PCOS Weight Gain & Loss: A Guide to Sustainable Management

How to Manage Your Weight with PCOS Symptoms  

Most women, at some point in their lives, have to deal with weight gain. For women with (PCOS), however, losing weight can be highly problematic. Insulin resistance and certain metabolic processes could slow down. Here, you will learn how you can shed some weight through lifestyle changes, diet, supplements, and medication.

Table of Contents

  • Pcos Basics And Its Link To Weight Gain

  • Dietary Approaches For Pcos Weight Loss

  • Supplements And Medications For Pcos  Weight Management

  • Lifestyle Changes To Support Pcos Weight Reduction

  • Overcoming Common Challenges

  • Tracking Progress And Adjusting Your Plan

  • Frequently Asked Questions

  • Additional Resources And Further Reading 

PCOS Basics and Its Link to Weight Gain

Studies reveal that up to 10% of women who have attained childbearing age suffer from Polycystic Ovary Disorder (PCOD), a condition that, if not checked, could lead to infertility. [1] The condition is also associated with a myriad of other health conditions, such as weight gain.

Understanding Polycystic Ovary Syndrome (PCOS) and Its Effects on Weight

PCOS is a hormonal imbalance experienced when the ovaries start producing extra hormones. The ovaries start to produce androgens at high levels, creating an imbalance in reproductive hormones. 

Symptoms of PCOS include:

  • Irregular menstruation cycles

  • High levels of androgen

  • Formation of small cysts in the ovaries

  • Unpredictable ovulation

Other visible symptoms of PCOS include:

  • Abnormal hair growth

  • Infertility

  • Acne

  • Skin tags

  • Darkening of the skin 

  • Thinning hair

  • Obesity

Why PCOS Causes Weight Gain

PCOS weight gain could be a result of a number of things, e.g.:

Hormone Imbalance

Hormonal imbalance is the top cause of PCOS weight gain when it interferes with certain hormones in the body.

Reproductive Hormones

PCOS affects one's regular menstrual cycle, given that progesterone does not function normally. In this case, your body doesn’t make enough of it. For example, this can mean missing a period or being unable to predict one. It may also provide additional estrogen, which can lead to weight gain from an increased appetite. 

Thyroid

People with PCOS are also prone to underactive thyroid function. If your thyroid does not produce enough hormones, thyroid disease may develop. Metabolism slows down if impaired, and weight gain becomes an issue. 

Insulin Resistance

During PCOS, your body fails to use insulin as it should, allowing glucose to build up in the bloodstream. During this time, you could experience increased hunger and fat storage as the breakdown of fats is slow.

High Androgen Levels

In fact, people with PCOS almost always have an increase in their androgen levels. It also increases appetite, particularly for high-calorie foods, generating a tendency to gain weight and increasing the deposition of abdominal fat.

The Link Between PCOS and Obesity

It's common for individuals with PCOS to be obese as well. Part of this may be because of the symptoms which lead to insulin resistance. 

Obesity is not going to be a part of PCOS for everyone. However, weight gain and obesity are common symptoms of PCOS. 

The link between PCOS and obesity remains unknown. Nevertheless, research has proved that several things cause the effects of weight gain and PCOS.[2] Weight gain has been attributed to insulin resistance.

In addition, the study reveals that the increase in weight and obesity are key causes of PCOS. It also suggests that polycystic ovary syndrome contributes to diabetes and further weight gain and can interfere with your body's ability to lose weight. 

PCOS Belly: Body Shape Changes and Abdominal Fat

Women usually carry their weight in their thighs, hips, and buttocks, which form a pear shape. Individuals with PCOS usually have most of their weight in their abdomen. One becomes apple-shaped rather than pear-shaped. That weight is mostly concentrated in the midsection, which causes central obesity. And most likely, this weight will be hard to lose. 

Why is It Hard To Lose Weight With PCOS?

Generally, it is harder to lose weight than gain. It is even harder when you have PCOS. Some reasons for this include:

Insulin resistance

PCOS increases insulin secretion and usage and causes the body to develop insulin resistance. As a result, you start gaining weight and developing fat around the stomach.

