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What Causes Excessive Weight Gain In A Patient With PCOS?

Posted on Thu, 1 Oct 2015

Question: I have been suffering from PCOS for about 2 years. I have been consuming tyronorm 100mg every morning since I have thyroid as well. Please advise the medication I need to take. I find it very hard to lose weight too.

Also, could you give me a diet plan?

Answered by Dr. Deepti Verma (28 minutes later)

Brief Answer:
Please do convey me your weight and last TSH report.

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Please do convey me your weight and last TSH report.

Are you suffering from any other illness?
Is your thyroid profile repeated after medication starting?

Also provide details regarding menstrual irregularities and hormonal or USG reports
Hope you found the answer helpful. Please do get back with the details.

Wishing you both good health.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepti Verma (4 hours later)

Hi Doc,

My weight is around 75-78kgs now. Height is around 5.6.

TSH is around 25-26. I believe the range shud be 0.5-4.5

Just PCOD and Thyroid. Sugar etc are all normal.

Menstrual cycle is fine. Flow is very scanty. Generally flow is good for me.

Pls let me know if you require further information.

Thanks,
XXXX

Answered by Dr. Deepti Verma (6 hours later)

Brief Answer:
Detailed answer below

Detailed Answer:
Hi dear, thanks for responding.
Your Body mass index is around 28.7, which makes you overweight for your age and height. The cause of this can be either PCOD or hypothyroidism, or both.
Polycystic ovarian disease is the hormonal disorder of insulin resistance leading to weight gain, irregular menstrual cycles and irregular or no ovulation. The first line of management of PCOD is weight loss and lifestyle modification. Weight loss generally improves the hormonal profile, and no medical treatment is usually needed in PCOD unless the menstrual cycles are irregular or one fails to conceive.
You should also consult your doctor to increase your dose of thyronorm if the TSH levels are so high. If TSH levels are not controlled, all efforts to loose weight usually go in vain.
Your diet should be of approximately 1600 kcal/day including more of proteins, and less carbohydrates and fat.
A probable diet plan can be:
Breakfast: 1 glass milk, 1 bowl sprouts/dalia
11 AM: 1 seasonal fruit/1 glass sattu
Lunch: 2 -3 chapati, 1 bowl vegetables, 1 bowl daal, 1 plate salad, curd
Evening snack:tea with 2 toasts/ mathri/ XXXXXXX gold biscuits
Dinner: Same as lunch, with different vegetables and daal
Avoid deep fried food items and sugars.
Do jogging and aerobics at least 1 hour daily.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar