Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects women of reproductive age. One of the most challenging symptoms of PCOS is weight gain and difficulty losing weight. Finding the right doctor to help guide you through your weight loss journey can make a significant difference in managing this condition effectively.
Endocrinologist
The nutrition you get from the food you include in your PCOS diet can be affected by how you choose to prepare it. In addition, the high-protein diet favors foods with a lower glycemic index, which likely plays a role in its beneficial effects. However, the study authors observed those following the higher protein diet also ate fewer calories, likely because protein tends to be more filling. Carnitine, an amino acid found in meat, may also lead to weight loss. If you have PCOS, you may experience sleep disturbances, including excessive daytime sleepiness, sleep apnea, and insomnia (39). People with PCOS may have tried many diets and are three times more likely to have eating disorders than people without PCOS (24).
This was initially the case for Candice Bolden, 35, who started noticing acne and excess facial and body hair several years before she was diagnosed with PCOS in 2021. The confusion surrounding PCOS diagnosis is partly why it’s been hard to get large pharmaceutical companies to invest in PCOS treatment, she said. ‘It gets very messy to try to identify one treatment that’s going to work for everybody,’ Huddleston said. Body weight exercises, where you use your own body mass as resistance, can be an effective way to train when getting started, while traveling, or when you find yourself without equipment. Because of this, if someone has irregular menstrual cycles and high androgens, ultrasounds and AMH aren’t needed for a diagnosis. I want to empower women to create their own balanced diets that follow a few key principles, and work for them.
One reason is that PCOS can cause your body to make too much insulin, which leads to a build-up of fat. A balanced, nutritious diet ‘ low in inflammatory foods such as refined carbs and highly processed foods and rich in whole foods, protein, healthy fats, and fiber ‘ may aid weight loss. People with polycystic ovary syndrome are more likely to also have obesity, systemic inflammation, metabolic syndrome, insulin resistance or a combination of these chronic conditions.
An endocrinologist is a doctor who specializes in hormone imbalances and metabolic disorders. They are well-equipped to diagnose and treat the hormonal imbalances that come with PCOS, which can contribute to weight gain. An endocrinologist can help create a personalized treatment plan that includes medication, lifestyle changes, and dietary recommendations to support weight loss.
Obstetrician/Gynecologist (OB/GYN)
Many women with PCOS first receive a diagnosis from their OB/GYN. These doctors specialize in women’s reproductive health and can provide guidance on managing PCOS symptoms, including weight gain. Your OB/GYN may work in conjunction with other specialists, such as an endocrinologist or nutritionist, to develop a comprehensive treatment plan.
Nutritionist/Dietitian
A diet for PCOS should be relatively low in processed or refined carbohydrates, prioritize lean proteins and healthy fats, and include plenty of high-fiber foods and brightly colored produce. Eating consistently can also help reduce blood sugar issues and for most people, spacing out meals and snacks about three to four hours apart is ideal. Here’s additional info if you’re curious about intermittent fasting. Polycystic Ovarian Syndrome (PCOS) treatment entails a multifaceted approach to managing symptoms and hormonal imbalances. It includes lifestyle changes such as dietary changes and exercise that aid in weight management and insulin regulation. Medications such as hormonal birth control and insulin-sensitizing drugs are used to treat hormone imbalances and insulin resistance.
While there are tons of gimmicks out there claiming to make weight loss easy, the most effective, healthy and long-term method for women with PCOS is good old-fashioned exercise paired with a healthy diet. Androgens, or male hormones, are typically elevated in PCOS, leading to the various symptoms that women experience. It is currently believed that high levels of insulin actually increase ovarian androgen production.
To help on your journey to good health, Dr. Ayazo recommends following these steps for success. Stathos emphasizes that individual foods are seldom the culprits behind conditions such as polycystic ovary disease, and likewise, no single food is likely to be a ‘magic bullet’ to restore health. One common side effect of PCOS is sleep apnea, which disrupts your rest at night. Lack of shuteye causes weight to go up because it messes with hormones controlling hunger and fullness, says Dr. Apovian. Try to get at least seven hours per night, and talk to your doctor if you think you might be suffering from sleep apnea.
A nutritionist or dietitian can play a crucial role in supporting PCOS weight loss efforts. They can help you create a balanced meal plan that takes into account your specific dietary needs and goals. A nutritionist can also provide education on portion control, food choices, and how to manage cravings, all of which are essential for successful weight loss with PCOS.
Frequently Asked Questions:
- Can I see my primary care physician for PCOS weight loss guidance?
- Should I consider seeing a mental health professional?
While your primary care physician can provide general guidance on weight loss, it is best to seek care from a specialist who has experience treating PCOS. This ensures that you receive the most effective and personalized treatment plan.
Weight gain and difficulty losing weight can have a significant impact on your mental health. Consider seeking support from a therapist or counselor to address any emotional challenges associated with PCOS and weight loss.
Overall, finding the right doctor to help guide your PCOS weight loss journey is essential for managing this complex condition effectively. By working with a team of healthcare professionals, including an endocrinologist, OB/GYN, and nutritionist, you can develop a comprehensive treatment plan that supports your weight loss goals and improves your overall health and well-being.