High Appetite and cravings

It is common if you have PCOS to feel hungry often and have cravings due to leptin and ghrelin and hunger and satiety hormones.

Metabolic Problems and Slow Fat Loss

When you have PCOS, your metabolic hormones cease to function normally, and it becomes difficult for your body to burn fats when resting, making it difficult to lose weight despite doing exercise and observing the right diet.

Psychological and Emotional Barriers to PCOS Weight Loss

PCOS causes many individuals to have low self-esteem and negative thoughts, which could take a toll on their long-term ability to change their lifestyles.

Dietary Approaches for PCOS Weight Loss

                     

Weight loss and PCOS symptoms can be combated by observing the right diet.

Best Diet for PCOS Weight Loss

Foods that are rich in macronutrients are effective in managing PCOS symptoms and your overall well-being. [3] They should have the right nutrient proportions, including carbohydrates, proteins, and healthy fats. Carbs should make up about 40%. They should also contain whole grains and fruits.

The diet must also contain proteins in the right ratio of up to 35 percent, as recommended by doctors and health practitioners. Proteins in these diets help manage insulin resistance rather than keep one feeling satisfied and reduce cravings.

The right diet should contain 35% healthy fats as these fats combat inflammation and help to increase insulin sensitivity. Healthy fats make one satiated, reduce carbohydrate cravings, and melt fats.

Weight Loss PCOS Diet: Meal Planning and Portion Control

Controlling PCOS weight is an uphill task as compared to managing PCOS symptoms with the right diet plan.

Know what foods to include.

Consider the right foods to include in your PICOS diet. PCOS symptoms can be easily managed using a diet rich in macronutrients. The right ratio of carbs, proteins, and healthy fats must be present in the said diet. Dieticians recommend more carbs and at least 40% vegetables. Whole grains and fruits must be present as well.

The diet must also contain proteins in the right ratio of up to 35 percent, as recommended by doctors and health practitioners. Proteins in these diets help manage insulin resistance rather than keep one feeling satisfied and reduce cravings.

The right diet should contain an average of 35 percent healthy fats, as they are good for combating inflammation and increasing insulin sensitivity. Healthy fats make you more satiated and help reduce cravings for high carbohydrates and melt fats.

Include Nutrient-rich Foods 

PCOS takes a toll on important nutrients like Omega-3 fatty acids, vitamin D, and magnesium, which is why the right diet must consist of leafy greens as well as fortified foods. Remember to include fruits, vegetables, and whole grains to balance the macronutrients.

Monitor Portion Sizes and Meal Times

Your weight loss depends on what you eat and when. Small portions at regular intervals are recommended as such leads to blood sugar disturbances.

Include Nutrient-rich Foods 

PCOS causes deficiencies in vital nutrients like Vitamin D, Omega-3 fatty acids and magnesium. The right diet should have leafy greens and fortified foods.

Foods to Avoid when You have PCOS

Some foods are not good for your health. These foods make it hard to keep in check your PCOS symptoms. Examples of these include:

Refined Carbs

Refined carbs are found in foods like pasta, sugary snacks, white bread etc. They can boost your blood sugar levels and lead to insulin resistance.

Excess Sugars

The excess sugars in carbs can lead to inflammation.  Therefore, you should include it in small amounts. Cut down on beverages such as soda and juice because they are known to contain high sugar content. Eating who fruit is otherwise advised.

Processed Foods

Processed foods like fried or frozen foods, reconstituted meats, and pastries usually contain high levels of trans fats, which could cause insulin sensitivity and inflammation.

Best Foods for PCOS

The best diet for PCOS should contain nutrient-rich options. 

Lean Proteins

Protein plays an important role in muscle development. Lean proteins contain less fat and are excellent for muscle growth, stabilizing blood sugar, and reducing rapid insulin spikes without worrying about weight gain.

Lean proteins take time to be processed. You will feel full for longer, without cravings between meals.

Some good sources of lean protein include:

  • Turkey

  • Chicken breast

  • Fish 

  • Tofu

High-fiber Carbohydrates

A carbohydrate-rich diet helps regulate digestion and gives the body a chance for maximum nutrient absorption. Consuming a fiber-rich diet is good for gut health and inflammation.

