Know Your PMOS Type — Clare Goodwin

Clare Goodwin

Know Your PMOS Type

100 pages. 26,000 words. The most thorough explanation of PMOS subtypes written for real women — not a 10-page PDF with a stock photo of a woman looking wistfully at a salad, not a generic hormone guide, not another list of things to cut out of your diet.

100
Pages
26k
Words
4
Type protocols
$39
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Why generic PMOS advice keeps failing you

You've probably tried all the right things. They just weren't right for you.

Inositol. Strength training. Low GI carbs. Magnesium. Spearmint tea. None of these are bad recommendations. They're just recommendations written for someone else.

In 2025, a study of nearly 12,000 women across five countries confirmed what I'd been seeing in clinic for years: PMOS isn't one condition. It's four completely distinct hormonal subtypes, each with different drivers, different symptoms, and different responses to treatment. What clears one woman's acne and gets her cycles back does absolutely nothing for another — not because she's failing at being unwell, but because she's treating the wrong thing entirely.

Most women with PMOS have spent years following advice that was never built for their version of it. Some of them for a decade. Some longer. And the particularly cruel part is that the advice isn't wrong, exactly — it's just wrong for them. Like being handed someone else's glasses and wondering why everything's still blurry.

This book is about figuring out which version you actually have. And what to do about that specifically.

The four types

Same diagnosis. Very different bodies.

Each type has its own hormonal pattern, its own symptoms, its own bloodwork profile, and its own protocol. Finding yours doesn't just explain why nothing has worked. It explains everything.

Type 01

The Doomsday Prepper

The metabolic type. Insulin resistance as the dominant driver — weight that sits around the middle and won't shift no matter what you try, energy that falls off a cliff after lunch, sugar cravings that feel less like a preference and more like a hostage negotiation. The most common type, and the most responsive to the right lifestyle changes. The emphasis being firmly on "right" — because the wrong changes, and there are plenty of well-meaning wrong changes, make this type worse.

Type 02

The Quiet Assassin

Lean. Bloodwork looks basically normal. Cycles went missing and nobody could quite explain why. This is the type most likely to be told to just relax more (while suppressing the urge to flip a table) and the type most likely to wait years for a diagnosis, because the markers that flag a problem on a standard blood panel simply aren't there. They're just quietly dismantling ovulation in the background, completely unbothered by anyone's attempts to find them.

Type 03

The Egg Hoarder

High AMH. Lots of follicles. Ovulation tests that are positive for days, or refuse to give a clear peak at all. The issue isn't eggs — there are plenty of those, thank you very much. The issue is the signal to release one, which isn't getting through. Extended fertility window, later menopause, but a cycle that won't cooperate until someone understands what's actually going on hormonally.

Type 04

The Main Character

High testosterone and DHEA-S. Acne that definitely didn't end with your teens. Hair where you don't want it, thinning where you do. Cycles that disappear for months at a time without explanation. The symptoms are loud and visible and exhausting to manage — and the standard response has almost always been "go on the pill," said by someone who had already mentally moved on to their next patient before you'd finished sitting down, with no explanation of what's driving it or what you're supposed to do about it long term.

What's in the book

This is not a 10-page PDF.

It's 100 pages and 26,000 words. It covers the science behind each subtype in language that actually makes sense, the specific bloodwork worth asking for (and why standard panels miss so much of it), and a complete protocol for each type — nutrition, supplements, movement, and what to ask your doctor about if you want to go further. Because a 10-page PDF was never going to cut it.

  • How to get a PMOS diagnosis — the Rotterdam criteria explained, and exactly what to ask your GP to test for
  • Why 70% of women with PMOS have never been diagnosed — and how to find out if you're one of them
  • The complete Doomsday Prepper protocol: insulin resistance nutrition, supplements with actual evidence behind them, and the type of exercise that helps vs. the type that makes things considerably worse
  • The complete Quiet Assassin protocol: why undereating and overexercising are the worst things for this type, what SHBG actually is, and why letrozole tends to work better for this subtype than clomid
  • The complete Egg Hoarder protocol: what's actually going on with LH, AMH, and the follicle signal — and why OHSS risk is significantly higher for this type in IVF
  • The complete Main Character protocol: the androgen loop with no off switch, what the research actually says about spearmint tea (small evidence base, but it's real), and why frozen embryo transfer has significantly better outcomes for this type specifically
  • Combination types — what it means if you sit across two categories, and how to prioritise when your protocol pulls in two directions
  • The ADHD connection — why women with PMOS are significantly more likely to have it, and what that means practically for following any kind of protocol at all
  • Fertility outcomes by subtype — what the 2025 research actually says, not the generic "PCOS affects fertility" line that helps nobody

From women who've already read it

What happened when they found their type.

★★★★★

"I've just finished your book and it's no word of a lie to say that it has totally changed how I understand my PCOS/PMOS. I have tried so many things that are 'recommended for PCOS' — Inositol, cutting carbs, going gluten and dairy free. Nothing worked. Now I understand that I'm a Quiet Assassin and that's why — they aren't the right changes for me. Now I understand what I need to do and I'm already getting started."

Early reader

★★★★★

"I have had irregular cycles since I was a teenager, but absolutely no-one has been able to tell me why. After doing the quiz and reading the book, I got the right tests for PMOS and have finally been diagnosed, 12 years later. I'm so angry it's taken this long, but so grateful to finally have an answer. Thank you so much Clare, this has been life changing."

Early reader

★★★★★

"I was lucky enough to get an early copy when it was still in draft stage. I found my type and have been implementing the changes now for 8 weeks and I just found out that I'm pregnant — after struggling for over 12 months. To say that this book has been life changing is an understatement."

Early reader

Is this for you?

Honestly — probably yes. But let's check.

This is for you if:

  • You have irregular or absent cycles and have never been given an actual explanation for why
  • You've been diagnosed with PCOS or PMOS but nobody has ever told you which type — just handed you a leaflet about diet and shown you the door
  • You've done the inositol, the strength training, the low GI, the magnesium, the spearmint tea — and nothing has shifted
  • You came off the pill and your cycles never quite came back, and your GP's suggestion was essentially "come back when you want to get pregnant"
  • You've been told your bloodwork looks normal while sitting there absolutely certain that something is not normal
  • You're trying to conceive and want to understand your specific hormonal picture before anyone starts suggesting IVF
  • You want to actually understand what's happening in your body — not just follow instructions, but know why

It's probably not for you if:

  • Your cycles are regular and everything's working — genuinely, that's great, this isn't for you, please leave quietly and enjoy your predictable hormones
  • You already have a specialist who has identified your specific subtype and built a protocol around it — you're ahead of 95% of women with PMOS and you don't need this
  • You want a meal plan without the explanation — this book tells you why before it tells you what, because the what doesn't stick otherwise
  • You're not in a headspace right now to do anything with new information — that's fine, it'll still be here when you are

Ready to stop guessing and start knowing?

The quiz tells you your type. The book tells you what to do about it. Not another protocol written for a version of PMOS that doesn't match yours — one built around what's actually happening in your specific body.

$39
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Get the book →

Instant digital download. PDF format.