Diet for Managing PCOS

Manage PCOS through diet. Insulin, hormones and weight loss.

Long term (lifestyle)
Recommended duration
Symptom improvement in 2-3 months
Expected rate

Calorie calculation examples by profile

Sedentary woman with PCOS, 30 years old, 154 lbs

Maintenance calories 1700 kcal
Target (with deficit) 1400 kcal
Deficit: 300 kcal/day

Moderately active woman with PCOS, 30 years old, 154 lbs

Maintenance calories 1950 kcal
Target (with deficit) 1550 kcal
Deficit: 400 kcal/day

Sedentary woman with PCOS, 30 years old, 187 lbs

Maintenance calories 1900 kcal
Target (with deficit) 1500 kcal
Deficit: 400 kcal/day

Active woman with PCOS, 30 years old, 187 lbs

Maintenance calories 2200 kcal
Target (with deficit) 1700 kcal
Deficit: 500 kcal/day

PCOS and insulin resistance

Polycystic ovary syndrome affects 8-13% of women of reproductive age. Insulin resistance is present in 70-80% of affected women, even those at normal weight. This resistance exacerbates hormonal imbalances and makes weight loss more difficult.

Low glycemic index eating

Prioritizing low glycemic index (GI) foods helps stabilize blood sugar and insulin. Choose whole grains, legumes, non-starchy vegetables. Avoid refined sugars, white bread, sodas. Combining fiber + protein + healthy fats at each meal slows carbohydrate absorption.

The importance of moderate weight loss

A loss of just 5-10% of body weight can significantly improve PCOS symptoms: return of regular cycles, reduced acne, improved fertility. Aim for a gradual loss of 1 lb per week to preserve muscle mass.

Anti-inflammatory eating

Chronic low-grade inflammation is common with PCOS. Prioritize omega-3s (fatty fish, walnuts), antioxidants (berries, colorful vegetables), spices (turmeric, ginger). Limit trans fats, ultra-processed foods, and excess sugar.

Important

Never go below 1200 kcal/day (women) or 1500 kcal/day (men) without medical supervision. Too aggressive a deficit can be dangerous for your health and counterproductive for weight loss.

Dietary Guide for PCOS

Important: PCOS requires medical monitoring. These dietary tips complement but do not replace treatment prescribed by your doctor or gynecologist.

Polycystic ovary syndrome is a complex hormonal condition, but diet plays a major role in managing symptoms.

Understanding the Insulin-Hormone Connection

PCOS often creates a vicious cycle:

  1. High insulin resistance
  2. High insulin stimulates ovaries to produce more androgens
  3. Elevated androgens cause acne, excess hair growth, irregular cycles
  4. Weight gain worsens insulin resistance

Breaking this cycle through diet can significantly improve symptoms.

Key Dietary Principles

Choose Low GI Carbs

Avoid (High GI)Choose (Low GI)
White breadWhole grain sourdough
White riceQuinoa, basmati rice
PotatoesSweet potato, legumes
Breakfast cerealsOatmeal
Sodas, fruit juiceWhole fruits

Ideal Meal Structure

Each meal should contain:

  • Protein (20-30g): stabilizes blood sugar
  • Fiber (7-10g): slows carb absorption
  • Healthy fats: improve satiety
  • Complex carbs: in moderate amounts

Sample Day

Breakfast (400 kcal)

  • Scrambled eggs with spinach
  • Avocado
  • Whole grain bread

Lunch (500 kcal)

  • Quinoa salad with chickpeas
  • Grilled vegetables
  • Olive oil and lemon

Dinner (450 kcal)

  • Grilled salmon
  • Steamed broccoli
  • Sweet potato

Snack (150 kcal)

  • Plain Greek yogurt with walnuts

Supplements to Consider (with medical advice)

  • Inositol: may improve insulin sensitivity and ovulation quality
  • Omega-3: anti-inflammatory effect
  • Vitamin D: often deficient in women with PCOS
  • Magnesium: supports insulin sensitivity

Mistakes to Avoid

  1. Very restrictive diets: can further disrupt hormones
  2. Eliminating all carbs: counterproductive for female hormones
  3. Prolonged fasting: can increase cortisol and worsen symptoms
  4. Weighing daily: hormonal fluctuations cause water weight variations

Why Voical Can Help You

With PCOS, tracking your meals with Voical helps you maintain a moderate calorie deficit and balance your macros to optimize insulin sensitivity. Regular tracking also helps identify which foods improve or worsen your symptoms.

Frequently asked questions