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What are the effective ways to reduce weight and treat PCOS/PMOS?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been diagnosed with PCOS/PMOS. I have irregular periods, increased weight, acne, and excess facial hair. What can I do to reduce my weight?

Kindly help.

Hello,

Welcome to icliniq.com.

I understand your concern.

Let me give you basic facts about PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome). This is a congenital condition, I mean, it is a genetically programmed condition, you get it from your parents.

When you suddenly put on weight, this cholesterol is converted into the estrogen hormone. In your body, too, when fat, which is a store for tomorrow, is more than normal, this is converted to the hormone that tips the balance between FSH (from the brain) and the ovarian hormone.

FSH (follicle-stimulating hormone), as the name suggests, stimulates the follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused, and follicle growth stops early at a smaller follicle size and will not rupture, next scan you will see all these follicles as polycystic ovaries.

This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly.

You develop that extra pad of fat around the mid-segment of the body, especially the waist, thigh, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast. May have a family history of diabetes, especially the father or his family. This will not allow ovulation to occur at any time, and so you cannot get pregnant till treated. It also increases your chances of early pregnancy abortions. But this has a solution.

Once you reduce your weight to the normal range, you will not need any medicine to get periods or to get pregnant, and pregnancy will be healthy.

To reduce weight -

  1. Avoid junk food, fast food, and red meat, reduce snacks in between meals, never overeat, and eat a lot of raw fruits and vegetables. Cooking will break their fibers (fibers will reduce cholesterol).
  2. Have low-calorie food, high proteins, egg white, sprouts, chicken meat only (no fat or liver, etc), and milk without cream.
  3. Practice regular exercise, such as aerobics, yoga, and brisk walking.
  4. Give exercise to those parts of the body where you feel the fat is more. So any exercise of your choice can be done.

Hope I have been of help to you.

Do write back if any more queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At August 28, 2023
Reviewed AtMay 26, 2026

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