PCOS Diet Plan: Food to Eat and Avoid in PCOS

Dr. Jyotsna Pundir
Dr. Jyotsna Pundir

MBBS, MD, FRCOG, PHD

25+ Years of experience
PCOS Diet Plan: Food to Eat and Avoid in PCOS

Key Takeaways

  • Foods to Eat: Incorporate high-fibre foods like non-starchy vegetables (e.g., broccoli, cauliflower) and whole grains (e.g., brown rice). Opt for lean proteins such as beans and fatty fish, like salmon. Include healthy fats from olive oil, nuts and enjoy whole fruits and berries.

  • Foods to Avoid in PCOS: Steer clear of processed and fried foods that can trigger inflammation. Limit refined carbohydrates, sugary drinks, and saturated fats found in fast food. Avoid high intake of red and processed meats, foods with added salt, sugar, and seed oils.

  • Dietary Approaches: Adopting a low-carb, high-fat diet can aid in managing Polycystic Ovary Syndrome (PCOS) symptoms.

  • Women with PCOS can manage their symptoms more effectively, improve insulin sensitivity, and support their fertility health with proper dietary guidance.

Being diagnosed with Polycystic Ovary Syndrome (PCOS) can feel like a lot to take in, but you’re far from alone—millions of women face this hormonal condition every day. While there’s no cure, what you eat and knowing what foods to avoid in PCOScan make a huge difference in managing symptoms and boosting your overall health.

If you’re wondering where to start or are worried about giving up your favourite foods, take a breath. A PCOS-friendly diet isn’t about extreme restrictions—it’s about balance and nourishment. By focusing on wholesome, nutrient-packed foods and cutting back on processed ones, you can help stabilise hormones, manage weight, and feel energised. Let’s dive into how you can make food work for you!

Understanding PCOS

PCOS is a common endocrine disorder affecting women of reproductive age. In India, the prevalence of PCOS is estimated to be around 3.7%-22.5% among women aged 18-45 years. This highlights the significant burden of PCOS in the Indian subcontinent, with potential implications for women’s health and fertility.

PCOS is characterised by a combination of symptoms, including irregular menstrual cycles, excessive androgen production, and the presence of multiple small cysts on the ovaries. These symptoms can lead to various health complications, such as infertility, insulin resistance, obesity, and an increased risk of developing type 2 diabetes and cardiovascular disease. Women with PCOS may experience symptoms like weight gain, acne, excessive hair growth (hirsutism), and irregular periods. The exact cause of PCOS is not fully understood but is believed to involve genetic factors, insulin resistance, and inflammation.

Impact of Diet on PCOS Symptoms

A well-balanced diet plays a crucial role in managing PCOS symptoms. Studies have shown that dietary modifications can help regulate menstrual cycles, improve insulin sensitivity, and reduce inflammation in women with PCOS.

Dietary choices significantly influence PCOS symptoms. Consuming a diet high in refined carbohydrates and sugars can exacerbate insulin resistance, a common issue in women with PCOS. This, in turn, can lead to weight gain, hormonal imbalances, and other metabolic complications. Many women with PCOS also struggle with obesity, which further compounds their symptoms. By making mindful food choices, you can effectively manage your symptoms and enhance your quality of life.

PCOS-friendly Diet Principles

When planning a PCOS-friendly diet, focus on the following principles:

  • High fibre intake: Fibre-rich foods help regulate blood sugar levels by slowing down the absorption of sugar into the bloodstream. This is particularly beneficial for women with insulin resistance.

  • Lean proteins: Incorporating lean proteins into meals helps maintain muscle mass while promoting feelings of fullness. This can aid in weight management and reduce cravings for unhealthy snacks.

  • Healthy fats: Including sources of omega-3 fatty acids can help reduce inflammation and improve insulin sensitivity. Healthy fats are essential for hormone production and overall health.

  • Whole grains: Opting for whole grains over refined grains provides essential nutrients and fibre that contribute to better blood sugar control. Whole grains have a lower glycemic index (GI), meaning they cause a slower rise in blood sugar levels compared to refined grains.

  • Regular meal timing: Eating at consistent times can help regulate blood sugar levels and prevent overeating or unhealthy snacking.

