If you have PCOS and are in your 40s, you are navigating one of the most underserved areas in women’s health: the convergence of two hormonal conditions that share symptoms, amplify each other’s risks: PCOS and Perimenopause. These two are rarely addressed together in a coherent clinical framework. PCOS does not disappear at menopause. It is a lifelong metabolic and hormonal condition. And perimenopause – the 4 to 10 year transition before your final menstrual period – brings its own set of hormonal disruptions that can overlap confusingly with PCOS, or actively worsen it. Understanding this overlap is essential for…