PCOS and Infertility: A Diet Plan to Improve Your Chances of Conception

Polycystic ovary syndrome (PCOS) is a prevalent hormonal disorder impacting approximately 7-10% of women, significantly affecting their reproductive health and overall well-being. This article explores the intricate relationship between PCOS, infertility, and the potential benefits of a targeted diet plan. By understanding the hormonal imbalances and metabolic complications associated with PCOS, women can make informed dietary choices to alleviate symptoms, improve fertility, and enhance their quality of life.

Understanding PCOS and Its Impact on Fertility

PCOS is characterized by an imbalance of hormones, including an excess of androgens (male sex hormones) and often, insulin resistance. These hormonal disruptions can lead to a variety of symptoms, such as irregular menstrual cycles, ovarian cysts, facial hair growth, hair loss on the scalp, weight gain, and acne. A significant consequence of PCOS is anovulation, the failure to ovulate regularly, which is a leading cause of infertility. In fact, approximately 90% of infertility cases due to anovulation are attributed to PCOS.

The Role of Insulin Resistance

Insulin resistance is a common feature of PCOS, affecting a significant percentage of sufferers. In this condition, the body doesn't respond effectively to insulin, a hormone produced by the pancreas to regulate blood sugar levels. As a result, insulin levels rise, which can further exacerbate hormonal imbalances and contribute to weight gain, particularly in individuals with diets high in carbohydrates.

Inflammation and PCOS

Chronic, low-grade inflammation is closely associated with PCOS and can disrupt hormonal balance. Calming this inflammation is crucial for managing PCOS symptoms.

The PCOS Diet Plan: A Foundation for Fertility

A healthy diet for PCOS should incorporate foods that reduce inflammation, keep blood sugar levels balanced, and promote a healthy weight. Unlike most diets, which are often based around weight-loss and short-term goals, a PCOS diet should be followed indefinitely as part of your lifestyle change to prevent recurring symptoms.

Read also: Guide to PCOS Exercise

Key Principles of a PCOS-Friendly Diet

  • Avoid Foods That Contribute to Insulin Resistance and Inflammation: This is crucial for hormone balance and symptom alleviation.
  • Focus on Anti-Inflammatory Foods: Foods rich in antioxidants help combat inflammation-causing free radicals.
  • Prioritize Low Glycemic Index (GI) Foods: The Glycemic Index measures how quickly carbohydrate-based foods raise blood sugar levels. Opt for foods that are broken down slowly to prevent blood sugar spikes.
  • Embrace Fiber-Rich Foods: Fiber helps regulate blood sugar levels and improves insulin sensitivity.
  • Include Lean Proteins: Lean proteins help build muscle and promote satiety, which in turn helps stabilize blood sugar levels.
  • Stay Hydrated: Aim for around 2.7 liters of fluid per day.
  • Consider Supplementation: Certain supplements, like inositol and vitamin D, may be beneficial for improving insulin sensitivity and reducing inflammation.

Carbohydrates and PCOS

Carbohydrates are a key part of your diet and can be problematic with regard to insulin resistance. This is because carbs are broken down into glucose and released straight into the bloodstream - raising blood glucose levels.

If you are overweight and are looking to shed a few pounds it is important to note that many diets offered by weight loss organisations are low calorie/high carb. This can cause intense fluctuations in your blood sugar levels which will only exacerbate your PCOS symptoms.

Omitting carbs from your diet is not a sustainable or healthy long-term practice. Instead, you should be looking for slow carbs, not low carbs.

The Importance of Probiotics

Women with PCOS have been found to have a reduced number and diversity of gut bacteria. As a result, probiotic treatment has been shown to be extremely effective in treating women with PCOS.

Foods to Include in Your PCOS Diet

  • High-Fiber Foods: Vegetables, fruits, beans, and whole grains contribute to stable blood sugar levels.
  • Lean Proteins: Chicken, fish, turkey, and legumes support muscle building and satiety.
  • Healthy Fats: Avocados, nuts, seeds, and olive oil offer anti-inflammatory benefits.
  • Anti-Inflammatory Foods: Berries, leafy greens, fatty fish, and spices like turmeric and ginger can help reduce inflammation.

