Bloom

Tracking your cycle with PCOS (now called PMOS)

A straight account of what tracking can tell you with PMOS, what it can’t, and how Bloom handles long, unpredictable cycles.

Last reviewed Checked against the sources listed below

The short answer

A period tracker can record your periods, cycle lengths and symptoms, and tell you when a period is later than usual for you — useful evidence to take to a doctor. It cannot diagnose PCOS (now called PMOS) or confirm ovulation, and calendar-based ovulation dates are unreliable when cycles are irregular. Bloom keeps cycles up to 90 days long in your record and never presents its estimates as contraception.

If you have PCOS, or think you might, a period tracker can be genuinely useful: it turns “my periods are all over the place” into dates and patterns you can show a doctor. But many apps promise more than a tracker can deliver, especially about ovulation. This page is a straight account of both sides, and of how Bloom handles long and unpredictable cycles.

PCOS has a new name: PMOS

In 2026 the condition long known as polycystic ovary syndrome was renamed polyendocrine metabolic ovarian syndrome, or PMOS. The NHS now uses the new name and notes that PMOS used to be called PCOS.[1] The old name suggested the condition was about cysts on the ovaries; the new one reflects that it involves hormones and metabolism across the body. You will see both names for a while, and they mean the same condition.

What PMOS can do to your cycle

The NHS lists irregular periods, or long gaps between periods, among the main symptoms of PMOS. Others include extra hair growth or hair loss, weight gain, oily skin and acne, difficulty getting pregnant, feeling very tired, and mental health problems such as depression or anxiety.[1] Symptoms can be mild or severe, and some people have none.

The key thing for tracking is ovulation. Irregular cycles can be ovulatory, meaning an egg is released, or anovulatory, meaning it is not.[2] With PMOS, ovulation may happen late, unpredictably, or not at all in a given cycle, which is why periods become hard to predict.

What a period tracker can and can’t tell you

A tracker canA tracker can’t
Record exactly when each period starts and endsDiagnose PMOS. That takes a clinician, usually with blood tests and an ultrasound scan.[1]
Show how long each of your cycles has been, including very long onesConfirm whether you ovulated, even when you log ovulation tests
Show patterns in symptoms such as acne, tiredness, cravings and moodGive a reliable ovulation day when cycles are irregular
Tell you when a period is later than usual for youTell you why it is late

Why app ovulation dates are shaky with PMOS

Most apps estimate ovulation from the calendar: they assume it happens roughly two weeks before your next period and count back from the predicted date. Bloom starts the same way. If you log ovulation tests or cervical fluid, it uses those signs to adjust its estimate, and after a couple of cycles with them it works from your own timing instead of the textbook two weeks. Even in regular cycles, the day of ovulation moves around — in a large analysis of app data, the first half of the cycle ranged from about 10 to 30 days.[3] When cycles are irregular, or when ovulation doesn’t happen, a calendar estimate can be far off.

So treat any app’s “ovulation” or “fertile” days with care if you have PMOS. In Bloom the ovulation phase is an estimate to help you understand your cycle, nothing more: a sign you log is a clue, and Bloom can’t confirm that ovulation actually happened. Bloom is not a method of contraception and is not a fertility tool, and it should not be used to avoid or plan a pregnancy. If you are trying to conceive, a doctor can talk you through tests that actually check ovulation.

How Bloom handles long cycles

Many trackers quietly discard very long cycles as mistakes. Bloom deliberately doesn’t:

You can also tell Bloom during setup that you have PCOS. Bloom AI takes that into account when it answers you, but it does not change how dates are predicted: your logged dates do that.

What to track before an appointment

If you are seeing a doctor about irregular periods or possible PMOS, a few months of notes make the conversation much easier:

Bloom keeps your period dates, symptoms and notes together on your phone, so you can scroll back through them with your doctor. For more on unpredictable cycles in general, see a period tracker for irregular periods.

When to see a doctor

Talk to a doctor, nurse or midwife if:

  • you think you might have PMOS (PCOS), for example because your periods are irregular and you have extra hair growth, acne or weight changes
  • you have had no period for three months and you are not pregnant
  • you are trying to get pregnant and your periods are irregular
  • your periods last longer than 7 days
  • low mood or anxiety is affecting your daily life

If you are in severe pain, bleeding very heavily, or think you could be having an emergency, get urgent medical help.

Questions people ask

Is PCOS the same as PMOS?

Yes. Polyendocrine metabolic ovarian syndrome (PMOS) is the new name, adopted in 2026, for the condition previously called polycystic ovary syndrome (PCOS). The NHS has already switched to the new name.

Can Bloom tell me if I am ovulating with PCOS?

No. Bloom estimates an ovulation phase from your cycle dates and any ovulation tests or cervical fluid you log, but it does not detect or confirm ovulation. With PMOS, ovulation may be late or may not happen in a given cycle, so treat any app’s ovulation dates with caution.

Can I use Bloom to get pregnant or avoid pregnancy with PCOS?

No. Bloom is not a fertility tool or a method of contraception. If you are trying to conceive, a doctor can arrange tests that actually check whether you are ovulating.

Bloom is a wellness and planning app. It is not a medical device, it does not diagnose or treat any condition, and it is not a method of contraception. This page is general information, not medical advice. If something about your cycle worries you, talk to a doctor, nurse or midwife.

Sources

  1. NHS. Polyendocrine metabolic ovarian syndrome (PMOS).
  2. Eunice Kennedy Shriver National Institute of Child Health and Human Development (NIH). What are menstrual irregularities?.
  3. npj Digital Medicine (Bull JR et al., 2019), via PubMed Central. Real-world menstrual cycle characteristics of more than 600,000 menstrual cycles.