- Insulin resistance makes weight loss harder with PCOS.
- Losing 5 to 10 percent of body weight can improve periods and symptoms.
- Metformin and GLP-1 medicines can help some women.
- GLP-1s should be stopped before trying to get pregnant.
Why PCOS makes weight loss harder
Most women with PCOS have some insulin resistance. High insulin levels push the ovaries to make more androgens and make it easier to store fat, especially around the belly. Hunger and cravings can also be stronger.
What helps
- Steady eating patterns with protein, fiber and fewer refined carbs
- Strength training and walking to improve insulin sensitivity
- Good sleep and screening for sleep apnea
- Metformin for insulin resistance or prediabetes
- GLP-1 medicines for women with obesity who are not pregnant or trying to conceive
- Treating other symptoms like acne and hair growth at the same time
A small loss makes a big difference
Losing 5 to 10 percent of your weight can bring back regular periods, improve fertility and lower diabetes risk. You do not need to reach an ideal weight to see real benefits.
GLP-1 medicines are not used in pregnancy. Most need to be stopped at least two months before trying to conceive. Talk with your doctor about timing.
Learn more on our page about PCOS treatment in Chicago, or get in touch to request a visit.
Triple board-certified endocrinologist and obesity medicine specialist in Chicago. This article is for general education and is not medical advice.