Weight management with PCOS

Q: I have Polycystic ovarian syndrome (PCOS) and can't seem to lose weight with diet and exercise. What are my options for weight loss?

A: Weight gain and difficulty losing weight are common problems with PCOS. Although diet and exercise play an important role in weight management sometimes they aren't enough. I typically recommend patients with PCOS who are not trying to become pregnant, use an oral contraceptive pill to regulate cycles and decrease testosterone production. Glucophage (Metformin) can help the body better use insulin and decrease insulin resistance which can lead to weight loss. Anti-testosterone medications (such as Spironolactone) may also help with weight reduction by lowering testosterone levels. Appetite suppressants (like phentermine) and fat blockers (like Zenical or Alli) can also be very effective adjunct therapy. Of course, close medical supervision is recommended with all prescription medication use.

For people with PCOS achieving and maintaining optimal weight is very important and will decrease the risk of PCOS complications such as infertility, adult onset diabetes and cardiovascular disease. I recommend dietary counseling or following a diet plan (such as Weight Watcher's) in addition to exercising 3-5 times a week. Being consistent over time is very important. You are less likely to get frustrated and give up if you are seeing measurable improvement. I recommend you don't just focus on weight loss. Take measurements of your upper arms, breast, waist, hips and thighs so you can watch the inches drop off along with the pounds. Having a good support system will also help you stay focused. Having to "weigh in" at your health care provider's office or your Weight Watcher's meeting may serve to further motivate you. Hang in there you are not alone. 10 percent of the population has PCOS. It is very manageable with the right support! ~Lisa