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How to lose weight with PCOS

Polycystic Ovary Syndrome (PCOS) is caused by an imbalance of hormones produced by the ovaries. It is the most common hormonal disorder in women of reproductive age and is characterised by increased activity of certain hormones. It can lead to conditions such as being overweight, irregular or absent menstrual periods, increased body hair growth, and difficulty getting pregnant. Some individuals with PCOS may also experience no symptoms at all. Help is available if you have symptoms.

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Overview

In PCOS, overweight and obesity are common, but PCOS can also occur if you have normal or low weight. In cases of overweight, weight loss is primarily recommended because it leads to improved hormone balance, a more regular menstrual cycle, reduced body hair growth, and an increased chance of pregnancy, as spontaneous ovulation may return.

For individuals with PCOS and overweight, it can be frustrating to feel like you're putting in a lot of effort to lose weight but not seeing any results. Many with PCOS get discouraged because it can be challenging to shed pounds. If you're struggling to lose weight due to PCOS-related weight gain, it's likely not related to your willpower.

There is help! Through our medication-based treatment here at Yazen.uk, you gain access to doctors, midwives, dietitians, personal trainers, and psychologists, all of whom will help you lose weight effectively and maintain it.

If you have irregular menstruation and increased body hair growth, these symptoms can be treated with combined oral contraceptives, preferably oestrogen-dominant ones. This regulates your menstrual cycle and reduces the production of androgens (reducing acne and body hair). It also decreases the risk of ovarian cancer or endometrial cancer, which those with PCOS are otherwise 2.7 times more likely to develop.

If you have cysts on your ovaries, hormonal contraceptives also help prevent their formation. The best options in this case are birth control pills, patches, vaginal rings, or hormonal intrauterine devices.
Illustration of ovaries
Yazen infographic showing one out of ten women

PCOS affects 1 in 10 women

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Average weight loss of 9% per year with medication alone and 16% per year by combining medication with lifestyle changes, according to Yazen's model.

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Common symptoms of PCOS (Polycystic Ovary Syndrome)

The symptoms are typically related to high levels of a type of hormone called androgens, and decreased sensitivity to insulin, resulting in higher blood sugar than normal. Excess androgens can lead to polycystic ovaries, characterised by the formation of cysts on one or both ovaries, concurrent with hormonal imbalances. The most common symptoms are infrequent or absent menstruation, weight gain, increased body hair, and acne. Symptoms usually start in puberty. In the long term, PCOS patients have an increased risk of type 2 diabetes and cardiovascular diseases. Women with PCOS also have an elevated risk of mental health issues such as depression and anxiety.
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Overweight
Low mood
Fewer menstrual periods than usual
Acne
Decreased libido and difficulty getting pregnant
Increased hair growth on the abdomen, chest, and legs

PCOS-test

How do you know if you have Polycystic Ovary Syndrome (PCOS)?
Take this test to see if you have symptoms of PCOS that should be evaluated and, if necessary, treated.

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Yes

No

Do you experience increased hair growth on e.g. face, abdomen, chest or back?

Are you experiencing thinning hair or hair loss?

Do you experience acne and/or oily skin?

Have you had elevated testosterone levels on a blood test?

Yes

No

Have you been diagnosed with polycystic ovaries using ultrasound?

Yes

No

Irregular menstruation

Weight gain

Difficulty losing weight

Difficulty getting pregnant

Thinning/hair loss

Increased facial and/or body hair

Acne

Mood swings

Depression

Anxiety

Fatigue

Difficulty sleeping

Malaise

You likely have PCOS and are overweight.

We recommend that you contact your general practitioner or gynecological department for an examination with ultrasound and testing to get a diagnosis. You can start the treatment directly for your overweight as it is the most crucial for you to have fewer complaints. Weight reduction leads to improved hormone balance, reduced inflammation in the body, reduced body hair, and increased chances of pregnancy.Modern medicines and Yazen's method work together with your body to make it understand that the overweight you have now is not the body’s correct weight. Therefore, you get a steady weight reduction and can maintain your weight loss. This without a constant struggle to resist hunger and cravings. Create an account here!

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You have PCOS but are not overweight.

We recommend that you contact your general practitioner or gynecological department for an examination with ultrasound and testing.

You likely do not have PCOS but are overweight.

Modern medicines and Yazen's method work together with your body to make it understand that the overweight you have now is not the body’s correct weight. Therefore, you get a steady weight reduction and can maintain your weight loss. This without a constant struggle to resist hunger and cravings. Create an account here!

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You likely do not have PCOS, but you would benefit from losing weight to a healthier level.

Get an assessment from Yazen's doctor at no cost to see if we can help you. Create an account here!

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You likely do not have PCOS, and you are not overweight.

If you do not feel well, you should, in the first instance, contact your general practitioner for help.

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Assessment of PCOS

Menstrual irregularities, infertility, acne, and increased body hair are symptoms that should be evaluated by a gynaecologist to determine the diagnosis of PCOS. An important initial step, regardless of whether you want to undergo evaluation or not, is to start treatment with Yazen to reach a healthy weight using modern medications. Experience shows that many of the symptoms improve with even a modest weight loss. It's common to regain menstrual regularity or increase the likelihood of pregnancy.
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Treatment

Weight management

For those suffering from PCOS, it can be particularly challenging to maintain weight loss. This is because the increased levels of androgens increase hunger and cravings for fast carbohydrates, which raise the risk of weight gain. In cases of overweight, weight loss is the key focus of PCOS treatment, as it leads to improved hormone balance, reduced inflammation in the body, and a decrease in other symptoms. Weight loss can also increase chances of pregnancy for those with PCOS related symptoms who are trying to get pregnant.

Dietary treatment (in combination with modern medications)

The diet primarily recommended is a healthy, lower-calorie diet. There are various ways to lose weight, but overall, the recommendation is to consume more nutrient-rich foods such as vegetables, fruits and berries, legumes, root vegetables, fish and seafood, poultry, whole grains, and low-fat dairy products, while reducing the intake of discretionary foods, such as biscuits, candies, snacks, fast food, sugary beverages, and alcohol.

A dietary pattern often advocated as beneficial for PCOS is the Mediterranean diet. Many individuals with PCOS experience increased hunger and appetite, which can be challenging when trying to lose weight. Therefore, it's essential to eat nutrient-dense foods that provide satiety without containing excessive energy.

Since blood sugar regulation is often disrupted in PCOS, it is also crucial to focus on slow-digesting, fiber-rich carbohydrates. A dietitian can assist you in reviewing your diet and provide support during your weight management journey.

Physical activity

Regular physical activity is essential in the treatment of PCOS because it can contribute to weight loss and improved blood sugar control, reducing the risk of type 2 diabetes. Physical activity can also alleviate the effects of stress, enhance well-being, and make it easier to make healthier food choices. Individuals with PCOS may have advantages when it comes to building muscle and becoming stronger due to the effects of androgens on muscle mass. Increased muscle mass raises energy expenditure and can facilitate weight loss. A personal trainer can help tailor physical activity to your needs.

Treatment with physical activity

A combination of everyday activity (breaking prolonged periods of sitting, taking the stairs instead of the elevator, cycling to work), cardiovascular exercise (brisk walking or cycling, for example), and strength training (with or without additional weights) is recommended.