Managing your Weight for Fertility

Coping with the difficulty of getting pregnant and having the diagnosis of Polycystic Ovarian Syndrome (PCOS) can be like an emotional roller-coaster. You may be feeling discouraged and wonder if your dream of having a baby is out of your reach. These feelings are understandable and the good news is that there is lots of hope for you! These are only issues you need to deal with, not permanent roadblocks to your goals.
woman eating healthy food to manage pcos

By gaining a better understanding of how your weight and overall fitness level plays a vital role in being able to conceive, you will know what you need to focus on.

For PCOS women who are overweight, getting pregnant can be an extremely difficult task. The good news is that quality studies out of the US and Australia have proven that women who lose 5% or more of their body weight can increase their chance of getting pregnant by around 70-80%. Those are great numbers! ……..There is a ton of upside potential to dropping those unwanted pounds!

The goal you should have in mind is to get to a Body Mass Index (BMI) of between 20-24. BMI is a number that compares your height and weight, and gives a good estimate of a healthy body weight by taking into account how tall you are. You can easily check this yourself by dividing your weight by your height. So, for a person who is 5 feet tall, and weighs 200 pounds (200 / 5), her BMI would be 40. To get to a BMI of 22, that same person would need to get their weight down to 110 pounds. However, for women who are overweight/obese, there has been a strong link between losing 70 pounds and being able to get pregnant quickly. Keep that number as a benchmark, but ensure that you keep your larger goal to get to an optimal BMI number of 20-24 for good overall health.
The ideal body weight for pregnancy

Below are some Tips To help you Get Started:

  1. The main aim is for a slow and gradual weight loss of about 0.5 -1kg (2lb) per week. You will need to burn off more calories than you take in, and that means you need to exercise as well. So have a plan and set a realistic weight target and specific dates. It is also a good idea to keep a food calorie diary of what you’ve eaten. Studies have shown that by making notes about weight, food intake, and calories help women keep the momentum for weight loss.
  2. The best diet is the Low Glycemic diet: The majority of PCOS women achieve healthy and lasting weight loss on a lower glycaemic index (GI) nutritious diet. So for you, this is the best style of diet to use. This is a diet slightly higher in protein and has complex carbohydrates rather than the refined carbohydrates. The glycaemic index (GI) measures how quickly a particular carbohydrate affects blood sugar levels. The higher the number, the quicker the rise in blood sugar. The lower the GI the slower the rise and therefore there is the feeling of being more satiated, with fewer cravings and better energy levels. Eg. Refined or starchy foods like white bread, rice and potatoes have a high GI. Non starchy vegetables, fruit, peas and other legumes have a low GI.
  3. Try to drink about 8 glasses of fresh water a day, especially a glass 20 minutes before each meal to take the edge off your appetite. This is an old trick, but it works and you tend to eat less as you feel full for longer. 8 glasses may sound a lot but after a few days you will get used to it. Keep a jug of water close to you, or put some lemon in it.
  4. Include more fresh vegetables and fruits in your diet, and eat fresh healthy preferably organic food. Pile your plate high with plenty of vegetables. 5 servings of different fruit and vegetables are recommended every day.
  5. Reduce your consumption of animal and dairy fats. Look for products that contain less than 10% fat. Protein is important for your fertility as well, because it helps to maintain a supply of amino acids to build and repair cells and manufacture hormones. The recommended daily intake is .75grams per kilo of body weight. Only eat lean ideally grilled meats and low fat dairy products. Other sources of protein are eggs, legumes, nuts and seeds.
  6. Increase your intake of fibre by eating cereals such as muesli and by choosing good carbohydrates such as brown rice, pasta and bread. These help maintain steady blood sugar levels, and contain vitamins B and E essential for cell growth.
  7. Try to eat fish such as Salmon at least twice a week, this is good for hormone production when trying to conceive.
  8. Eat three meals a day – breakfast, lunch and dinner, but watch your portion size. No matter how healthy the food may be. It is still about energy input versus energy output.
  9. Slow down your eating and chew thoroughly, perhaps putting your knife and fork down between each mouthful.
  10. Keep busy: People eat when they are bored
  11. See a dietician. Studies show that having a regular weekly meeting with a dietician can help you on the right path and speed up weight loss.

Take control of your life, and make that commitment to start today!

Have a look at our How To Get Pregnant With PCOS Facebook Page and join like minded PCOS women.

Managing PCOS

Polycystic ovarian syndrome – PCOS is recognised as the single most common cause of androgen excess, which means an excess of male hormones. Androgen excess and raised Insulin levels are the main culprits.

For women with PCOS, the increased androgens can lead to problems such as irregular menstrual cycles, acne, skin tags, hair problems like hirsuitism and scalp hair thinning as well as infertility.

It is also now recognised that a woman’s body weight especially her Body Mass Index (BMI) can affect her PCOS symptoms… So managing your weight will be very important!

