Polycystic Ovary Syndrome is one of the most common reasons women come to see me — and one of the most misunderstood. It isn't caused by having cysts on the ovaries; it's a hormonal and metabolic condition that can affect cycles, skin, weight and fertility.
Because insulin resistance sits at the centre of PCOS for most patients, even a 5-7% reduction in body weight can restore ovulation for some women. That's why the first conversation is usually about food, sleep and movement — not a prescription pad.
Where lifestyle changes aren't enough, medication (metformin, hormonal regulation, or ovulation induction for those trying to conceive) is layered on top — never used as a substitute for the basics.
If you've been told simply to 'lose weight' without a clear plan, that's not a treatment plan — it's a starting point that deserves more support than that.