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PCOS (Polycystic Ovary Syndrome) is a hormone problem, affecting menstrual cycles, ovulation, and specific body functions in women. As per the recent study, nearly 11.34% of women in India have PCOS. Many people associate this condition solely with excess body weight; however, this association isn’t correct in all cases.

Some women who have a normal or low body weight also show clear signs of PCOS, a condition commonly referred to as ‘Lean PCOS’. Let’s discuss lean PCOS in detail, including its symptoms, causes, and effective management strategies.



What are the Symptoms of Lean PCOS?Although many people associate PCOS with weight gain, some women develop lean PCOS, where symptoms appear despite having a normal or low body weight. Here are the common symptoms.

• Irregular, infrequent, or absent periods
• Difficulty conceiving due to ovulation issues
• Excess hair growth (hirsutism)
• Acne
• Thinning scalp hair
• Dark skin patches on the neck, underarms, or groin
• Fatigue and bloating
• Unstable blood sugar
• Small abdominal fat deposits
• Anxiety, irritability, or depression

Note: If experiencing emotional symptoms, consult a gynaecologist for proper medical guidance.



What are the Causes of Lean PCOS?Lean PCOS develops due to internal hormonal and metabolic factors rather than excess body weight. Understanding its causes helps women manage symptoms more effectively and seek appropriate treatment.

Hormonal Imbalance

• Women with lean PCOS often have elevated androgen (male hormone) levels. High androgens disrupt ovulation and menstrual regularity.

Insulin Resistance

• Even lean women may develop insulin resistance. This condition increases blood insulin levels, which can worsen hormonal imbalance and affect ovulation.

Genetic Factors

• A family history of PCOS or diabetes can increase the risk. Certain gene variations influence hormone production and metabolic function.

Lifestyle Factors

• Poor diet, irregular eating habits, and high stress can affect insulin and hormone balance, even in women with normal body weight.

Environmental Factors

• Exposure to endocrine-disrupting chemicals may influence hormone regulation, further increasing the risk of lean PCOS.

How to Manage Lean PCOS?Managing lean PCOS requires focused lifestyle strategies that support hormone balance without the goal of weight loss. Here’s how to manage and support health in women with lean PCOS:

Balanced Nutrition is Key

• A healthy diet is essential to control blood sugar and hormones. Focus on low-glycaemic carbohydrates, such as whole grains, brown rice, and oats, along with plenty of vegetables and fruits. Furthermore, avoid refined sugars and processed foods as they can increase insulin levels and worsen symptoms.

Prioritise Hydration

• Drinking enough water every day is essential for women with lean PCOS. Proper hydration helps improve metabolism, supports digestion, and keeps the body functioning well. Furthermore, it may help reduce bloating, maintain energy levels, and assist in hormone balance.

Don’t Overlook Lean Proteins and Healthy Fats

• Include lean proteins like fish, chicken, eggs, and legumes. Healthy fats such as nuts, seeds, and Omega-3 sources support hormone balance and reduce inflammation. These nutrients help regulate metabolism and improve overall energy.

Do Regular Exercise

• Exercise is crucial even for women with a normal body weight. Resistance training, strength exercises, and moderate aerobic activity can improve insulin sensitivity, reduce androgen levels, and enhance metabolic health. Aim for at least 30 minutes of activity most days of the week.

Lifestyle Habits

• Manage stress through relaxation techniques, meditation, or yoga. Get 7–8 hours of sleep every night to regulate your hormones and support weight management. Furthermore, monitor mental health and seek support for anxiety or depression when needed.

Consider Medical Support

• Some women may need medical interventions, such as insulin-sensitising medications, hormonal therapy, or fertility support. Remember to personalise your treatment plans based on your symptoms, hormone levels, and fertility goals.

Note: The information does not replace medical advice. Before starting any new physical activity, herbal remedy, or making dietary changes, always consult a qualified gynaecologist to ensure safety and suitability for your health condition.



What To Do Next?After understanding how lean PCOS develops and affects the body, women can start building consistent routines that support recovery and balance. Here’s what to do next.

• Visit a doctor for a proper check-up and advice.
• Keep track of your menstrual cycles and note any changes.
• Eat a balanced diet and stay active regularly.
• Manage stress and take care of your mental health.
• Have regular follow-ups to monitor hormone levels and overall health.

Weight does not define PCOS, but hormonal and metabolic imbalances do. Therefore, lean women can also experience the full symptoms of PCOS, making awareness crucial. Adopting early and appropriate diagnosis, along with personalised lifestyle and nutrition plans, may help manage the symptoms of PCOS easily. Ultimately, women of all body sizes should receive proper attention and care for PCOS.

You’re not alone in your journey when trying to conceive. Join our supportive community to connect with others, share experiences, and find encouragement every step of the way.



FAQs on Why Do Women Get Lean PCOS and How Can It Be Managed

Is there a cure for PCOS?

Currently, there is no permanent cure for PCOS. However, women can manage the condition through lifestyle changes, medical treatments, and regular monitoring.

Is Lean PCOS linked to early menopause risk?

Some studies suggest that long-term hormone imbalance may reduce egg supply, possibly affecting when menopause begins.

Can Lean PCOS affect emotional eating patterns?

Yes, insulin fluctuations and hormonal changes can influence appetite and cravings, even in lean women.