Foods to Limit or Avoid

  • Processed Foods: Often high in unhealthy fats, added sugars, and sodium, which can exacerbate insulin resistance and inflammation.
  • Sugary Drinks: Can lead to rapid spikes in blood sugar levels.
  • Refined Carbohydrates: White bread, white rice, and pastries can contribute to insulin resistance.
  • Unhealthy Fats: Found in fried foods and processed snacks, can promote inflammation.

Lifestyle Factors Complementing the PCOS Diet

In addition to diet, other factors such as physical activity, sleep, and stress levels can also interfere with our hormones.

Read also: PCOS Diet Recipe Guide

  • Exercise Regularly: Exercise not only helps to promote healthy PCOS weight loss, but it can reduce anxiety, boost energy levels, and improve insulin resistance. Aside from making changes in your diet, increasing physical activity can help improve PCOS symptoms. You can start small by walking, if you are able, for 10-15 minutes a day at a time of day that works best for you.
  • Limit Stress: Stress can wreak havoc on our hormones, and reducing stress levels can help alleviate PCOS symptoms.
  • Prioritize Sleep: Sleep is absolutely crucial for keeping energy levels up, stress levels down, and hormones in balance.

Supplementation for PCOS

  • Inositol (Vitamin B8): Has been shown to improve insulin sensitivity and restore ovulation in PCOS patients. Women with PCOS who are not ovulating may consider myo-inositol, however 40% of women with PCOS cannot absorb myo-inositol effectively. Inofolic Alpha restores ovulation in 95% of women.
  • Vitamin D: Helps to improve insulin sensitivity while also reducing inflammation.
  • Omega-3 Fatty Acids: Research shows that Omega-3 supplementation can improve cycle and ovulation regularity.

It's important to speak with your doctor first before trying a new supplement. They can provide the best advice for your individual situation. One of the best ways to ensure you’re taking the right combination of PCOS-friendly nutrients is to try an all-in-one supplement, such as Mira’s own PCOS Supplements.

Monitoring Your Hormones with Mira

One of the best ways you can manage PCOS is by testing and tracking your hormones directly with the Mira App and Monitor - the perfect duo for PCOS patients! Unlike OPKs that don’t always work for PCOS patients, Mira’s technology is sensitive and able to detect even the tiniest fluctuations in hormone levels. For a broader perspective on your reproductive health and fertility, you can also check out Mira’s Panorama Fertility Lab Test. This one-time blood test is geared for individuals who may be experiencing symptoms related to PCOS, but haven’t received a diagnosis yet.

Starting Your PCOS Diet Journey

Starting a new PCOS diet doesn’t mean you have to give up all your favorite sweets and treats - it’s more about being proactive and mindful of what is going into your body. You don’t have to completely change your diet overnight. Instead, make a few small, realistic changes that you can be consistent with.

These meal ideas are all based around the principles of avoiding foods which can cause inflammation or high blood sugar levels. If you stick to this philosophy in your diet for a good amount of time, then most will find it easier to manage their symptoms. Unfortunately, these recipes and principles are not guaranteed to get you to conceive but they have been shown to help.

Seeking Professional Guidance

For women with PCOS, working with a registered dietitian as part of their treatment plan can be helpful. The registered dietitians at the Lifespan Lifestyle Medicine Center can help you identify the small changes to make to start improving not only your PCOS symptoms but also your overall health. If you are struggling to implement a PCOS diet plan, we’d love to see you in our virtual Hormone Health Clinic for Fertility. Our experienced fertility coaches are well-versed in functional nutrition and can offer practical advice tailored to your unique body and hormone charts. If you are actively TTC, you may also find our library of free webinars, ebooks, and blogs helpful for planning your pregnancy.

Read also: Natural Ways to Reduce PCOS Facial Hair

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