In this episode of The Forties Formula, Jasmin Dhillon and Amanda Lim are joined by women's health physician Dr Sital Khistrya 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. Whether you've been diagnosed with PCOS, suspect you have insulin resistance, or simply want to better understand your metabolic health, this episode is essential listening. In this episode, we discuss: • Why experts are renaming PCOS to PMOS—and why it matters • Why insulin resistance sits at the centre of the condition • The biggest myths about "ovarian cysts" and fertility • Why symptoms often change throughout life—from puberty to menopause • How PMOS presents differently in South Asian, East Asian, Black and Hispanic women Chapters: 0:00 Ethnic Variations in PCOS Diagnosis 1:31 Hidden Symptoms Across Diverse Populations 3:53 The Role of Skin Markers in Diagnosis 5:31 PCOS During the Perimenopause Transition Full episode link here: Apple: https://podcasts.apple.com/in/podcast/why-pcos-gets-worse-during-perimenopause-doctor-explains/id1724267923?i=1000776976873&l=ta Spotify: https://open.spotify.com/episode/3x02ItjBiA1EnoMtVzX5hD?si=NGrdWqvQRFCIsiU8hlNEUA 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: You can also support the show by Buying Us a Coffee: https://buymeacoffee.com/thefortiesformula Thank you to our sponsors: For Youth Support your skin, sleep, recovery and longevity with the Special Forces Formula bundle. Use code TF35 for up to 35% off storewide. www.foryouth.co/go/the-forties-formula-system Cozy Earth Use code TFF for up to 31% off https://cozyearth.com Love Indus Use code TFF for 21% off. https://loveindus.com Keywords: PMOS, PCOS, polycystic ovary syndrome, insulin resistance, metabolic health, women's hormones, perimenopause, menopause, fertility, infertility, women's health, strength training, muscle mass, diabetes prevention, metabolic syndrome, GLP-1, metformin, inositol, acne, irregular periods, cardiovascular disease, South Asian health, hormonal health, reproductive health, The Forties Formula podcast, India, Indian Women, PCOS RECOVERY, PCOS INDIA, PERIOD HEALTH