Polycystic Ovary Syndrome (PCOS) is a complex and often misunderstood condition that affects millions of women worldwide. It is characterized by hormonal imbalances, irregular periods, and in some cases, small cysts on the ovaries.1 However, the implications of PCOS go far beyond reproductive health—it has a profound impact on weight management and can increase the risk of developing type 2 diabetes. Many women with PCOS face an uphill battle, struggling with unexplained weight gain and the challenges of managing insulin resistance. In fact, some women may be dealing with these symptoms without even knowing they have PCOS.
The Connection Between PCOS and Weight Gain
One of the most common and frustrating symptoms of PCOS is weight gain, especially around the abdomen. This stems from how PCOS disrupts the body’s ability to regulate insulin.2
Insulin is a hormone that helps your body turn sugar (glucose) from the food you eat into energy. In women with PCOS, the cells can become resistant to the effects of insulin, a condition known as insulin resistance.3 This means the body needs to produce more insulin to manage blood sugar levels.
Excess insulin not only contributes to weight gain but also makes it harder for the body to lose weight. It can feel like a vicious cycle—PCOS makes it easier to gain weight, and the more weight gained, the more difficult it becomes to manage PCOS symptoms.
Women with PCOS are also more likely to have higher levels of androgens (male hormones), which can further contribute to weight gain.4 This hormonal imbalance, combined with insulin resistance, makes it incredibly challenging for women with PCOS to maintain a healthy weight—even when they follow a balanced diet and exercise regularly.
PCOS and Diabetes: A Double Burden
The link between PCOS and type 2 diabetes is well-established. Insulin resistance, a key feature of both conditions, can cause blood sugar levels to rise over time, eventually leading to diabetes. According to the CDC, more than half of people with PCOS will develop type 2 diabetes before they turn 40.5
For women managing both PCOS and a diabetes diagnosis, the challenges can feel overwhelming. Not only do they have to manage their blood sugar levels, but they also have to navigate the other frustrating symptoms of PCOS. This double burden can take a significant toll on both physical and emotional health.
How to Stop PCOS Weight Gain: Is It Possible?
If you’re living with PCOS and struggling with weight gain, it’s important to know that you’re not alone. There are strategies to help manage your symptoms. While there’s no one-size-fits-all solution, here are some approaches that may help:
- Focus on insulin sensitivity: Since insulin resistance is a major driver of weight gain in PCOS, improving insulin sensitivity can make a significant difference. This can be achieved through a balanced diet rich in fiber, lean protein, and healthy fats, while limiting refined carbs and sugars.
- Exercise regularly: Physical activity can help improve insulin sensitivity and aid in weight management. A combination of strength training and aerobic exercises can be particularly effective for women with PCOS.6
- Prioritize sleep and stress management: Poor sleep and chronic stress can increase insulin resistance and contribute to weight gain. Incorporating stress-reduction techniques like mindfulness or yoga in addition to getting enough sleep, can be beneficial.
- Consider supplements: While no supplement can cure PCOS, some women find support from products that are designed to aid hormonal balance. For example, FLO Ovarian Support offers a blend of ingredients that support hormone balance, reproductive health, and weight management. Many women with PCOS have found it helpful in managing some of the symptoms of this condition.
The Emotional Toll of PCOS, Diabetes, and Weight Gain
It’s important to recognize the emotional challenges that come with managing PCOS and diabetes. The constant battle with weight gain, along with the pressure to maintain blood sugar levels, can lead to feelings of frustration, self-blame, and even hopelessness. Many women feel as though their bodies are working against them, which can take a toll on mental health and self-esteem.
However, there is hope. With the right strategies and support, it’s possible to manage PCOS symptoms, improve insulin sensitivity, and take control of your health. Connecting with other women who understand the struggles of living with PCOS, whether through online communities or support groups, can also provide valuable emotional support.
Moving Forward With PCOS
PCOS, weight gain, and diabetes often go hand-in-hand, creating a unique set of challenges for women. While these conditions can feel overwhelming, understanding the underlying causes—like insulin resistance or hormone imbalance—can help women take proactive steps to manage their symptoms. From focusing on diet and exercise to exploring natural supplements, there are ways to support your body in the battle against PCOS.
Though there’s no quick fix, finding a treatment plan that works for you, along with compassionate self-care, can make a world of difference. If you think you may have PCOS or are struggling to manage your weight, reach out to a healthcare provider for guidance and support.
A note on sex and gender: Sex and gender exists on spectrums, and this article uses terms like “male” or “female” to refer to sex assigned at birth. Learn more.
