Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects 1 in 10 women of reproductive age. It is characterized by irregular menstrual periods, excessive hair growth, acne, and Although some women with PCOS have a normal weight. Women with PCOS often struggle with weight management due to insulin resistance, which can lead to an increased risk of type 2 diabetes, cardiovascular disease, and infertility and weight gain. As such, a well-balanced diet and healthy lifestyle are crucial for managing PCOS symptoms and optimizing weight management.

Today, we will discuss the essential do’s and don’ts of a PCOS diet to help you achieve your weight management goals:

Do’s of a PCOS Diet

1. Prioritize a Balanced Diet

A balanced diet is crucial for managing PCOS symptoms and promoting weight loss. Aim to consume a variety of nutrient-dense foods, including whole grains, lean protein sources, fruits, vegetables, and healthy fats. These foods can help balance blood sugar levels, improve insulin sensitivity, and support overall health.

2. Choose Low Glycemic Index (GI) Foods

Low GI foods are digested and absorbed slowly, which helps to prevent sudden spikes in blood sugar levels. This can be beneficial for women with PCOS, who often struggle with insulin resistance. Some low-GI foods include whole grains, legumes, non-starchy vegetables, and some fruits. Incorporate these into your meals and snacks to help manage blood sugar levels and support weight management.

3. Increase Fiber Intake

A high-fiber diet can help with weight management by promoting satiety and improving digestion. Fiber-rich foods can also help lower cholesterol levels and improve insulin sensitivity. Aim for at least 25 grams of fiber per day from sources such as whole grains, fruits, vegetables, legumes, nuts, and seeds.

4. Consume Lean Protein Sources

Protein is essential for maintaining muscle mass and promoting satiety. Choose lean protein sources such as chicken, turkey, fish, beans, lentils, and low-fat dairy products. Incorporate these proteins into your meals and snacks to help support weight management and overall health.

5. Include Healthy Fats

Healthy fats, such as those found in avocados, olive oil, nuts, seeds, and fatty fish, can help balance hormones, reduce inflammation, and support weight management. Incorporate these healthy fats into your diet in moderation to promote overall health and well-being.

Don’ts of a PCOS Diet

1. Avoid Refined Carbohydrates

Refined carbohydrates, such as white bread, pasta, and sugary snacks, can cause rapid spikes in blood sugar levels and exacerbate insulin resistance in women with PCOS. Opt for whole grain alternatives and minimize your intake of refined carbohydrates to support healthy blood sugar levels and weight management.

2. Limit Added Sugars

Added sugars can contribute to weight gain, insulin resistance, and inflammation. Limit your consumption of sugary beverages, candies, and baked goods, and opt for natural sweeteners such as honey or stevia when needed.

3. Minimize Saturated and Trans Fats

Consuming high amounts of saturated and trans fats can increase inflammation, cholesterol levels, and the risk of cardiovascular disease. Limit your intake of fatty meats, fried foods, and processed snacks, and choose healthier alternatives such as lean proteins, whole grains, and healthy fats.

4. Avoid Excessive Caffeine and Alcohol Consumption

Excessive caffeine and alcohol intake can interfere with hormone balance and contribute to weight gain. Limit your consumption of caffeinated beverages, such as coffee and energy drinks, and opt for water or herbal tea instead. If you choose to consume alcohol, do so in moderation and opt for healthier options such as red wine.

5. Don’t Rely on Fad Diets

Fad diets that promote rapid weight loss or eliminate entire food groups can be detrimental to your health and often lead to unsustainable weight loss. Instead, focus on a balanced, nutrient-dense diet and incorporate regular physical activity to support long-term weight management and overall health.


Managing PCOS symptoms and achieving weight management goals may seem challenging, but by following these essential do’s and don’ts of a PCOS diet, you can make significant strides toward improving your health and well-being. Remember, it is essential to consult with a gynecologist and medical doctor trained in nutrition and weight management before making significant changes to your diet, as they can provide personalized guidance and support based on your unique needs and circumstances!

Barbara A. Hessel, MD, FACOG, is a highly experienced obstetrician/Gynecologist with board certification who has been serving patients in Forest Hills, New York, for over two decades. If you are looking for fertility treatments, nutrition coaching, weight management and and more, reach out today!