PCOS-friendly Diets

Several dietary approaches have been found to be beneficial for individuals with PCOS, including:

Low GI Diet

A low GI diet focuses on foods that have a minimal impact on blood sugar levels. By stabilising insulin levels, this diet can help manage PCOS symptoms and promote weight loss. Foods with a low GI include:

  • Non-starchy vegetables (e.g., broccoli, cauliflower, spinach)

  • Whole grains (e.g., quinoa, brown rice, whole wheat bread)

  • Legumes (e.g., lentils, chickpeas, kidney beans)

  • Fruits with lower sugar content (e.g., berries, citrus fruits, apples)

Anti-inflammatory Diet

Inflammation is a common issue in PCOS, contributing to insulin resistance and other symptoms. An anti-inflammatory diet emphasises foods that help reduce inflammation in the body, such as:

  • Fatty fish (e.g., salmon, mackerel, sardines)

  • Dark leafy greens (e.g., fenugreek, spinach, amaranth)

  • Nuts and seeds (e.g., almonds, walnuts, flax seeds)

  • Healthy fats (e.g., olive oil, ghee)

Ketogenic Diet

The ketogenic (keto) diet is a high-fat, low-carbohydrate eating plan that has shown promise in managing PCOS symptoms. By drastically reducing carbohydrate intake, the keto diet encourages the body to burn fat for fuel, which can lead to weight loss and improved insulin sensitivity. A sample keto meal plan including healthy fats, lean proteins, and low-carb options for PCOS may include:

Meal

Foods

Breakfast

Paneer bhurji cooked in ghee with sautéed spinach and a side of avocado slices

Mid-Morning Snack

A handful of roasted almonds or walnuts

Lunch

Butter chicken (without cream and sugar) with a side of sautéed cauliflower rice

Evening Snack

Spiced masala chai (unsweetened, made with almond milk) with roasted makhana (fox nuts)

Dinner

Grilled fish tikka with a cucumber and mint salad, drizzled with lemon

Foods to Eat for Pcos Management

Incorporating the following foods into your diet can help manage PCOS symptoms and promote overall health:

Fruits and Vegetables

Incorporating a variety of fruits and vegetables into your diet can provide essential nutrients and fibre, which are crucial for managing PCOS symptoms. Some recommended options include:

  • Broccoli

  • Spinach

  • Carrots

  • Melons

  • Berries

  • Citrus fruits

Protein Sources

Lean protein sources are essential for maintaining muscle mass and promoting satiety. Good protein options for women with PCOS include:

  • Fish rich in omega-3 fatty acids (e.g., salmon, sardines, mackerel)

  • Chicken

  • Paneer

  • Beans and lentils

  • Low-fat dairy products

Healthy Fats and Nuts

Healthy fats are crucial for hormone production and overall health. Incorporate the following sources of healthy fats into your PCOS diet:

  • Avocados

  • Nuts (e.g., almonds, walnuts)

  • Seeds (e.g., chia seeds, flaxseeds)

  • Olive oil

  • Ghee

Fermented Foods

Fermented foods promote gut health through probiotics. Some examples include:

  • Yoghurt (preferably unsweetened)

  • Achar (pickle)

  • Idli

  • Kimchi

  • Kombucha

Did You Know?
Turmeric, a staple in Indian cooking due to its vibrant colour and flavour, contains curcumin, which has potent anti-inflammatory properties. Including turmeric regularly in your diet may help reduce the inflammation associated with PCOS, offering a natural way to support your health journey.

Foods to Avoid With PCOS

When managing PCOS, being mindful of certain foods can make a big difference in regulating hormones and improving overall health. Here are some foods to avoid in PCOS to help reduce inflammation, manage weight, and stabilise blood sugar levels:

  • Fried foods: High in unhealthy trans fats which can exacerbate inflammation and contribute to weight gain.

  • Dairy products: Some studies suggest that dairy may increase androgen levels; however, individual responses can vary significantly. It may be beneficial for some women to limit dairy intake while others might tolerate it well.

  • Processed foods: These often contain added sugars and unhealthy fats that can disrupt insulin levels and contribute to weight gain.

  • Sugary beverages: Soft drinks, energy drinks, sweetened teas or coffees contribute significantly to insulin resistance due to their high sugar content.

  • Refined carbohydrates: White bread, pastries, cookies, cakes—these foods have a high glycemic index which can lead to spikes in blood sugar levels.

  • High-sugar snacks: Candy bars, chips dipped in sauces high in sugar or fat should be avoided as they provide little nutritional value while contributing to weight gain.