Carbs also contain many nutrients that help in reproductive health, especially among women who are trying to conceive. These nutrients help to balance hormones.

Examples of high-fiber foods are:

  • Bell peppers

  • Broccoli

  • Brussels sprouts

Healthy Fats

There are numerous benefits of healthy fats. First, they will help balance your hormones and improve metabolism, ensuring optimal body functions. Dealing with PCOS-related inflammation also becomes easy. 

Some sources of healthy fats include:

  • Olive oil

  • Avocados

  • Seeds such as flaxseeds and chia

  • Nuts such as walnuts and almonds 

Anti-inflammatory Foods

Examples of anti-inflammatory foods are ginger, turmeric, and cinnamon. The high levels of antioxidants in these foods regulate blood sugar and help fight inflammation; hence, they are effective in PCOS symptoms management.

Mediterranean Diet, Low-Carb Options, and Intermittent Fasting for PCOS

The Mediterranean diet consists mainly of antioxidants, carbs, omega-3s and healthy fatty acids. The diet helps with weight loss, reduces inflammation, fights insulin, and lowers your risk of cardiovascular disease.

The low-carb or ketogenic diet is rich in fats, minimum carbohydrates and moderately low protein. This diet pushes your body into a state of ketosis. This is when the body burns fats rather than carbohydrates for strength. It also balances hunger hormones and increases insulin sensitivity.

Intermittent fasting is crucial for shedding weight in PCOS. The body cuts down fats when you fast, and it improves glucose levels while lowering insulin levels.

When you fast, your body uses energy differently as it does not get glucose from food, so it breaks down glycogen stores and burns the stored fats for energy. All this promotes weight loss.

PCOS Meal Plans, PCOS-Friendly Snacks, and Insulin Resistance Foods

A good diet plan promotes a balance in blood sugar, which is ideal for inflammation. Create an eating strategy like having three full meals and snacking every four to six hours. With such a plan, your insulin levels remain low between meals.

Examples of foods and snacks known to promote insulin resistance are:

  • Whole grain crack

  • Canned tuna

  • Hard-boiled egg

  • Roasted chickpeas

  • Protein pancakes

  • Black bean soup

  • Green hummus

Supplements and Medications for PCOS Weight Management

PCOS has no cure. One has to learn to manage the symptoms of PCOS and use certain medications and supplements.

PCOS Supplements for Losing Weight

Inositol

Inositol is a combination of Myo-inositol and D-chiro in a ratio of 40:1. The carboxylic sugar naturally occurs in certain foods like beans, grains and fruits. It treats reproductive health problems such as irregular menstruation and improving ovulation. The medication also regulates glucose metabolism, insulin levels, and weight loss.

Vitamin D

Vitamin D helps to regulate regular menstruation and overall fertility. Vitamin D is prescribed as Cholecalciferol 50 mcg.

Magnesium

Magnesium is a supplement that plays a major role in glucose metabolism and balancing insulin levels. It is prescribed as Dimagnesium malate 100mg.

Omega 3s

Omega-3 has anti-inflammatory ingredients, making it effective in treating inflammatory as well as autoimmune conditions. It reduces insulin and treats high cholesterol in PCOS. 

Chromium

It helps in glucose and insulin homeostasis, reduces insulin resistance, and manages PCOS symptoms. It is prescribed as Picolinate 200mg.

PCOS Weight Loss Medication

Certain medications that are recommended for PCOS weight loss include the following:

Metformin

This antidiabetic drug is recommended for the management of PCOS-related weight because it minimizes insulin resistance and suppresses appetite. It is also recommended for individuals with irregular menstruation.

Prescription for this drug varies depending on the brand and form. However, there is a standard recommended dosage.

  • Tablets 500 mg and 1000 mg. 2,500 mg to be taken daily.

  • Liquid 5 and 8.5 ml. 25ml daily for adults and 5ml for children, two times every day.

Continued use of Metformin could cause deficiencies in vitamin B12. One could also experience vomiting, headaches, and nausea. 

Ozempic

Ozempic is an off-label drug that the FDA has not yet approved. Nevertheless, it is effective on PCOS symptoms. It is good for weight loss, improves insulin resistance and promotes hormonal balance.

