide to taking control of your health. Takeaways * Cancer is not a punishment–risk is about probability, not determinism. You can do everything "right" and still get cancer, or do everything "wrong" and never get it. The goal is simply to "stack the deck" in your favor by modifying the risk factors you can control, without blaming yourself for the ones you can't. * The magnitude of risk matters as not all risk factors carry the same weight. While environmental factors might slightly increase risk, alcohol is a Class 1 carcinogen. Even moderate consumption can significantly increase breast cancer risk by at least 30% compared to non-drinkers. * Breast density matters. It’s determined by the ratio of fibroglandular tissue to fatty tissue and can only be assessed via a mammogram. If you have dense breasts (Category C or D), supplemental screening like an ultrasound is often recommended because dense tissue can mask potential calcifications. * Do not skip your mammogram. While no screening is perfect, the benefits of mammograms far outweigh the incredibly small risks associated with the radiation. Thermography is not an evidence-based alternative to a mammogram and can dangerously delay the diagnosis of a concerning lesion. * Hormone therapy is not an absolute contraindication: The relationship between menopausal hormone therapy and breast cancer is nuanced. For those without a history of disease, the risk is similar to the average population for the first five years. Even for those with a high-risk genetic predisposition (like BRCA1 or BRCA2), hormone therapy may still be an option depending on their complete health profile. * The myth that soy causes breast cancer stems from outdated 1990s studies on rats. Extensive human trials consistently show that soy consumption is safe, beneficial, and associated with a decreased risk of breast cancer, even for those with a history of estrogen-positive breast cancer. Soy is safe.  Chapters 00:00 Breast cancer stats 05:35 Risk factors 12:59 Alcohol 16:27 Breast density, mammograms, ultrasounds 19:27 Hormone therapy 29:18 Screening, mammography, radiation, thermography 39:17 Soy 42:59 Self-assessment 45:51 Reducing your risk of breast cancer 48:10 Genetic risks 51:25 Organic vs. non-organic food & wrap-up Dr. Ashley’s Links: instagram.com/ashleychauvin_nd [http://instagram.com/ashleychauvin_nd] https://drashleychauvin.com/ [https://drashleychauvin.com/]   Breast Cancer Resources:  Breast Cancer Canada: https://breastcancer.ca/ [https://breastcancer.ca/] Dense Breasts Canada: https://www.densebreastscanada.ca/ [https://www.densebreastscanada.ca/] Canadian Cancer Society: https://cancer.ca/en/cancer-information/cancer-types/breast/risks [https://cancer.ca/en/cancer-information/cancer-types/breast/risks] Connect with Dr. Anne Hussain, ND: ⁠⁠⁠⁠⁠⁠⁠⁠https://phasetophase.ca/ ⁠⁠⁠⁠⁠⁠⁠⁠ [https://phasetophase.ca/] ⁠⁠⁠⁠⁠⁠⁠⁠https://annehussain.com/  [https://annehussain.com/] Learn more about your ad choices. Visit megaphone.fm/adchoices [https://megaphone.fm/adchoices]