Exercise and PCOS: Finding the Right Balance for Your Body

Polycystic Ovary Syndrome (PCOS) is a complex condition that affects many women of reproductive age. Among its challenges, insulin resistance stands out as a significant factor, impacting the body's ability to use blood sugar effectively.

While not all women with PCOS are overweight, exercise remains a vital component of managing symptoms and improving overall health—no matter your size.

The Impact of Exercise on Insulin Resistance

Insulin resistance is common in women with PCOS and is associated with an increased risk of developing type 2 diabetes. Factors such as excess weight and a lack of physical activity can contribute to insulin resistance. Fortunately, regular exercise can improve how the body responds to insulin and help lower blood sugar levels.

Exercise and Body Mass Index (BMI)

Research highlights the benefits of exercise, particularly vigorous aerobic activity, in reducing BMI and insulin resistance. A meta-analysis of 16 studies published in Frontiers in Physiology found that combining vigorous exercise with healthy diet changes produced the most significant reductions in BMI. Even without dramatic weight loss, exercise can help manage PCOS symptoms by improving metabolic health and reducing abdominal fat.

All Exercise Counts

The good news? Any exercise can benefit women with PCOS. A literature review in Sports Medicine found that no single type of exercise is superior. Instead, the key is choosing an activity you enjoy and can sustain long-term.

Types of Exercise for Women with PCOS

Here are some effective and enjoyable exercise options to consider:

1. Steady-State Cardio Moderate aerobic activities like walking, cycling, dancing, or swimming can improve cardiovascular health and help maintain a healthy weight. Aim for 50-70% of your maximum heart rate during these workouts.
   
2. High-Intensity Interval Training (HIIT) HIIT combines short bursts of intense activity with recovery periods. Exercises like burpees, mountain climbers, and tuck jumps can make workouts efficient and fun. A PLOS ONE study found women with obesity enjoyed HIIT more than continuous moderate exercise, which can boost adherence.
   
3. Interval Training Similar to HIIT but less intense, interval training alternates between different exercises or activity levels to keep the heart rate elevated.
   
4. Mind-Body Workouts Practices like yoga, Pilates, and tai chi not only burn calories but also reduce stress—an important benefit since women with PCOS often have heightened stress responses that can worsen symptoms.
   
5. Strength Training Building muscle through resistance bands, weights, or bodyweight exercises improves muscle mass and boosts metabolism, which helps burn more calories even at rest.

How to Get Started

Starting an exercise routine can feel overwhelming, especially if you're new to fitness. Here are a few tips:

• Begin with activities you enjoy to make exercising feel less like a chore.
• Start slow, aiming for 30 minutes of activity most days, and gradually increase intensity or duration.
• Mix up your routine to include both cardio and strength training for well-rounded benefits.

When to See an Expert or your Doctor

Before starting a new exercise plan, consult your doctor, especially if you have other health conditions. Reach out to a healthcare provider if:

• You’re struggling to lose weight despite exercising regularly.
• PCOS symptoms are interfering with your daily life.
• Current treatments aren’t improving your symptoms.

Consult with an expert

Final Thoughts

Exercise is a powerful tool for managing PCOS. From improving insulin sensitivity to reducing stress and promoting better hormone balance, staying active can enhance your quality of life. Remember, the best exercise is the one you enjoy and stick with. Start small, stay consistent, and celebrate every step of your journey to better health.

For more tips on managing PCOS, check out Hati Health’s resources or consult with one of our women’s health specialists.

Hati Health is a digital platform for women, providing on-demand access to products and services, including telehealth, symptom checking, holistic wellness plans and education.

We believe that being able to talk openly about women's healthcare and bringing appropriate solutions will inspire women to achieve their fullest potential in their personal and professional lives.

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