A member asked:

How do i lose weight if i have pcos?

31 doctors weighed in across 14 answers
Dr. Stuart Wasser answered

Specializes in Addiction Medicine

The normal way: Watching calories always helps. Hopefully, you are using metformin which has a dual benefit of controlling Insulin resistance and promoting weight loss.

Answered 12/28/2017

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Dr. Mark Perloe answered

Specializes in Fertility Medicine

Losing weight: Paradoxically the best way to lose weight is to build muscle. Each pound of muscle you put on with resistance muscle training burns 75 calories a day versus only the calories for each pound of fat.

Answered 10/3/2016

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Dr. Susan Wingo answered

Specializes in Endocrinology

Low-carb diet: One of the defining features of pcos is that it takes higher levels of Insulin to keep the sugar(glucose) level in your blood normal. This high Insulin level can tend to make you feel hungry soon after eating. If you eat fewer carbs (sugar/starch) it takes less Insulin to get your sugar back to normal after a meal, and you'll feel less hungry between meals. Agree w/ muscle building exercise too.

Answered 12/13/2020

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Dr. Nancy Durso answered

Specializes in Fertility Medicine

Low carbs and exerci: The combination of lowering your carb intake to <25% of your plate and exercising 30min x 5-6 days per week works to keep your metabolism up while keeping the nutrient storage down.

Answered 3/29/2018

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Dr. Vered Lewy-Weiss answered

Specializes in

Energy balance: There's a lot we just don't understand about weight gain and loss. We do know, however, that weight loss is dependent upon burning up more calories than we eat. Likewise weight gain is what happens when more calories are taken in than are burned off. It is almost never easy, but eating fewer calories and getting more exercise are key to weight loss.

Answered 4/21/2013

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Dr. Michael Fox answered

Specializes in Fertility Medicine

Low Carb High Fat: Read, "why we get fat and what to do about it" taubes. Low carb high fat is the best diet for humans and results in dramatic persistent weight loss, decreased blood pressure, decreased cholesterol (yes this is true), decreased blood sugar and is very effective for pcos in women and dramatically lowers the risk of heart disease and stroke. We have used this for 8 yrs for patients with great succe.

Answered 3/29/2018

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Low carb diet: Pcos is caused by high estrogen (e2)combined with high Insulin which then transforms e2 into testosterone. Excess carbs can elevate both Insulin (via stimulation of pancreas) and e2 (via competitive inhibition of glucoronidase enzyme) a low carb diet reduces both Insulin & e2 thus positively impacting this metabolic disease. Avoid fried foods, veg oils, soy.

Answered 3/29/2018

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Dr. Thomas Wright answered

Specializes in Phlebology

Plan and organize: The most successful weight loss regimen use planning of meals, tracking what you eat. . The more thought you put into to the more likely you are to be successful.

Answered 11/27/2017

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Dr. Brad Eilerman answered

Specializes in Endocrinology

Balance: After ruling out and normalizing metabolic factors related to weight gain (thyroid, Insulin resistance, etc.) creating a calorie imbalance towards burning more calories than you take in will generate weight loss. It takes approximately 8000kcal to burn 1 kg. The regulation of weight is very complex hormonally. Many have proposed a hormonal basis for various diets but the data is limited.

Answered 10/24/2017

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Dr. Neeoo Chin answered

Specializes in Fertility Medicine

Low glycemic index diet: Find a glycemic index. If you eat items that are low in the glycemic index you will lose weight. Try to stay away from simple sugars such as white flour products.

Answered 8/4/2013

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Dr. Neeoo Chin answered

Specializes in Fertility Medicine

Eliminate simple carbs: Polycystic ovary syndrome involves Insulin resistance. Simple carbohydrates are not metabolize appropriately and are quickly stored in fats. Also Insulin levels are extremely elevated when simple sugars are consumed which in turn elevate male hormones. This becomes a vicious cycle.

Answered 3/29/2018

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Dr. Bryan Treacy answered

Specializes in Gynecology

Several options: Weight management with pcos can be a struggle, especially if testosterone levels are elevated. Pcos women may be Insulin resistant & lean toward type 2 diabetes. There are medical & surgical options for pcos treatment which may help with weight control. See a doctor well versed in pcos management for evaluation.

Answered 6/25/2014

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Pretty much the: Same way as if you did not have pcos. Eat healthfully. Try to eat at least 5 servings of vegetables ; 4 of fruit per day. Increase nutritional fiber. Avoid refined sugar ; junk carbohydrates. Avoid alcohol, sweetened juices, soda ; caffeinated beverages. Aim for 7.5 to 8 hrs of sleep / night. Hydrate w at least 64 oz of water / day. Calories burned must &gt; calories consumed. Be physically &gt;.

Answered 4/6/2014

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Dr. Alvin Lin answered

Specializes in Geriatrics

Nutrition &amp; exercise: No easy answer. Women w/PCOS (polycystic ovarian syndrome) lose weight same way everyone else does: eat healthy foods &amp; exercise regularly. Of course, see your Family Doc to make sure you don't also have hypothyroidism or some other condition. Metformin, used to treat diabetes, is often prescribed to those w/PCOS. Because it can upset your stomach, some people lose weight while taking metformin.

Answered 8/3/2015

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Related Questions

A member asked:

I have pcos, and I am having trouble losing weight. Any ideas?

A doctor has provided 1 answer