Vivienne Wang - PCOS & Fertility Dietitian

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Can PCOS Be Treated with Exercise? The Benefits of Exercise for PCOS 

In recent years, Polycystic Ovary Syndrome (PCOS) has become increasingly prevalent among women. PCOS is a complex hormonal disorder characterized by irregular periods, ovarian cysts, and various other symptoms. 

While there is no definitive cure for PCOS, researchers have discovered that regular exercise may play a pivotal role in managing its symptoms and improving overall well-being. 

Let’s talk about some of the potential benefits of exercise for PCOS and explore how a well-designed exercise routine, combined with proper nutrition, can empower you to lead a healthier life.

Understanding PCOS: A Brief Overview

Before delving into the impact of exercise on PCOS management, let's briefly understand what this syndrome entails. PCOS is believed to result from a combination of genetic and environmental factors, leading to hormonal imbalances in the body.

Common symptoms of PCOS include irregular or absent menstrual cycles, excessive androgen levels, weight gain, acne, and the development of small cysts in the ovaries.

These hormonal imbalances can contribute to difficulties in conceiving, insulin resistance, and an increased risk of type 2 diabetes and heart disease.

The Role of Exercise for PCOS Management 

It’s common for women with PCOS to be told that exercise will help them manage their symptoms. Usually, this advice is given with weight loss in mind. But it’s important to remember that not all women with PCOS NEED to lose weight and may even be underweight. 

Looking at PCOS as a whole, what benefits does exercise have when it comes to  PCOS symptoms?

Here are some of the most common benefits. 

1. Regulating Hormonal Imbalances

Regular exercise has been shown to positively impact hormone levels, which is particularly beneficial for individuals with PCOS. Engaging in physical activity can help reduce insulin resistance and lower androgen levels, consequently improving hormonal imbalances.

Hormonal regulation may lead to a restoration of regular menstrual cycles and increased fertility for those trying to conceive.

2. Managing Weight and Improving Body Composition

As mentioned, weight gain is not ALWAYS a symptom of PCOS. However, for some women, weight management is a crucial aspect of PCOS treatment, as excess weight can exacerbate symptoms and contribute to insulin resistance.

Incorporating exercise into a well-balanced lifestyle can aid in weight loss or maintenance.

Moreover, exercise helps build lean muscle mass, which enhances the body's metabolism and leads to improved body composition.

3. Enhancing Insulin Sensitivity

Insulin resistance is commonly observed in PCOS patients, even in those with normal body weight. Regular exercise has been found to enhance insulin sensitivity, allowing the body to use insulin more effectively.

By reducing insulin resistance, exercise can help manage blood sugar levels and lower the risk of developing type 2 diabetes.

The Best Exercise Regimens for PCOS: Incorporating Exercise into Your Routine

While the benefits of exercise for PCOS are evident, it is crucial to choose the right type and intensity of exercise for optimal results. Here are some exercise options that can be effective in managing PCOS symptoms:

1. Cardiovascular Exercise

Cardiovascular exercises, such as brisk walking, jogging, cycling, or swimming, are excellent choices for improving heart health and promoting weight loss.

However, it can be too much for some bodies, especially if they’ve been in a stressful state for some time. Balancing cardiovascular exercise with strength training or restorative exercise will give you the best results. 

2. Strength Training

Incorporating strength training into your routine can help build lean muscle mass and boost metabolism. Strength training exercises should target major muscle groups and be performed two to three times per week.

If you need to lose weight, strength training is great because you benefit from muscle growth even hours after training

3. Yoga and Pilates

Yoga and Pilates (restorative exercises)  can be valuable additions to your exercise routine, as they promote relaxation, reduce stress, and improve flexibility. These low-impact exercises can also be beneficial for individuals with joint or mobility issues. 

The Importance of Nutrition in Conjunction with Exercise

While exercise is a critical component of PCOS management, it is essential to complement it with a balanced and nutritious diet. Nutrition plays a fundamental role in hormone regulation, weight management, and overall well-being.

Consider the following dietary tips:

1. Choose Whole Foods

Opt for a diet rich in whole grains, fruits, vegetables, lean proteins, and healthy fats. Avoid or limit processed and sugary foods, as they can exacerbate insulin resistance.

2. Mindful Eating

Practice mindful eating to become more attuned to your body's hunger and satiety cues. This can help prevent overeating and support weight management efforts.

3. Stay Hydrated

Drink plenty of water throughout the day to support metabolic functions and maintain optimal body hydration.

Nutrition and Exercise for PCOS is Only the Start

Consulting a registered dietitian, such as myself, who specializes in PCOS nutrition, can provide personalized guidance and meal plans tailored to your specific needs.

Regular exercise is a powerful tool for managing PCOS symptoms and improving overall health. By addressing hormonal imbalances, supporting weight management, and enhancing insulin sensitivity, exercise can have a profound impact on the lives of individuals with PCOS. However, it is essential to combine exercise with a well-balanced and nutritious diet for the most effective results.

For personalized guidance on exercise and nutrition for PCOS management, consider working with me and my team of skilled dietitians with expertise in PCOS nutrition. With our support, you can develop a comprehensive lifestyle plan that empowers you to take control of your health and well-being.

Book your free consultation today!