Feritity doctor talking to patient about PCOS

If you think you may have PCOS, then you will need to see your doctor for the diagnosis. Have a look at “What is PCOS?” on the website.

Are you feeling out of control?

Many women tell me they feel out of control with their PCOS problems. They seem to put on weight easily, or have trouble losing any weight, being unable to conceive, some have difficulty controlling their increased facial hair… So, if you feel like this then you are not alone.

Now is the time to take control and do something about it!. “The managing PCOS” section on this website will have articles to show and help you change your lifestyle as well as how to seek the right medical treatment for your particular PCOS problem.

You cannot cure PCOS but you can improve and treat the symptoms. You are not alone in this journey. Join our PCOS Facebook Page, and here you can be with PCOS friends going through the same journey as you.

You cannot cure PCOS, but you can lessen its intensity to the point where you are symptom free
There are also varying treatments to help relieve your PCOS symptoms

PCOS Stories 17 Metformin

Recently on my Facebook page “How to get pregnant with PCOS” women have been writing about their experiences with the tablet called Metformin.

Most have described side effects such as nausea, abdominal discomfort and general un-wellness on this medication. This has caused many to stopped it.

You may be on this medication as well, and could be experiencing similar problems. But It is important to stay on this medication and I will discuss this further.

But first: …. .Make sure you are taking the “Slow Release” formula of Metformin as this reduces any possible side effects.

Why take Metformin?

Metformin is an Insulin-sensitising drug that has been used for PCOS women since 1994.

By Lowering the Blood insulin levels Metformin can improve follicle and egg growth and therefore ovulation and the menstrual cycle.

Since that time, Large studies have proven that Metformin improves the ovulation rate, and also the pregnancy rate in women with PCOS who were trying for a baby.

Studies also showed that the addition of Metformin with Clomiphene Citrate (also called Clomid or Serophene) can benefit in improving the ovulation rate  and pregnancy rate in PCOS women.

So don’t neglect this tablet. Be patient as it may take time to work.

See your family doctor about using the Slow release Metformin.

PS: If you would like to make comments or share your thoughts on PCOS and getting pregnant please visit my Facebook page.

PCOS Stories 16 "How To Get Pregnant With PCOS"

Lately I have been reading the stories from PCOS women that have been posted in my face book Group, and there appears to be a common concern. Many of these Polycystic ovarian syndrome women have been trying to get pregnant for more than 2 years with no success and are looking for answers and are not sure what to do next..

From a fertility doctor’s point-of-view… trying for over 2 years is a very long duration of “trying to conceive” and this could mean there may be other contributing factors stopping them from conceiving. Of course this would get anyone feeling upset or down. You may be feeling like this as well.

So… my advice is to be more proactive, get cracking, and book in to see your doctor. Don’t wait anymore.

Both you and your partner should also be investigated for any other fertility problems that could be stopping you from getting pregnant. Then discuss with your doctor the varying fertility treatment options that could help you to conceive faster.

Keep the vision of a baby in your mind and don’t lose hope

Wishing you all the best

Dr Raewyn

PCOS Stories 14 Megan’s PCOS story

Names have been changed for confidentiality

I saw Megan today for review in my fertility clinic. Megan and her partner John have been trying to conceive with PCOS for the past 3 years.

She has very infrequent menstrual cycles and only has a period about once a year… So to help her get pregnant with PCOS she required fertility treatment to induce ovulation.

[Read more…]

PCOS Stories 13 Getting Pregnant With Clomiphene Citrate

I saw Karen today in my fertility clinic.

She is a 32 year old woman whom I had diagnosed as having PCOS after stopping the contraceptive pill to conceive, and not having had a menstrual cycle for 10 months.

For all you women with PCOS this lack of a menstrual cycle indicates no ovulation of an egg…. and is the main reason for not getting pregnant with PCOS.

[Read more…]

PCOS Stories 12 Min Yi’s PCOS Story

Names have been changed for confidentiality

I met Min in 2010 after her and husband Jonathon had been trying to conceive on and off for 5 years. Her menstrual cycles were occurring between 8 and 10 weeks apart.

Fertility tests confirmed her PCOS diagnosis and all other fertility investigations on them both came back normal.

[Read more…]

PCOS Stories 11 Lesley’s PCOS Story – Fertility Tests

Names have been changed for confidentiality

Lesley was an old patient of mine from years ago. Back then I treated her for a gynecological problem.

Now age 30 years and married, she reconnected with my fertility clinic after seeing my website on getting pregnant with PCOS.

She’s been diagnosed with PCOS with the added insulin resistance issue and had been trying to lose weight to improve her fertility. She has been trying to get pregnant with PCOS for the past 12 months. Her body mass index was large at 35 but she was actively loosing the weight and so far had lost 12 kg.

[Read more…]