Other than Ozempic, you can try similar drugs, such as Tizepatide (Mounjaro), Zepbound, and Thiazolidinediones. 

Birth Control Pills and Hormonal Therapies

Birth control pills are a great option for treating PCOS symptoms, especially if you don’t want to get pregnant. The estrogen and progesterone increase your body's estrogen and decrease testosterone levels. Birth control pills balance the hormones that contribute to PCOS symptoms.

They can also help treat conditions such as unwanted hair growth and acne.  Progestin therapy is an example of hormonal therapy that has proven to be effective in treating PCOS symptoms and regulating periods. The dosage should be administered 10 to 14 days after one to two months.

Lifestyle Changes Ideal for Weight Reduction for PCOS

                        

Individuals with  PCOS should commit to a few lifestyle changes to manage their condition. 

Stress Management and Sleep Improvement

Stress management when you have been diagnosed with PCOS is vital as it can lead to hormonal imbalance, hence worsening your symptoms. Stress-reducing techniques such as yoga or meditation go a long way in helping you with your condition.

Make sure you get enough sleep, as this helps in weight loss when you have PCOS. Adequate sleep is about seven to eight hours a night, and this should be made a routine. Sleep reduces insulin resistance and eases stress levels. 

PCOS and Insulin Resistance: How Physical Activity Helps

Engage in physical exercises to help with weight loss. When you exercise, the body inhibits the secretion of insulin. It uses more glucose compared to when it is resting. Exercise makes your body receptive and insulin-sensitive.

Engage in strength training and aerobics for better results, given that aerobics improves insulin sensitivity. Strength training, on the other hand, boosts muscle mass and affects glucose intake.

Exercise for PCOS Belly Fat Reduction

Exercise is helpful for individuals struggling to get rid of PCOS belly fat. Strength training and cardio training, e.g., swimming, cycling and uphill trekking, are very effective in combating belly fat. Such exercises enhance cholesterol levels and control blood sugar. They also enhance sleep quality and mood. You can do push-ups, lunges and deadlifts.

Self-Care Strategies: Managing PCOS Flare-Ups, Reducing Inflammation, and Long-Term Maintenance

Minding your diet and making other significant lifestyle changes are useful techniques. 

Ensuring that you maintain a regular exercise routine is also important. Other things to be mindful of include prioritizing sleep and avoiding stress.

Long-term maintenance involves using supplements and medications. Make a date with your dietician to get a customized option that works for you. For long-term maintenance, you can turn to supplements and other medications.

Overcoming Common Challenges

Why Is It Hard to Lose Weight With PCOS? Addressing Common Misconceptions

Several misconceptions about PCOS exist. Some of the most common ones include:

  • PCOS only affects overweight women: All women are predisposed to PCOS.

  • PCOS can cause infertility: PCOS can affect conception; however, you can use medications to balance your hormones and regulate the menstruation cycle.

  • Weight loss rids PCOS: As earlier discussed, PCOS has no cure, but losing weight helps in balancing hormone levels.

  • PCOS causes weight gain or prevents weight loss: In many cases, women with PCOS symptoms are more likely to be overweight than their counterparts without PCOS. The relationship between PCOS and being overweight remains unclear.

How to Lose Weight Fast With PCOS Safely: Setting Realistic Goals.

Losing weight is gradual and requires persistence and patience. Your body mass and composition will change in various ways throughout your weight loss journey. Therefore, you need to be patient with yourself. Have a weight loss plan to manage and track your progress. 

PCOS Weight Loss in 1 Month: Short-Term Targets vs. Sustainable Results

The duration taken to lose PCOS weight is different between people; hence, it calls for setting realistic targets.

For instance, you can target to lose a few kilograms in a month. You can then gradually increase this amount once you achieve the target, giving you a chance to have a weight loss strategy that actually works toward achieving sustainable results. 

Dealing With PCOS Weight Loss Plateaus and Sudden Weight Gain

While hitting a weight loss plateau can be painstaking, you can adopt a few changes to deal with this situation. For instance, you can change your diet to include to include certain nutrients. You can also manage your stress levels and engage in physical activities.

