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The 30 Year Mistake Behind Your PCOS Diagnosis and Why Menopause Won't Save You
Description
In this episode of The Forties Formula, Jasmin Dhillon and Amanda Lim are joined by women's health physician Dr. Sheetal Sastrawala 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. Sheetal's Forties Formula
48:12 | Final Thoughts
About our guest:
Dr. Sheetal Sastrawala 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.
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