Yes, about half of women with PCOS are overweight or obese, often with an android body type, meaning they carry excess weight in the upper body and abdomen, with a waist-to-hip ratio greater than 0.85. Obesity worsens ovulation problems and increases the risk of early miscarriage. However, losing weight can help restore ovulation and improve the chances of conceiving naturally.
What Are the Health Risks Associated with PCOS?
PCOS is a lifelong condition that not only affects ovulation and fertility but also increases the risk of type 2 diabetes and endometrial cancer. The hormonal imbalance in PCOS can lead to prolonged exposure of the uterine lining to estrogen without progesterone, which raises the risk of abnormal cell growth. Some women also experience hirsutism, characterized by excess hair growth in male-pattern areas due to high androgen levels. Treatment for hirsutism is often cosmetic, such as laser hair removal or electrolysis.
PCOS is also associated with insulin resistance, meaning the body’s cells do not respond effectively to insulin, leading to elevated blood sugar levels. This can be managed with metformin, a medication commonly used for diabetes. Metformin helps lower blood sugar, improve insulin sensitivity, and reduce testosterone levels. In some cases, it can restore ovulation and alleviate symptoms of hirsutism. Addressing PCOS early can help reduce long-term health risks and improve overall well-being.
