PCOS, (Polycystic ovarian condition), and the swings of ovarian hormones. is closely linked with many nutritional pathways. Most studies do say that diet and exercise are both the initial treatment indicated and a mainstay of PCOS treatment.
Even Small Gains in Normal Weight Women May Have Hormonal Consequences
As little as 10% loss in weight corresponds to an increase in fertility of 68% for women with PCOS. Those with normal weight can also increase their fertility by losing as much as 5% of their body weight.
Research on weight loss for PCOS stability has mostly focused on those who are obese, or those who have documented insulin resistance, such as an diabetic or a woman with prediabetes.
Absolutely consuming foods that promote a healthy insulin balance is going to be the healthiest diet for those with PCOS. Current studies show that 50% of women with PCOS develop diabetes before age 40, and even a higher percentage have gestational diabetes in pregnancy.
How you lose weight may not be as important as your overall weight and nutrition status
Studies of those who have PCOS and obesity, and undergo bariatric surgery, do show a lessening of PCOS, and a resumption of both regular cycles and ovulation. We assume this will be shown for those who lose weight with the GLP-1 injection weight loss medications, but as of yet there are no complete studies to back this assumption up.
High carb and low carb diets, when studied by controlled research, seem to both be able to effect weight loss and resumption of ovulation in those with PCOS. That’s good news if you personally prefer one over the other.
Mediterranean Diets
The recommendations are to have a diet that is either low glycemic index, an anti-inflammatory diet (with good fats such as in the Mediterranean Diet), or the DASH diet which is used for hypertension treatment and prevention. Use seasoning like lemons, limes, tarragon, thyme, and pepper to spice it up.
The goal of treatment of women with PCOS should be directed at your individual goals. If you seek fertility the treatment plan may have to be aimed at resumption of ovulation, if you seek resolution of hair loss, the proof of effectiveness may have to be cessation of the hair loss. So that means working with a health care provider and being monitored. Call Women’s Health Practice for an appointment.
