Polycystic ovaries keeping you from losing weight? Do the 6 things right to lose weight without regaining weight

Polycystic Ovary Syndrome (PCOS) is a disease caused by hormonal imbalance. The cause is unknown and may be related to genetics, male hormones or insulin resistance. Insulin resistance means that for the same blood sugar concentration, the patient needs more insulin to allow glucose to enter the cells, but this will also increase the concentration of androgen (testosterone) in the female body, leading to polycystic ovary syndrome.

Are patients with polycystic ovary syndrome necessarily obese? The key to losing weight: insulin and androgen

Patients with polycystic ovary syndrome may not necessarily become obese, but they are indeed more likely to become obese and have difficulty losing weight. Patients usually have insulin resistance problems, which also makes polycystic ovary syndrome more likely to occur in obese women.

Insulin resistance will reduce insulin sensitivity, so the body will continue to secrete too much insulin, making patients feel hungry all the time. Guo Anni, an attending physician at the Department of Obstetrics and Gynecology at Zhongshan Hospital, said that patients will be prone to hunger and want to eat, and Especially those who love sweets and carbohydrates are more likely to lead to obesity. “Patient obesity is mainly related to the imbalance of the two major body hormones, androgen and insulin,” Li Weihao, a physician at the Obstetrics and Gynecology Department of Zhenxing Hospital, pointed out that due to insulin resistance, patients with polycystic ovary syndrome are more likely to accumulate fat, causing central type (waist and abdominal type) ) obesity and being overweight will make carbohydrate metabolism worse, insulin resistance more severe, androgens higher, forming a vicious cycle.

Guo Anni also explained that insulin resistance will cause a large amount of insulin to be secreted. Insulin will also affect the liver to produce sex hormone binding protein (SHBG). The decrease in sex hormone binding protein will lead to an increase in androgen, so insulin and androgen will affect each other.

Obesity may worsen symptoms, and patients with polycystic ovary syndrome need to control their weight　

Many people wonder why artists Xiao Zhen and Kun Ling both have polycystic ovary syndrome, but why Kun Ling can maintain a slender figure. Guo Anni explained, “Among obese women, 28% have polycystic ovary syndrome, and only 5% of women with polycystic ovary syndrome are thin. The severity of symptoms is actually related to the degree of obesity. If the weight is controlled from the beginning, the symptoms will be milder.

More and more medical studies have found that the severity of symptoms of polycystic ovary syndrome is related to the degree of obesity. Li Weihao said that due to the increase in insulin resistance, the body must produce more insulin to maintain a constant blood sugar level, but a high insulin state will worsen the resistance, causing fat accumulation and even metabolic syndrome. Therefore, the more obese patients develop polycystic ovary syndrome. Symptoms become more severe, including acne, hirsutism, chronic anovulation and obesity.