Polycystic Ovary Syndrome, or PCOS, is a condition that many women face during their reproductive years. It can bring a range of challenges, from irregular periods to difficulties with weight management.
But there’s good news: what you eat can make a significant difference in managing PCOS symptoms and improving your overall health.
This guide will explore the essential foods to include in your PCOS diet, what to limit, and how lifestyle changes can support your well-being.
What is Polycystic Ovary Syndrome (PCOS)?
Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder affecting women of reproductive age, typically between 15 and 44. This condition is often characterized by a few key factors: insulin resistance, where the body’s cells don’t respond well to the hormone insulin; high levels of androgens, which are sometimes called male hormones, though women produce them in small amounts too; and problems with ovulation, leading to irregular menstrual periods or missed periods.
How Your Diet Affects PCOS Symptoms
The food choices you make play a crucial role in how PCOS affects your body. A healthy diet can help regulate blood sugar and insulin levels. This is important because many women with PCOS experience insulin resistance. By managing blood sugar, you can reduce the risk of developing type 2 diabetes and related health problems.
Eating a balanced diet can also improve fertility and contribute to better overall health for women with PCOS. The focus of a PCOS diet should be on whole, unprocessed foods. These foods provide essential nutrients without causing rapid spikes in blood sugar, helping you manage symptoms and promote long-term health. Making thoughtful food choices is a powerful way to support your body.
According to Dr. Polly Watson, “Eating a low glycemic, high fiber, moderate protein diet is key to keeping blood sugar levels balanced and extinguishing inflammation seen in PCOS. Avoiding common food allergens like gluten and dairy can be a game-changer here.”
Dr. Watson speaks from personal experience, sharing that she also has PCOS. “After changing my diet, I was able to get off medications and restore my health,” she stated.
For those looking to implement these changes, Dr. Watson offers a simple guide. “I would start by filling half your plate with non-starchy veggies (at least 3 different colors), a palm-sized amount of high-quality protein, and two fingers of healthy fat like nuts, avocado, or olive oil.”
Best Foods for PCOS
Creating a supportive PCOS diet means choosing foods that nourish your body and help manage symptoms. Focus on whole, nutrient-dense options.
Lean protein sources
Lean protein is a cornerstone of an effective PCOS diet. Foods like poultry (chicken and turkey breast), fish, and legumes (beans, lentils, chickpeas) can help regulate blood sugar and insulin levels. Protein also helps you feel fuller for longer, which can be beneficial for weight management. Including a source of lean protein with each meal can help stabilize your energy throughout the day.
“Protein sourcing is important. Eat the highest quality protein you can afford. The EWG provides a great guide to understanding meat labels and helping you decipher which is the best product.”—Dr. Polly Watson
Whole grains
Choosing whole, intact grains over refined grains can make a positive impact. Options such as brown or black rice, quinoa, and buckwheat groats are high in fiber. This fiber helps slow down the absorption of sugar into your bloodstream, which can help manage PCOS symptoms and improve overall health. Whole grains also provide important vitamins and minerals.
Non-starchy vegetables
Fill your plate with colorful, non-starchy vegetables. Leafy greens like spinach and kale, along with broccoli, cauliflower, bell peppers, and cucumbers, are excellent choices. These vegetables are packed with fiber, vitamins, and minerals but are low in calories and carbohydrates. Their high fiber content aids in blood sugar control and digestive health.
Healthy fats
Don’t shy away from healthy fats. Monounsaturated fats, found in foods like olive oil, avocados, and nuts (almonds, walnuts), and polyunsaturated fats can improve insulin resistance and reduce inflammation in the body. These fats are important for hormone production and overall cell function.
Fatty fish
Wild-caught fatty fish are particularly beneficial due to their high omega-3 fatty acid content. Salmon, mackerel, sardines, and trout are excellent sources of these anti-inflammatory fats. Including fatty fish in your diet a couple of times a week can help reduce inflammation, a common concern for women with PCOS, and support heart health.
Foods to Avoid with PCOS
Just as important as knowing what to eat is understanding which foods can worsen PCOS symptoms or increase health risks.
Processed foods and refined carbohydrates
Highly processed foods, especially those high in sugary snacks and refined carbohydrates like white bread, pasta, and pastries, can cause a sudden rise in blood sugar and insulin levels. This can exacerbate insulin resistance and contribute to weight gain, making PCOS symptoms harder to manage.
Saturated fats
Saturated fats, commonly found in processed meats like bacon and sausage, conventional red meat, and fried foods, can increase insulin resistance and inflammation. Limiting these types of fats is beneficial for managing PCOS and protecting your heart health.
Added sugars
Foods and drinks with a lot of added sugars, such as sugary beverages (soda, sweetened juices), candy, and many baked goods, can cause inflammation and negatively impact PCOS symptoms. Too much sugar contributes to blood sugar imbalances and can make weight management more challenging. Reading labels to identify hidden sugars is a helpful habit.
Highly processed items
Items like energy drinks and most fast food options are often packed with unhealthy fats, sugar, and artificial ingredients. These can disrupt hormone balance and worsen PCOS symptoms. Opting for fresh, whole foods whenever possible is a better choice for your health.
Managing Insulin Resistance with PCOS
Insulin resistance is a very common feature for many women with PCOS. When your body is resistant to insulin, your pancreas has to produce more of this hormone to help glucose enter your cells for energy. This state of high insulin can stimulate the ovaries to produce more androgens (male sex hormones), contributing to symptoms like irregular periods, acne, and excess hair growth.
