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. Chapters 00:00 | Have We Been Misunderstanding PCOS All Along? 01:48 | Why Experts Want to Rename PCOS to PMOS 03:01 | What PMOS Really Means (And Why Ovarian Cysts Aren't the Problem) 04:25 | How PCOS Got Its Name 04:33 | How PMOS Is Diagnosed 05:51 | 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 About 09:41 | What Parents Should Watch for in Teenage Girls 12:20 | Birth Control: Treatment or Band-Aid? 16:03 | PMOS, Fertility & Trying to Conceive 17:27 | Lifestyle Changes That Improve Fertility 18:16 | The Best Diet for Insulin Resistance 19:35 | Metformin, GLP-1s & Modern Treatment Options 20:55 | What Happens If PMOS Goes Undiagnosed Until Your 40s? 23:17 | Why PMOS Still Matters After You've Had Children 25:06 | How PMOS Differs Across Ethnicities 27:28 | The Hidden Signs of Insulin Resistance 30:35 | Does PMOS End After Menopause? 31:15 | Why Perimenopause Can Make PMOS Worse 32:53 | Why Strength Training Improves Insulin Resistance 34:58 | Changing Women's Mindset Around Muscle 39:25 | 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 Tests 47:26 | Dr. Sital’s Forties Formula 48:12 | Final Thoughts About 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