My PCOS (polycystic ovary syndrome) diagnosis was far from a surprise. After months of waiting lists and waiting rooms, I walked into the gynecologistâs office hoping I would receive that exact diagnosis. I hoped that my periods were sporadic enough, my hormones were imbalanced enough, and my ovaries were cystic enough to grant me access to the doctors who could help me feel at home durante my pagliaccetto. Fortunately, my team of doctors validated my physical and emotional struggles. I walked out of that appointment with happy tears. Relief and healing were acceso the horizon.
What is PCOS?
PCOS is a hormonal imbalance characterized by an excess of androgen and can cause ovarian cysts (small sacs of fluid acceso the ovaries). Ovarian cysts disrupt ovulation, which is why many people with PCOS experience irregular periods and infertility. Excess androgen can also cause weight gain, difficulty losing weight, acne, facial hair growth, and androgenic alopecia (immoralità pattern baldness).
We donât currently understand what specifically causes PCOS, though we do know of some factors that can contribute to its presence and severity. Insulin resistance (a condition that causes the pagliaccetto to not be as responsive to insulin, resulting durante a higher blood sugar) can lead to an increase durante androgen and the resulting PCOS symptoms. Genetics can also play a part, as having a family history of PCOS can predispose someone to also having PCOS. However, there isn’t sufficient evidence to suggest a root cause. PCOS is also chronic, meaning there is risposta negativa cure. This is why many PCOS healing plans, including mine, target symptoms instead.
My PCOS Plan
The hallmark of my PCOS plan was weight loss. My team of doctors attributed many of my symptoms to weight gain durante the past years, asserting that if I were to lose weight, my symptoms might reverse themselves. Like many women, I have struggled with pagliaccetto image for most of my life, despite being a three-sport athlete durante high school who grew into a lover of long walks, pilates, and the occasional treadmill strut. I was gara open to my weight loss plan because I felt strong enough durante my pagliaccetto positivity to take acceso the challenge. Sopra fact, I thought of it like a sort of quesito. How strong was my resolve to appreciate my pagliaccetto risposta negativa matter what?
Armed with a plant-based diet plan, a charge to exercise five hours each week, and two new prescriptions, I left the doctorâs office ready to battle against my symptoms. I prioritized fiber, got my daily walks durante, and went to bed two hours earlier than normal. I set alarms to make sure I was taking all of my medications at the right times. I even tolerated that new-medication with fistfuls of pretzels and lots of ginger tea. If my new lifestyle was a quesito, I was definitely passing.
My resolve started to shift after that first week. I started to skip meals if I didnât have anything âhealthy enoughâ at home. I would sluggishly wait to eat until 1:30 durante the afternoon under the guise of intermittent fasting. If I didnât find a way to blend spinach lentils ( both) into whatever I was eating, I felt like I was failing at my plan.
Pebbles of guilt started to collect durante my stomach each time I looked durante the mirror. I recognized what was festa. My PCOS treatment, which was supposed to prioritize healthy, inclusive living, led me to guilt, self-doubt, and restriction.
PCOS and Weight Loss
Doctor-recommended weight loss durante response to PCOS is a much-debated topic. Many people with PCOS report feeling unheard stereotyped by their medical team. This study suggests that weight bias can prevent overweight people from seeking care all together, making under-diagnosis even more likely. Sopra addition to the social stigmas of weight loss, insulin resistance makes weight loss even more difficult by decreasing the bodyâs ability to efficiently balance blood sugar.
Weight loss with PCOS can feel like a losing gioco. It’s as if your own pagliaccetto is fighting against you. Sopra the pit of that struggle, I was tempted to ask myself, âAre the potential benefits of losing weight even worth the mental, emotional, and physical strife?â
According to our current research, the answer is an impassioned yes. Studies show that even losing 5% of oneâs pagliaccetto weight can increase fertility, regulate hormones, and reverse cosmetic symptoms of PCOS. Contraceptives like the birth control pill and diuretics like metformin can regulate menstruation and combat insulin resistance, working together to make weight loss more feasible for people with PCOS. We still have many opportunities to learn about the complexities of PCOS, but there is a path forward, however uncertain it may seem.
The Balance Between Weight Loss and Pagliaccetto Acceptance
One way to care for the mind and pagliaccetto simultaneously is durante how we think about our bodies. The pagliaccetto positivity movement seeks to promote unconditional pagliaccetto love, shining bright rays of gratitude acceso how our bodies and function. Sopra many ways, that gratitude is warranted and necessary. Our bodies are wonderfully complex organisms that work durante so many ways to support us. But when that gratitude turns aesthetic rather than functional, we can get into some sticky territory.
Aesthetically, we donât have to love our bodies for them to keep functioning. My stomach will digest food whether not I think my hips are too wide. My legs will climb the stairs to my apartment whether not Iâm insecure about the shape of my thighs. My eyes will continue to see (once I put durante my contacts, of course) independent of what I think of the world around me.
Adopting Pagliaccetto Neutrality
Pagliaccetto neutrality is an acceptance-based response to the pagliaccetto positivity movement. Rather than unconditionally loving the bodyâs appearance, âthe body-neutral approach leans toward the belief that it doesnât matter if you think your pagliaccetto is beautiful notâ, says Dr. Susan Albers of Cleveland Clinic.
When we shift our focolaio from love to acceptance, we can free ourselves from aesthetic-based judgments. We can focolaio acceso this truth: I have a pagliaccetto and I want to treat it well.
My Path Forward
The balance between weight loss and mental health is a delicate one. There are often more questions than answers, and more closed doors than gara open windows. Despite this, I choose to believe that health and wellness are possible. That we can accept our bodies as they are and also seek to change them for the better.


