What is the best diet and lifestyle approach to reduce the effects of polycystic ovary syndrome (PCOS)? What type of exercise is best?
Is it possible to maintain normal hormone levels, or do women with PCOS need to maintain a fairly strict diet and lifestyle plan throughout their lives?
PCOS affects 8-13% of women, leading to numerous symptoms that diet and lifestyle can help to correct.
In this blog post, I’ll outline what the most current research suggests for improving how to look, feel, and function better if you're managing PCOS.
How Doctors Diagnose PCOS
In women with PCOS, the ovaries produce excessive levels of androgens, the hormones that lead to male sex characteristics. As of yet, doctors don’t know the exact cause.
Women with PCOS may have abnormal levels of numerous sex hormones, including:
androstenedionedehydroepiandrosterone (DHEA)DHEA sulfatefree testosteroneluteinizing hormone (LH)sex hormone-binding globulintotal testosterone
Healthcare practitioners use the Rotterdam criteria to diagnose women with PCOS. Two of the following three conditions must be present:
Clinical or biochemical hyperandrogenism (high testosterone)Oligo- or anovulation (inconsistent or no ovulation)Polycystic ovaries (cysts on ovaries) on ultrasound
The Androgen Excess and POCS Society suggests that women with high testosterone and either oligomenorrhea or polycystic ovaries should be diagnosed with PCOS.
Obvious PCOS symptoms include:
infertilityirregular menstrual cycleshirsutism (male-pattern hair growth)
As PCOS progresses, it leads to numerous other health problems.
PCOS, Metabolic Dysfunction, and Other Health Problems
Two physical characteristics most often indicate excessive androgen hormones in women: facial hair growth and excess weight in the midsection.
Weight gain around the midsection creates an “apple shape” and is often the result of increased visceral fat. Visceral fat causes chronic, low-grade inflammation and significantly increases the risk of cardiovascular disease.
Though the facial hair may become frustrating to deal with, the visceral fat could lead to life-threatening heart problems. Excess visceral fat also contributes to insulin resistance, which leads to even more visceral fat and total body fat.
Unchecked, insulin resistance leads to type II diabetes and metabolic syndrome.
Women with the disorder (PCOS) are more likely to develop obesity, type 2 diabetes, cardiovascular disease (CVD), non-alcoholic fatty liver disease (NAFLD), and have a greater risk of developing anxiety, depression, and mood disorders.Shele G, et al.
Aside from the hormonal imbalance itself, women with PCOS are more likely to have mitochondrial dysfunction and defects in skeletal muscle insulin signaling.
Mitochondria are the powerhouses of your cells, so if they don’t work right, you won’t be able to produce energy efficiently, burn fat effectively, or feel like exercising.
If your muscle cells become insulin resistant, they won’t store dietary carbs as glucose, which increases blood sugar and triglycerides.
In short, PCOS can lead to several metabolic issues that ultimately make the symptoms worse. However, you don’t need to give in to the condition. You just need to manage it.
Based on the most current evidence, here’s how to do just that.
PCOS and Exercise
Because of their higher testosterone levels, women with PCOS often build muscle easier. This deters many of them from sticking to a good strength training program.
However, strength training may be the most essential form of exercise for managing PCOS.
Muscle cells become insulin resistant with PCOS. Under normal circumstances, insulin triggers your muscle cells to store glucose, or blood sugar, as glycogen. Doing so helps lower circulating blood sugar and triglycerides.
Because your muscle cells don’t store carbohydrates appropriately, blood sugar remains elevated, causing: