PCOS and weight: why it's harder and what helps
With PCOS, losing weight often feels like a fight against your own body. Why that is and which approaches really help.
- PCOS
- hormones
- insulin
In short
PCOS is one of the most common hormonal conditions in women of reproductive age. Many have insulin resistance, which favours weight gain and makes weight loss harder.
According to the international guideline, even modest weight loss can improve cycles and metabolism. It's not about perfection but doable steps.
Why weight loss is harder with PCOS
With PCOS the ovaries produce more male hormones. At the same time, cells often respond less to insulin. The body releases more insulin, which in turn promotes male hormone production and fat storage around the abdomen.
Stronger hunger is common too. That's not a lack of willpower; it's part of the condition.
What helps
- A diet you can sustain long term; the guideline finds no specific PCOS diet superior
- Fibre and protein for steady fullness
- Regular exercise, combining strength and endurance
- Sleep and stress management
- Regular gynaecology and GP check-ups, including blood sugar
Medicines for PCOS
Depending on symptoms, hormonal contraceptives or metformin may be options. If obesity is present, weight-management medicines may also be an option. Whether that suits you is assessed in the medical review of your questionnaire.
Important: because fertility can change with weight, reliable contraception matters especially during GLP-1 treatment.
Note
This Journal article offers general information. It is not a diagnosis, a prescription or a promise of any result. Whether treatment is suitable for you is decided by a doctor after reviewing your questionnaire. For acute or severe symptoms, contact your GP, the out-of-hours medical service (116117) or, in an emergency, 112.
Sources and medical review
Based on the International Evidence-based PCOS Guideline (2023). Medical review pending.
- International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2023 (Teede et al.)