PCOS Management Requires Lifestyle Overhaul, Not Just Medication

Polycystic Ovary Syndrome (PCOS) affects one in five women in India, yet many rely solely on hormonal pills or insulin-regulating medication for treatment.

However, medical experts are increasingly advocating a lifestyle-focused approach as the foundation for sustainable PCOS management.

While medication can offer temporary symptom relief—such as regulating periods or reducing acne—doctors caution that these drugs do not address the root cause of PCOS: hormonal imbalance driven by insulin resistance, chronic inflammation, and stress.

“Pills can manage symptoms, but they don’t cure PCOS. If lifestyle issues persist, symptoms often return once medication is stopped,” says Dr Neha Malhotra, a Delhi-based endocrinologist.

A balanced diet low in glycaemic index and refined sugars plays a crucial role in improving insulin sensitivity.

Nutritionists recommend including whole grains, fibre-rich vegetables, lean proteins, and healthy fats to help regulate blood sugar levels and support hormonal balance.

Physical activity also plays a key role. Experts suggest at least 150 minutes of moderate exercise per week, including both cardio and strength training.

“Even a brisk walk daily can improve insulin response and aid in weight management,” notes fitness coach Ananya Rao, who works with women managing PCOS.

Although weight loss can significantly improve symptoms for overweight women, doctors caution against a one-size-fits-all view.

“Even women at a normal weight can have PCOS and suffer from irregular cycles or fertility issues,” Dr Malhotra explains.

In such cases, lifestyle changes still play an essential role in symptom control.

Mental Health Matters Too

Stress management is often overlooked in PCOS treatment. Chronic stress elevates cortisol, which can worsen hormonal imbalance.

Doctors now integrate techniques such as mindfulness meditation, yoga, and therapy into holistic treatment plans.

“Managing stress helps regulate not just hormones but sleep and eating patterns, both crucial for PCOS,” says psychologist Dr Meera Iyer.

Many people misunderstand PCOS as merely a cosmetic or fertility issue, but it actually poses long-term risks to heart health, increases the likelihood of diabetes, and affects mental well-being.

Experts urge early diagnosis, regular screenings, and open conversations about menstrual health.

Doctors recommend that women diagnosed with PCOS work closely with healthcare providers to create personalised plans that combine medication with lifestyle interventions.

With early intervention and consistent efforts, many women can manage symptoms and prevent long-term complications.

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