Can Losing Weight Help PCOS? Fertility, Hormone Balance, and Symptom Relief

Weight loss can help to manage PCOS symptoms. It can also improve the effectiveness of medicines and prevent the risk of long-term diseases such as diabetes.

Hormone functions in the body can be inhibited by obesity. As a result, vital body functions are hindered. Weight loss corrects this problem by allowing your body to function properly. Medications and supplements for hormone balancing also become more effective, thus correcting the infertility problem.

Tracking Progress and Adjusting Your Plan

Cutting weight with PCOS symptoms requires you to be dedicated for better results.

Monitoring Weight Changes, Body Measurements, and PCOS Belly Reduction

Keep track of your body changes and belly fat reduction by calculating your body mass index. A healthy body mass index should be between 18'5 to 24.9. The online body mass index gauge can help you determine if you are within the right range.

A weight loss of, say, 5 percent is enough to bring a noticeable change to PCOS symptoms. Observing regular exercise and proper diet will significantly help shed some weight.

How to Lose Weight When You Have PCOS: Personalized Approaches

Losing weight can be challenging for people with PCOS symptoms more than those with balanced hormones.

Some personalized approaches that you can take include:

  • Going slow on the exercises: Exercising is good for weight loss, but you should never overdo it as it can lead to injuries once you exceed your limits.

  • Avoid over-restricting the calories: Do not cut down on too many calories on a given day to prevent nutritional deficiencies.

  • Know how to deal with cravings: Determine what triggers your cravings and know how to manage them.

Adjusting Diet and Exercise for Persistent PCOS Symptoms

It is important to keep track of persistent symptoms. Eating certain foods and engaging in regular exercise can ease PCOS symptoms.

For example, minimizing carbohydrate intake helps in weight loss. This, nonetheless, does not mean you completely do away with carbs, but you should go for foods with low carbohydrate content like Greek yogurt, leafy greens or nut butter. Cardio and strength training exercises are also ideal for weight loss. 

Long-Term Strategies: Preventing Weight Rebound and Maintaining Results

You might regain weight when in the process of managing it. However, this situation can be avoided by a few things:

  • Paying attention to your diet choices and exercise  

  • Know certain situations like bad moods or cravings and devise ways to manage them rather than falling victim.

FAQs (Frequently Asked Questions)

+ How can one lose weight with PCOS despite it being difficult?

Consuming a balanced diet, engaging in physical activities and using medication will enable you to lose weight with PCOS. It is the small changes that lead to lasting results.

+ Does shedding weight help in PCOS symptoms?

Yes, Most PCOS symptoms can be corrected by losing weight. Losing weight is also essential in boosting insulin and lowering androgen levels, besides helping to maintain regular menstrual cycles and, ultimately, improving one's fertility. Losing weight helps to prevent other PCOS-related sicknesses like heart attacks.

+ What are some examples of PCOS weight loss supplements?

Many supplement options can help in weight management. Examples of these supplements include Vitamin D, Inositol, Chromium, and Omega-3. It’s advisable to consult a dietician before you embark on a supplement.

+ Can medications such as Metformin good for PCOS weight loss?

True, Metformin improves insulin resistance and helps to shed weight. For better results, combine the medication with regular exercise and the right diet. You can also use medications similar to those in Ozempic.

What is the ideal diet plan for PCOS weight loss?

The right diet plan for PCOS weight loss includes nutrient-rich foods like healthy carbohydrates, whole grains, healthy fats and lean proteins. Foods containing lower sugar and fat levels and a healthy glycemic index are ideal. Consult a registered dietician for a personalized plan.

Additional Resources and Further Reading 

PCOS Support Groups and Professional Guidance

  • Ask PCOS

  • PCOS Awareness Association

  • PCOSAA

Trusted Lifestyle Guides for Long-Term Weight Management

  • National Institute of Health

  • Journal of Ovarian Research

Organizations and Research-Based References

  • World Health Organization (WHO)

  • The Androgen Excess Society (AES)

Take the Ovii PCOS Quiz

This quiz is based on well-known and established authorities on when it appears you may or may not have PCOS. The purpose of this quiz is to assist Ovii in providing nutritional recommendations to you.