What Does a PCOS Belly Shape Look Like & How to Reduce it?

by | Feb 10, 2023 | PCOS

What is PCOS?

Polycystic ovary syndrome (PCOS) is caused by a hormonal disorder which is common among women of reproductive age. It is characterized by a number of symptoms, including irregular periods, high levels of androgens (male hormones), and the growth of cysts on the ovaries. One of the most noticeable symptoms of PCOS is weight gain, particularly in the abdominal area, which is commonly referred to as “PCOS belly”. In this article, we will explore the causes, symptoms, and solutions for PCOS belly.

Polycystic Ovary Syndrome (PCOS)

Polycystic Ovary Syndrome (PCOS)

What is a PCOS belly?

PCOS belly refers to the abdominal weight gain (obesity) and bloating often experienced by women with PCOS. This weight gain is primarily due to hormonal imbalances (higher levels of androgens), insulin resistance, and inflammation, which can lead to increased fat storage in the abdominal area. PCOS belly can lead to physical discomfort, emotional distress, and an increased risk of developing health complications such as insulin resistance, type 2 diabetes, and cardiovascular disease.

How do you know if you have a PCOS belly?

A PCOS belly is characterized by excess weight gain around the midsection, which can be difficult to lose. This type of weight gain is often referred to as central obesity, and it is associated with an increased risk of health problems such as insulin resistance, type 2 diabetes, and heart disease. Women with PCOS may also have higher levels of androgens, which are male hormones that can lead to increased body hair, acne, and other symptoms.

How Does PCOS Belly Affect Women’s Health?

1. Hormonal Imbalance

PCOS belly results from hormonal imbalances that cause fat to accumulate around the abdomen. This can lead to:

  • Irregular periods: Due to high levels of androgens (male hormones).
  • Infertility: Difficulty in conceiving due to ovulation problems.

2. Insulin Resistance

Insulin resistance is often linked with PCOS, causing the body to produce more insulin. This can:

  • Increase appetite: Leading to weight gain and worsening of PCOS belly.
  • Elevate diabetes risk: High insulin levels can increase the risk of developing type 2 diabetes.

3. Mental Health Impact

The appearance of a PCOS belly can affect a woman’s self-esteem and mental well-being:

  • Body image issues: Feeling self-conscious about the PCOS belly.
  • Anxiety and depression: The constant struggle with weight and appearance can take a toll on mental health.

4. Heart Health

Women with a PCOS belly are more prone to heart-related issues:

  • Cardiovascular disease: Excess abdominal fat is linked to higher risks of heart problems.
  • High blood pressure: PCOS can contribute to hypertension, further increasing heart disease risk.

PCOS belly affects women’s health in multiple ways, including hormonal imbalances, insulin resistance, mental health, and heart health. Addressing the root causes of PCOS and making lifestyle changes can help alleviate symptoms and improve overall well-being.

What Does a PCOS Belly Look Like?

PCOS belly

PCOS belly

Women with the issue PCOS accumulate belly fat. PCOS belly refers to the abdominal fat causing an increased waist-to-hip ratio, PCOS Belly will look like an apple-shaped belly rather than a pear-shaped belly. One of the most common symptoms of PCOS is weight gain, particularly around the abdominal area. Women with PCOS often describe having a “spare tire” or “muffin top” appearance, with fat accumulation primarily around the waist. This is referred to as “central obesity” and is a hallmark of PCOS. Additionally, women with PCOS may experience hirsutism, which is the growth of excess hair on the face, chest, and back.

The Link Between PCOS and Belly Fat:

PCOS affects the way your body processes insulin, leading to higher levels of insulin in your bloodstream. This, in turn, triggers an increase in the production of androgens, male hormones that are present in both men and women. Androgens play a role in the development of fat cells, especially in the abdominal area. As a result, women with PCOS are more likely to accumulate belly fat.

Additionally, PCOS can also disrupt your menstrual cycle, leading to hormonal imbalances that can cause weight gain and the accumulation of belly fat. The hormonal changes associated with PCOS can also increase your appetite and slow down your metabolism, making it difficult to lose weight and manage your weight.

Difference Between PCOS Belly & Regular Belly Fat:

Characteristics of PCOS Belly:

PCOS belly has some distinct features, which include:

  • Localized fat accumulation: Fat tends to concentrate around the lower abdomen, giving a rounded or protruding appearance.
  • Harder and firmer: Unlike regular belly fat, PCOS belly may feel more solid to the touch due to visceral fat accumulation.
  • Resistant to weight loss: Women with PCOS often find it difficult to lose belly fat, even with regular exercise and a healthy diet.

Comparison with Regular Belly Fat:

There are several key differences between PCOS belly and regular belly fat:

  • Causes: PCOS belly is primarily caused by hormonal imbalances and insulin resistance, while regular belly fat is typically due to excess calorie intake and a sedentary lifestyle.
  • Health risks: PCOS belly can be associated with higher risks of type 2 diabetes, infertility, and cardiovascular diseases, whereas regular belly fat may not necessarily lead to these complications.
  • Treatment approaches: While both require healthy lifestyle changes, PCOS belly often needs additional treatments, such as hormone therapy or medications to address insulin resistance.

PCOS belly has a distinct appearance and differs from regular belly fat in its causes, health risks, and treatment approaches. Recognizing these differences is vital for women with PCOS to take appropriate steps in managing their condition.

Also Read: PCOD vs PCOS

Symptoms of PCOS Belly:

The symptoms of PCOS belly can vary from person to person, but common symptoms include:

  • Abdominal weight gain
  • Excess hair growth
  • Acne
  • Irregular periods
  • Difficulty getting pregnant
  • Depression and anxiety

Causes of PCOS Belly:

There are several factors that contribute to the development of PCOS belly, including insulin resistance, hormonal imbalances, and inflammation.

