5 CE Credits · Self-Paced · TOOLBOX: 11 Digital Downloads Included · BONUS: How to Rx Incretins
Q-Spot™ Qurriculum
PMOS- Polyendocrine Metabolic Ovarian Syndrome : The Clinical Framework · 5 CE Credits
The Missing Clinical Link Between Perimenopause, Insulin Resistance, Hormones, and Metabolic Symptoms
A practical clinician training designed to help women’s health, primary care, functional, and hormone-focused providers understand the patterns behind PMOS and confidently translate labs, symptoms, and treatment options into patient-centered care.
5
Hours CE Credit
Self-Paced
6
Core Modules
11
Ready-to-Use Tools
∞
Lifetime Access
Your patients are not “just aging.” Their symptoms are telling a story.
Many women present with weight gain, insulin resistance, irregular cycles, acne, hair changes, sleep disruption, mood shifts, cravings, inflammation, and worsening cardiometabolic risk yet their labs are often labeled “normal.”
Traditional PCOS frameworks do not fully explain what happens when ovarian aging, perimenopause, insulin resistance, adrenal signaling, inflammation, and metabolic dysfunction begin to overlap.
That is where PMOS comes in.
Googled It Seventeen Times:
You’ve searched “PCOS after 40,” “perimenopause and insulin resistance,” and “why do my PCOS patients get worse in midlife?” but still haven’t found a clear clinical framework for what’s really happening
This is not another generic hormone course:
The PMOS Course was designed for the clinician who sees complex midlife women every day and wants a more organized way to explain what is happening.
No Order of Operations
You know insulin resistance, androgen shifts, weight changes, cycle changes, inflammation, and cardiometabolic risk all matter but no one has given you a clear clinical sequence for how to assess and treat PMOS in real practice.
Ready Before Everyone Else
You’re seeing the conversation shift from PCOS to PMOS, but most clinicians still don’t have a clear framework for the new name, phenotypes, and midlife metabolic patterns. This is one of the first courses designed to help you understand the change and start applying it in practice now.
The problem isn't your clinical skill.
The problem is nobody taught you this in school and got to the root cause of this multi-system condition. "That changes today."
The Solution
By the end of this course, you will know how to identify PMOS patterns. Build a treatment roadmap that makes clinical sense.
This isn't a theory course. It's a real-world, field-tested roadmap condensed into the foundational, evidenced based knowledge every NP and APP needs to understand how to treat this multi-system condition.
This course takes you from "I have no idea where to start" to "I have a plan and I'm moving."
What You Will Learn:
1. The PMOS Framework
Understand how PMOS differs from traditional PCOS and why perimenopause creates a unique metabolic and hormonal transition state.
2. Clinical Pattern Recognition
Learn how to identify symptom clusters that point toward PMOS, including cycle changes, belly weight, cravings, acne, hair changes, mood shifts, sleep disruption, and metabolic resistance.
3. Lab Evaluation & Interpretation
Learn which labs can help clarify the picture, including metabolic markers, inflammatory markers, androgen patterns, ovarian signaling, thyroid considerations, nutrient status, and cardiometabolic risk.
4. Metabolic Dysfunction in Midlife
Explore insulin resistance, glucose variability, lipids, body composition changes, inflammation, and weight resistance through a midlife women’s health lens.
5. Treatment Sequencing
Learn how to sequence lifestyle strategies, supplements, hormone therapy considerations, metabolic medications, GLP-1 therapy, and follow-up care.
6. Case-Based Application
Apply the PMOS framework to real-world clinical scenarios so you can move from theory to practical patient care.
What's Inside
6 Focused Modules.
Everything You Need to Practice and Manage.
Each module is tight, actionable, and built for clinicians who learn fast and move faster.
Module 1: Why the Name Changed: Reframing the Syndrome
Learn why PCOS does not simply “go away” with age and how its metabolic, hormonal, and inflammatory patterns often evolve into PMOS. This module reframes care through a more accurate, lifespan-based lens.
