PMOS Specialist in Guatemala City
PMOS has many faces. Yours deserves a real diagnosis.
One of the most common and least understood hormonal conditions. It is not 'cysts on the ovary', it is not a single disease, and it almost never looks the same in two different women.
When should you see an endocrinologist?
You have irregular, widely spaced, or absent menstrual cycles
You have been told you have polycystic ovaries on an ultrasound
You have persistent acne, excessive hair growth, or hair loss
You have unexplained difficulty losing weight
You were diagnosed with PMOS / PCOS but treatment has not worked
You have insulin resistance or prediabetes associated with PMOS / PCOS
⚡ Consultations Monday through Saturday | By appointment only
1 in 10
women of reproductive age have PMOS / PCOS
4
distinct clinical phenotypes according to Rotterdam criteria
60–80%
of women with PMOS / PCOS have insulin resistance
~70%
of cases remain without a correct diagnosis
It is not one disease. It is a syndrome.
Also known as Polyendocrine Metabolic Ovarian Syndrome (PMOS), PCOS is an endocrine and metabolic disorder characterized by androgen excess, irregular menstrual cycles, and in many cases, an ultrasound image showing ovaries with multiple small follicles. Yet none of the three criteria alone defines it.
That is why two women with the same diagnosis can present very differently — and need very different treatments. The consultation starts by identifying which type of PMOS you have, not by assuming a one-size-fits-all approach.
“PMOS cannot be cured, but it can be managed. Properly diagnosed and treated, it should not hold you back.”—Dra. Ma. Eugenia Penados
Symptoms that are often overlooked.
PMOS / PCOS manifests very differently in each woman. Some symptoms are visible, others are metabolic and less obvious. Recognizing them is part of the diagnosis.
Irregular periods
Cycles longer than 35 days or absent. Unpredictable bleeding. More than 8 missed periods per year.
Hirsutism
Facial, abdominal, back, or chest hair in a male pattern.
Persistent acne
Especially along the jawline, chin, and neck. Does not respond to standard dermatological treatment.
Hair loss
Androgenic pattern — temples and crown.
Weight gain
Mainly around the waist. Difficulty losing weight despite sustained effort.
Acanthosis nigricans
Darkening of skin folds — neck, armpits, groin. A sign of insulin resistance.
Infertility
Difficulty conceiving due to irregular or absent ovulation.
Mood / energy
Mood swings, anxiety, persistent fatigue.
Sleep apnea
More frequent — especially when associated overweight is present.
Do you identify with any of these symptoms?
A one-hour initial consultation is all it takes to begin your evaluation and, when needed, reach a clear diagnosis
The four types of PMOS / PCOS
Your phenotype determines your metabolic risk, reproductive outlook, and most importantly, the right treatment. According to the Rotterdam criteria, PCOS is classified into 4 phenotypes based on the combination of features present:
Phenotype A · Full Classic
Highest metabolic risk. More symptoms. Usually requires more active treatment.
Phenotype B · Non-cystic Anovulatory
No polycystic ovaries on ultrasound. Considerable metabolic risk.
Phenotype C · Ovulatory
Regular cycles but with androgenic signs. Diagnosis is frequently delayed.
Phenotype D · Non-hyperandrogenic
No acne, hirsutism, or hair loss. Lower but present metabolic risk.
Diagnosis requires 2 of 3 Rotterdam criteria, with other causes ruled out. Phenotype classification is what defines the individualized treatment plan. Phenotype is not permanent. It can change over time, with weight changes, or with treatment. That is why ongoing follow-up is a core part of management.
How PMOS / PCOS is diagnosed during your consultation
Diagnosing PMOS / PCOS is not done with a single test. It requires integrating medical history, physical examination, hormonal and metabolic labs, and in some cases an ultrasound. At Dr. Penados' consultation, all of this happens within a single hour.
Detailed medical history
Menstrual pattern since menarche, androgenic signs, family history, prior medications.
Physical examination
Ferriman-Gallwey scale, acanthosis assessment, fat distribution, blood pressure.
Lab work
Total and free testosterone, androstenedione, DHEA-S, 17-OH progesterone, prolactin, TSH, glucose-insulin, lipid panel, and others depending on the case.
Pelvic ultrasound (if applicable)
Ovarian morphology assessment according to current criteria. Ordered or reviewed if already available — not always required for diagnosis.
Ruling out other causes
Non-classic adrenal hyperplasia, hypothyroidism, hyperprolactinemia, Cushing's syndrome.
Metabolic screening
Glucose tolerance test, glycated hemoglobin, liver panel.
Why see Dr. Penados for your PMOS / PCOS?
Metabolic focus, not just gynecological
PMOS / PCOS is an endocrine and metabolic disorder. Dr. Penados treats it at its root — with attention to insulin resistance, bone metabolism, and long-term cardiovascular risk.
Cases with prior unsuccessful treatments
She has cared for patients diagnosed with PMOS / PCOS who did not respond to previous treatments. Complex cases are welcome — and often have a solution when approached differently.
One full hour to understand your case
PMOS / PCOS cannot be understood in 15 minutes. The first consultation lasts a full hour: detailed history, physical exam, study review, and a plan explained without rushing.
Evidence-based diagnosis, not trends
In a field full of 'natural protocols' and advice without scientific backing, Dr. Penados works with current diagnostic criteria and treatments supported by real evidence — not whatever is trending on social media.
Metabolic focus, not just gynecological
PMOS / PCOS is an endocrine and metabolic disorder. Dr. Penados treats it at its root — with attention to insulin resistance, bone metabolism, and long-term cardiovascular risk.
Cases with prior unsuccessful treatments
She has cared for patients diagnosed with PMOS / PCOS who did not respond to previous treatments. Complex cases are welcome — and often have a solution when approached differently.
One full hour to understand your case
PMOS / PCOS cannot be understood in 15 minutes. The first consultation lasts a full hour: detailed history, physical exam, study review, and a plan explained without rushing.
Evidence-based diagnosis, not trends
In a field full of 'natural protocols' and advice without scientific backing, Dr. Penados works with current diagnostic criteria and treatments supported by real evidence — not whatever is trending on social media.
Ready to receive specialized endocrinological care?
Experience the difference of comprehensive, personalized, evidence-based treatment
Specialized Endocrinology in Guatemala
Clínica de Endocrinología, Metabolismo y Medicina Interna, Dra. Ma. Eugenia Penados Ovalle
6a avenida 4-01 zona 10, Edificio Medika 10, Nivel 3 (N3) Clínica 307Modern practice in the heart of Guatemala City
Office Hours
Monday, Tuesday, Thursday from 9:00 AM to 4:00 PM Friday from 9:00 AM to 1:00 PM Saturday from 8:00 AM to 12:00 PM
Emergency Care
Dr. Penados does not treat emergencies. For medical urgencies, please go to the emergency department of a hospital.
Coverage Areas
Guatemala City
- • Zone 10, 14, 15
- • Zone 9, 13, 16
- • Highway to El Salvador
Metropolitan Area
- • Mixco
- • Villa Nueva
- • Santa Catarina Pinula
- • San Cristóbal
Nationwide Coverage
- • All departments of Guatemala
- • Patients traveling from across the country
- • Periodic visits to Petén (approx. every 6 weeks)
Common questions, clear answers
Still have questions? Let's talk directly on WhatsApp for personalized answers.