Why PCOS Gets Worse During Perimenopause - Doctor Explains!

In this episode of The Forties Formula, Jasmin Dhillon and Amanda Lim are joined by women's health physician Dr. Sital Khistriya to unpack one of the biggest changes in women's health in decades: the proposed renaming of PCOS to PMOS (Poly-Endocrine Metabolic Ovarian Syndrome).Why does this matter? Because experts now believe we've been treating PCOS as an ovarian condition when it's actually a lifelong metabolic disorder driven primarily by insulin resistance. This shift has huge implications for diagnosis, fertility, pregnancy, perimenopause, menopause, cardiovascular health, and how millions of women are treated around the world.Chapters00:00 | Have We Been Misunderstanding PCOS All Along?01:48 | Why Experts Want to Rename PCOS to PMOS03:01 | What PMOS Really Means (And Why Ovarian Cysts Aren't the Problem)04:25 | How PCOS Got Its Name04:33 | How PMOS Is Diagnosed05:51 | Can You Have PMOS Without Ovarian Cysts?07:04 | Can PMOS Develop Later in Life?08:22 | The Overlooked Symptoms Most Women Don't Know About09:41 | What Parents Should Watch for in Teenage Girls12:20 | Birth Control: Treatment or Band-Aid?16:03 | PMOS, Fertility & Trying to Conceive17:27 | Lifestyle Changes That Improve Fertility18:16 | The Best Diet for Insulin Resistance19:35 | Metformin, GLP-1s & Modern Treatment Options20:55 | What Happens If PMOS Goes Undiagnosed Until Your 40s?23:17 | Why PMOS Still Matters After You've Had Children25:06 | How PMOS Differs Across Ethnicities27:28 | The Hidden Signs of Insulin Resistance30:35 | Does PMOS End After Menopause?31:15 | Why Perimenopause Can Make PMOS Worse32:53 | Why Strength Training Improves Insulin Resistance34:58 | Changing Women's Mindset Around Muscle39:25 | Will the PMOS Name Change Improve Treatment?41:00 | Should It Have Been Named Something Else?42:54 | Hot or Hype? Keto, Metformin, Inositol & Ovulation Tests47:26 | Dr. Sital’s Forties Formula48:12 | Final ThoughtsAbout our guest:Dr. Sital Khistryia is a women's health physician with a special interest in hormones, metabolic health, perimenopause and preventive medicine. She helps women better understand the connection between insulin resistance, reproductive health and long-term wellbeing.About your hosts:Jasmin Dhillon is an Integrated Health Strategist and Health Coach helping women in their 40s navigate gut health, hormones and nutrition.https://www.instagram.com/eat.with.jasmin/Amanda Lim is a Metabolic Health Coach focused on helping women build strength, confidence and long-term health.https://www.instagram.com/coachamanda/Support the podcast:If you enjoy these conversations, subscribe and share this episode with someone living with PCOS, insulin resistance, fertility concerns, or navigating perimenopause.You can also support the show by Buying Us a Coffee:https://buymeacoffee.com/thefortiesformula