Module 2: PMOS Physiology: Understanding the System Behind the Symptoms
Explore the key physiologic drivers behind PMOS, including insulin resistance, androgen shifts, visceral adiposity, inflammation, and changing ovarian signaling.
Module 3: Clinical Presentation & Diagnosis
Recognizing PMOS Beyond the Ovary
A practical framework for evaluating patients with a PMOS history using symptom review, metabolic markers, hormone interpretation, and cardiovascular risk assessment. Move beyond “normal labs” toward meaningful pattern recognition.
Module 4: Labs, Biomarkers & Clinical Evaluation
Learn how to counsel patients on evidence-informed nutrition, strength training, sleep, stress regulation, and metabolic support without blame or oversimplification.
Module 5 A practical, framework for the clinician at the front lines of PMOS care.
Review treatment options for PMOS, including insulin-sensitizing therapies, anti-obesity medications, hormone therapy considerations, androgen management, and targeted supplements.
Module 6 Bringing PMOS Into Practice
Apply the PMOS framework through real-world clinical cases, follow-up strategies, patient education language, and practical care planning. Integrating PMOS assessment and treatment into everyday practice.
Bonus Module Included
As a special bonus, you'll receive access to How to Rx Incretins, adapted from the Q-TRIM™. This bonus video explores how GLP-1 and other incretin-based therapies can be thoughtfully integrated into PMOS care, covering patient selection, counseling, safety considerations, and clinical follow-up as part of a comprehensive metabolic treatment strategy.
Included with Enrollment
Your PMOS Mastermind Toolbox
Every tool is ready to use not just a concept.
Download and go.
PMOS New Paient EHR Template
A comprehensive intake template designed to capture the patient’s PCOS history, midlife symptoms, metabolic risks, labs, lifestyle factors, and individualized PMOS care plan.
PMOS Follow-Up EHR Template
A structured follow-up note that helps clinicians track symptom changes, lab trends, treatment response, medication adjustments, and next-step PMOS care recommendations.
PMOS Lab Quick Guide
Align your why with your what and your pricing
Metabolic Marker Cheat Sheet
A quick-reference tool for insulin, glucose, A1c, lipids, inflammatory markers, liver markers, and
cardiometabolic clues.
Labs Order for PMOS Patients Template
Includes optimal ranges, interpretation pearls, clinical correlations, and pattern-recognition guidance.
PMOS Treatment Algorithm
A stepwise framework moving from assessment to treatment planning.
Supplement Quick Guide
A clinician-facing supplement overview for commonly considered
PMOS-related concerns.
PMOS Standard Operating Procedure (SOP)
A step-by-step clinical workflow that helps providers standardize PMOS evaluation, risk assessment, treatment planning, follow-up, and patient education.
YOUR EDUCATOR
Dr. Heather Quaile
DNP, WHNP-BC, AFN-C, MSCP, CSC, IF, FAANP, FNPWH
MSCP Certified
AASECT Sex Counselor
FAANP Fellow
ISSWSH Board
25+ Years Clinical Experience
YOUR EDUCATOR
Two Decades of Women's Health Now in Your Hands
Dr. Heather Quaile is a double board-certified women's and gender health nurse practitioner, advanced forensic nurse, and AASECT certified sex counselor with specialty training in female sexual medicine.
Inspired by the modern-day woman, she set out to bridge the gap in women's health by creating an integrative practice focused on women of all ages empowering them to take charge of their lives and health.
She's treated thousands of women for perimenopause, menopause, sexual health, and wellness concerns and she's bringing all of that knowledge directly to you.
Ready to Invest in Yourself?
Simple, One-Time Investment.
No Subscription. No Upsell Maze.
Just the foundation you need to move forward with lifetime access and every tool included.
You Became a Provider
to Make an Impact.
Stop searching. Start sequencing.
PMOS care needs more than scattered articles and guesswork. This course gives you the clinical blueprint to understand the new terminology, recognize the phenotypes, and start treating midlife metabolic patterns with confidence.
One-time payment · 6 modules · 11 tools · 5 CE credits · Lifetime access
Connect With Me
© 2026, The Q-Spot™