Fruits to Avoid in PCOS

To manage PCOS, it’s advisable to limit or avoid the following fruits:

  • High-sugar fruits: Bananas, grapes, cherries

  • Dried fruits: Raisins, dried apricots

  • Fruit juices: Store-bought varieties (often high in added sugars)

  • Canned fruits: Those packed in sugary syrup

Myths About Dietary Choices

Several myths surrounding dietary choices as well as what foods to avoid for PCOS need clarification:

  1. All Fats Are Bad: While trans fats should be avoided at all costs due to their negative effects on heart health and inflammation levels; healthy fats from sources like avocados (rich in monounsaturated fats), nuts (rich in omega-3 fatty acids), seeds (chia/flaxseeds), fish (salmon/mackerel), ghee are actually beneficial for hormone production.

  2. Dairy Must Be Subtracted Completely: The relationship between dairy consumption and PCOS symptoms varies among individuals; moderation may be key rather than complete elimination. Some women find that low-fat dairy products do not exacerbate their symptoms while others may need alternatives like almond milk or coconut yoghurt.

  3. Carbohydrates Should Be Eliminated Entirely: Carbohydrates are an essential part of any balanced diet; instead of eliminating them completely focus on choosing complex carbohydrates like whole grains over simple sugars found in processed foods.

  4. Weight Loss Is the Only Solution for Managing PCOS symptoms: While maintaining a healthy weight is important for managing symptoms; it’s not the only factor—lifestyle changes including diet modifications combined with exercise play an equally vital role regardless of weight status.

Sample Diet Chart for PCOS Management

Here’s a sample diet chart designed specifically for women managing PCOS:

Meal

Food Options

Breakfast

Oatmeal topped with berries (blueberries/strawberries) & walnuts; or scrambled eggs with spinach on whole-grain toast

Snack

Greek yoghurt topped with flaxseeds or chia seeds

Lunch

Salad with mixed vegetables (bell peppers/cucumbers) & chickpeas; grilled chicken breast with steamed broccoli

Snack

Carrot sticks with hummus or apple slices with peanut butter

Dinner

Stir-fried paneer mixed bell peppers over brown rice

Evening Snack

Herbal tea and handful nuts (almonds/walnuts)

Meal Planning and Practical Tips

Incorporating PCOS-friendly foods into your daily routine can be made easier with proper meal planning and preparation. Here are some tips to help you get started:

  1. Plan your meals and snacks in advance to ensure you have healthy options readily available.

  2. Prepare large batches of PCOS-friendly meals and store them in the refrigerator or freezer for quick and easy access.

  3. Keep healthy snacks on hand, such as fresh fruits, vegetables, and nuts, to curb cravings and prevent overeating.

  4. Practice portion control by using smaller plates and measuring servings to avoid consuming excess calories.

Other Lifestyle Modifications for PCOS Management

Managing PCOS goes beyond just dietary changes—adopting a holistic approach to your lifestyle can significantly improve symptoms and overall well-being. By focusing on exercise, stress management, and hormonal balance, you can take proactive steps toward better health and hormonal harmony. Here’s how:

Exercise

Regular physical activity is essential for managing PCOS symptoms effectively. Engaging in at least 30 minutes of moderate exercise most days can help improve insulin sensitivity while promoting weight loss if needed—and enhancing mood through endorphin release! Activities such as walking briskly outdoors or indoors on treadmills/cycling/swimming/yoga/strength training are all beneficial forms of exercise suited for different fitness levels!

Stress Management

Stress can exacerbate hormonal imbalances associated with PCOS due to increased cortisol production—often referred to as “the stress hormone.” Techniques such as mindfulness meditation/yoga/deep-breathing exercises/journaling/engaging hobbies can help manage stress levels effectively! Finding time each day dedicated solely towards relaxation techniques will aid overall well-being—both mentally & physically!

Hormonal Balance

Maintaining hormonal balance is crucial for women diagnosed with polycystic ovary syndrome (PCOS). Regular medical check-ups should be scheduled every few months where doctors monitor hormone levels closely—discussing potential treatments such as hormonal contraceptives/anti-androgens/metformin if necessary! Additionally incorporating natural supplements like vitamin D/chromium/magnesium may also support hormonal regulation but should always be discussed beforehand!

When to See a Doctor

Women experiencing symptoms indicative of PCOS should consult doctors immediately! Early intervention helps prevent complications such as type 2 diabetes/cardiovascular disease/fertility issues later down the line! Regular follow-ups are essential not only for monitoring symptoms but also adjusting treatment plans accordingly based on individual needs!

Word from an expert:

Diet plays a crucial role in managing PCOS symptoms. By focusing on whole, nutrient-dense foods and limiting processed and high-sugar options, women with PCOS can help regulate their insulin levels, balance hormones, and promote overall health. It’s important to work with a healthcare provider to develop a personalised dietary plan that meets your unique needs and goals. ~ Dr. Anupam Kumari

Our Fertility Specialists