Polycystic ovary syndrome, an extremely common reproductive endocrine disorder among women of childbearing age, is also a common fertility problem associated with excess weight. Experts estimate that at least 5% of women of childbearing age have PCOS. polycystic ovary syndrome is also associated with a higher risk of miscarriage. How to address weight loss in women with PCOS focuses on strategies for effective weight loss. Combining these recommendations for weight loss through diet with regular exercise, the first front in the treatment of PCOC, usually solves the problem. If there is excessive body fat, irregular periods, and other common symptoms of PCOS disorder (annoying or excessive hair growth or acne), weight loss is most likely your most effective treatment. The good news is that in the case of PCOS, losing a little weight (5% of your current weight) is often all that is needed to significantly improve your fertility. The metabolic changes that occur with a change in diet will cause you to lose a few pounds, and starting an exercise program can put an end to PCOS. on the other hand, if you have PCOS symptoms and have stopped menstruating for up to three months or more, or if you bleed too much, or if you just want to confirm your symptoms, it is recommended that you go to the hospital and consider weight loss afterwards. The five elements of weight loss 1, increase metabolic rate Metabolic rate determines the number of calories that can be burned in a day, from the age of 18, a person’s metabolic rate decreases by 2% per year. It is this reason, we tend to start gaining weight in a longer period of time, even if we eat the same thing. One extremely unfair aspect of obesity is that weight gain does not lead to a corresponding increase in metabolic rate. This means that if a person starts to gain weight, it becomes more difficult to lose it. The basic metabolic rate decreases with age and weight, and the most effective way to combat this trend is to combine caloric restriction with exercise. Exercise is absolutely critical for weight loss. Exercise not only burns calories, but it also suppresses one’s appetite. It also boosts the metabolic rate within 24 to 48 hours and continues to burn calories long after the workout activity is completed. 2, to achieve the optimal heart rate Any effective exercise program should include enough aerobic exercise to achieve and maintain an optimal heart rate. Insufficient exercise will not raise the metabolic rate to the same degree and people will find it more difficult to lose weight. Regular exercise should be done at least every other day, and the heart rate should be raised to an optimal level for 30 minutes during each workout. For women who are still in good health, the optimal heart rate can be calculated as follows: subtract your age from 220 and take 70% of the difference. This last number represents the heart rate that should be achieved and maintained during aerobic exercise, that is, the number of heartbeats per minute, which I call your optimal target heart rate. It doesn’t matter what kind of things you do when you do your workout. Choose whatever exercise you like and do it at least every other day and stick with it throughout the year. Please note that each workout should be held for at least 30 minutes after you raise your heart rate to your optimal heart rate. Don’t get discouraged. Exercise endurance builds over time, so don’t expect to reach your goal of doing 30 minutes on your first workout. It may take several months to reach and maintain an optimal heart rate during exercise to do so. Weight loss with friends Weight loss experts also recommend seeking group support during weight loss. One should find a way to join a group or another person, such as one’s spouse or a friend or two, to work out with. This will make the diet more fun and help keep it going. It is important to have someone to encourage you and at the same time complete the workout with you. You can also join a formal organization, such as Weight Watchers, so that you can have the support of an organized back-up. 4, maintain good nutrition during weight loss Do not think that if your period is absent or irregular, you must not worry about having a baby. Overweight women who are losing weight, because of the weight loss and therefore enhanced fertility, they often unintentionally conceive a child. For many women with irregular periods who are overweight, a small weight loss can also trigger the return of ovulation and menstruation. All women should start taking pregnancy vitamins before they become pregnant, but women who lose weight are at higher risk of not getting enough vitamins and minerals. This puts their babies at risk for nutrition-related birth defects. 5, weight loss goals should be realistic and achievable Overall, be patient! Think about it, it took years to get yourself to your current weight. It is unreasonable to think that you can shake off the body fat in a few months. On average, it is better to lose 5 pounds in the first month and another 20 to 30 pounds in the next 4 to 5 months. Also, after you have lost some weight, it becomes more and more difficult to go down. The first 10 to 20 pounds are the easiest to lose. For many patients, successful weight loss is one of the most troublesome things they have ever experienced. Don’t give up! Some medications that can help with ovulation if weight loss is unsuccessful Don’t despair if you don’t lose the weight after a long period of effort. You should schedule a time with your doctor to talk it over and see what else you can come up with. After a thorough evaluation, if all other problems have been ruled out and the overweight problem appears to be the cause of irregular periods, your doctor may give you an option to try one last time to see if you can lose weight, or will use medications to help you ovulate. Metformin is an insulin-sensitizing (dropping) drug that was first used to treat diabetes. Over the past 5 to 10 years, this drug has been commonly used to treat irregular periods in women with PCOS, to help ovulation and to promote weight loss. Unlike other drugs such as clomiphene or gonadotropins, this drug does not increase the risk of multiple pregnancies. It achieves hormonal balance in a more natural way, allowing some women to resume their periods. For these reasons, metformin tablets have become the drug of choice that should be considered for treatment. Another widely used oral medication, a preparation to stimulate ovulation, is called clomiphene. This drug can be used alone, but if metformin tablets alone fail to promote ovulation, the two drugs are used in combination. Clomiphene is a commonly prescribed drug that has been used by doctors for decades. The main risk associated with this drug is a 5-10% risk of twins.