This resistance also significantly increases the risk of developing metabolic syndrome and type 2 diabetes. Therefore, managing insulin resistance through diet, exercise, and sometimes medication is crucial for the overall health and well-being of women with PCOS. Lifestyle changes that focus on improving insulin sensitivity can have a profound impact on managing PCOS.
“If you are just starting out on your PCOS journey, I would start with 2 changes:
- Don’t drink calories. Stick with water, unsweetened tea, or organic coffee.
- Don’t eat the white stuff. Get rid of breads, white rice, white potatoes, pasta, and you will be eliminating many of the inflammatory foods in your diet. “—Dr. Polly Watson
How to Manage PCOS with Lifestyle Changes
Beyond diet, other lifestyle factors play a significant role in managing PCOS.
Physical activity and exercise
Regular exercise is a powerful tool for women with PCOS. Activities like brisk walking, jogging, cycling (cardio), and strength training can help improve insulin sensitivity, meaning your body can use insulin more effectively. Exercise also helps reduce inflammation, which is often elevated in PCOS.
Beyond these benefits, physical activity can also help manage stress and improve overall health and well-being. Aim for at least 150 minutes of moderate-intensity exercise per week. This could be 30 minutes, five days a week. Finding activities you enjoy will make it easier to stick with a regular routine.
Stress management
Stress can worsen hormonal imbalances and PCOS symptoms. Incorporating stress management techniques into your daily life can be very beneficial. Practices such as yoga, meditation, deep breathing exercises, or even spending time in nature can help reduce stress levels and improve your overall health.
Addressing emotional eating
Emotional eating can also be a challenge for women with PCOS, sometimes driven by stress or hormonal fluctuations. It’s important to recognize these patterns and find healthy coping mechanisms. This might involve developing new hobbies, practicing mindfulness, or ensuring you’re eating regular, satisfying meals to prevent extreme hunger. If you struggle with stress or emotional eating, seeking support from a registered dietitian or a therapist can help you develop a personalized plan.
How to Manage Your Weight with PCOS
Weight management can be particularly challenging for women with PCOS due to hormonal imbalances and insulin resistance. However, even a small amount of weight loss can lead to significant improvements.
Losing even 5% to 10% of your body weight can improve PCOS symptoms like irregular menstrual cycles and reduce the risk of related health problems, such as type 2 diabetes and high blood pressure. The key is to focus on sustainable lifestyle changes rather than quick-fix fad diets. This means adopting healthy eating habits that you can maintain long-term and incorporating regular physical activity into your routine.
Aim for a healthy and gradual weight loss of about 1 pound per week. This steady approach is more likely to lead to lasting results and is healthier for your body. Remember, the goal is not just to lose weight, but to improve your overall health and well-being. Working with a healthcare provider or a registered dietitian can help you create a safe and effective weight management plan tailored to your specific needs with polycystic ovarian syndrome.
Take Control of Your PCOS Journey
Managing PCOS involves a multifaceted approach, but the power of diet and lifestyle changes cannot be overstated.
By focusing on whole, unprocessed foods, including lean protein, whole grains, plenty of non-starchy vegetables, and healthy fats, you can help regulate your blood sugar and insulin levels. Limiting processed items, added sugars, and unhealthy fats is equally important.
Coupling these dietary strategies with regular physical activity and effective stress management techniques can significantly improve insulin sensitivity, reduce inflammation, and help manage weight. Remember, you don’t have to navigate this journey alone.
If you’re ready to develop a personalized plan to manage your PCOS symptoms and improve your overall health, we’re here to help. Contact us today to start your journey toward better well-being.
Frequently Asked Questions
What is PCOS?
Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder affecting women of reproductive age. It is often characterized by insulin resistance, high androgen levels, and ovulation problems leading to irregular periods.
How can diet help manage PCOS symptoms?
A healthy diet plays a crucial role by helping regulate blood sugar and insulin levels, which is important as many women with PCOS have insulin resistance. Making thoughtful food choices can also improve fertility and contribute to better overall health.
What are the best foods to eat for PCOS?
The best foods for a PCOS diet include lean protein sources like pastured poultry and wild-caught fish, whole grains such as brown rice and quinoa, and plenty of non-starchy vegetables like leafy greens and broccoli. Healthy fats from foods like avocados, nuts, and fatty fish are also essential.
What foods should I avoid if I have PCOS?
It is best to limit or avoid processed foods, refined carbohydrates like white bread and pastries, and items high in saturated fats such as processed meats. You should also minimize added sugars found in sugary drinks and candy, and highly processed items like energy drinks and most fast food.
Why is managing insulin resistance important for PCOS?
Managing insulin resistance is crucial because it is a common feature of PCOS that can lead to high insulin levels, stimulating ovaries to produce more androgens and worsening symptoms. This resistance also increases the risk of metabolic syndrome and type 2 diabetes. You can learn more about glucose control here.
What lifestyle changes, besides diet, can help with PCOS?
Regular physical activity, such as brisk walking or strength training, can improve insulin sensitivity and reduce inflammation. Stress management techniques like yoga, meditation, or deep breathing are also beneficial, as stress can worsen hormonal imbalances.
How can I manage my weight effectively with PCOS?
Effective weight management with PCOS involves focusing on sustainable lifestyle changes, including healthy eating habits and regular exercise, rather than quick-fix diets. Even a small weight loss of 5% to 10% can significantly improve PCOS symptoms and reduce health risks.
Can exercise help with PCOS?
Yes, regular exercise is a powerful tool for women with PCOS as it helps improve insulin sensitivity, reduce inflammation, and manage stress. Aim for at least 150 minutes of moderate-intensity exercise per week, including activities like cardio and strength training.











