Weight Loss in PCOS: Why Hard & What to Do

Why Weight Loss is Hard in PCOS — And What You Can Do About It

Many women with Polycystic Ovary Syndrome (PCOS) struggle with weight loss, even when following healthy diets and exercising regularly. This handout explains why it’s more difficult — and what can be done to help.

🧠 Why Is Weight Loss So Difficult in PCOS?

Women with PCOS often find that traditional diet and exercise plans don’t work well for them. This is because of how PCOS affects the body:

– Insulin Resistance: Most women with PCOS have insulin resistance, meaning their body produces more insulin to control blood sugar. High insulin levels promote fat storage and increase hunger.
– Hormonal Imbalance: Higher levels of male hormones (androgens) slow metabolism and increase cravings.
– Slower Metabolism: Some women with PCOS naturally burn fewer calories at rest compared to others.
– Emotional and Mental Health: Stress, anxiety, and depression are more common and can affect eating habits.

⚖️ What Can Be Done If Lifestyle Changes Aren’t Enough?

If you’re doing your best and still not seeing results, you’re not alone. Here are some options to discuss with your healthcare provider:

– Medications:
  • Metformin helps with insulin resistance and may aid weight loss.
  • GLP-1 agonists (like Ozempic or Saxenda) may help reduce appetite and improve blood sugar.
  • Hormonal treatments like birth control pills may help balance symptoms.
– Tailored Diet Plans:
  • Low glycaemic index (GI) diets or Mediterranean diets may be more effective than typical calorie-counting.
  • Work with a dietitian familiar with PCOS.
– Exercise with Purpose:
  • Strength training and interval workouts may be better than just cardio.
  • Even small amounts of movement improve insulin sensitivity.
– Mental Health Support:
  • Therapy or counselling can help manage stress, emotional eating, and body image.
– Specialist Support:
  • Consider seeing an endocrinologist or fertility specialist for more comprehensive care.

📣 Remember:

If you’ve tried to lose weight with PCOS and it hasn’t worked, it’s not your fault. PCOS affects your hormones, metabolism, and cravings — making it harder than usual. With the right support, medications, and plan, it is possible to improve your health and feel better.

 

Dr Sharad ObGynae
+6010 7778901