  • Insulin Resistance: Insulin resistance is a common feature of PCOS and is believed to play a major role in the development of PCOS belly. When the body becomes resistant to insulin, it leads to an increase in insulin levels, which in turn can lead to weight gain, particularly in the abdominal area.
  • Hormonal Imbalances: Hormonal imbalances are another major cause of PCOS belly. Women with PCOS have higher levels of androgens, which are male hormones, and lower levels of estrogen, which are female hormones. These hormonal imbalances can lead to weight gain, particularly in the abdominal area.
  •  Inflammation: Inflammation is also believed to play a role in the development of PCOS belly. Women with PCOS often have high levels of inflammation, which can lead to weight gain, particularly in the abdominal area.
  • Genetics: A genetic predisposition to PCOS and central obesity may also play a role in the development of a PCOS belly.

Also Read: PCOS Symptoms

Treatment of PCOS Belly:

While there is no cure for PCOS, there are several solutions that can help manage the PCOS symptoms:

  • Weight Loss: Losing weight can be an effective solution for PCOS belly. By losing weight, women with PCOS can reduce insulin resistance, improve hormonal imbalances, and reduce inflammation. It is important to aim for a slow and steady weight loss, rather than rapid weight loss, as this can help prevent the loss of muscle mass and improve overall health.
  • Healthy Diet: A healthy fertility diet is also an important solution for PCOS belly. Women with PCOS should focus on eating a diet rich in fiber, healthy fats, and protein, and low in processed foods, sugar, and carbohydrates. This type of diet can help improve insulin sensitivity, reduce inflammation, and improve overall health.
  • Exercise: Exercise is another important solution for PCOS belly. Regular physical activity can help improve insulin sensitivity, reduce inflammation, and improve overall health. Women with PCOS should aim for at least 30 minutes of physical activity each day.

Also Read: PCOS Diagnosis & Treatment

Tips for Shaping Your PCOS Belly:

Reduce PCOS Belly by following these tips:

1. Improve Diet

A balanced diet is crucial for managing PCOS and reducing abdominal weight gain. Consider incorporating the following dietary changes:

  • Low-glycemic index (GI) foods: Consuming low-GI foods, such as whole grains, legumes, and non-starchy vegetables, can help manage insulin levels and promote weight loss.
  • Anti-inflammatory foods: Include foods rich in omega-3 fatty acids, antioxidants, and fiber to help reduce inflammation. Examples include fatty fish, berries, leafy greens, and nuts.
  • Portion control: Pay attention to portion sizes and avoid overeating to help control calorie intake and manage weight.

2. Exercise Regularly

Regular physical activity is essential for overall health and can help manage PCOS symptoms, including reducing abdominal weight gain. Aim for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise per week. Incorporate both aerobic exercises, such as walking, swimming, or cycling, and strength training exercises.

3. Manage Stress

Chronic stress can contribute to hormonal imbalances and weight gain. Implement stress-reduction techniques, such as deep breathing, meditation, yoga, or engaging in hobbies you enjoy.

4. Medications and Supplements

In some cases, medications or supplements may be recommended to help manage PCOS symptoms and reduce abdominal weight gain. Consult with a healthcare professional before starting any new medication or supplement regimen. Potential options include:

  • Metformin: This medication is commonly prescribed to help improve insulin sensitivity and reduce insulin levels. It may also aid in weight loss.
  • Inositol: Inositol is a natural supplement that can help improve insulin sensitivity and reduce androgen levels. It has been shown to have potential benefits for women with PCOS.
  • Vitamin D: Vitamin D deficiency is common in women with PCOS and may contribute to insulin resistance. Supplementing with vitamin D can help improve insulin sensitivity and overall PCOS symptoms.

5. Hormonal Treatment

For some women, hormonal treatment may be necessary to address the hormonal imbalances associated with PCOS. Birth control pills can help regulate menstrual cycles, reduce androgen levels, and alleviate symptoms such as abdominal weight gain and bloating. Speak with your healthcare provider about the potential benefits and risks of hormonal treatment.

6. Get Adequate Sleep

Poor sleep can contribute to hormonal imbalances, insulin resistance, and weight gain. Aim for 7-9 hours of quality sleep per night, and establish a consistent sleep schedule. Create a relaxing bedtime routine and consider implementing sleep hygiene practices, such as reducing screen time before bed and creating a comfortable sleep environment.


PCOS Belly Diet:

Reduce PCOS Belly by following Diet Plan/chart for PCOS Belly:


Meal Food
Breakfast Greek yoghurt, berries, almonds, chia seeds
Lunch Grilled chicken salad with mixed greens and quinoa
Dinner Baked salmon, steamed broccoli, sweet potato



Meal Food
Breakfast Spinach and mushroom omelette, whole-grain toast
Lunch Lentil soup, whole-grain pita, mixed greens
Dinner Grilled tofu, brown rice, roasted vegetables



Meal Food
Breakfast Overnight oats with almond milk, apple, and walnuts
Lunch Turkey and avocado wrap with whole-grain tortilla
Dinner Quinoa and vegetable stir-fry with grilled shrimp



Meal Food
Breakfast Chia seed pudding with berries and coconut flakes
Lunch Chickpea salad with mixed greens and feta cheese
Dinner Baked chicken, quinoa, steamed asparagus



Meal Food
Breakfast Whole-grain cereal, almond milk, sliced almonds
Lunch Caprese salad, whole-grain crackers, hummus
Dinner Grilled fish, barley, roasted Brussels sprouts



Meal Food
Breakfast Smoothie with spinach, banana, almond milk, and protein powder
Lunch Cauliflower rice stir-fry with mixed vegetables
Dinner Turkey meatballs, zucchini noodles, marinara sauce



Meal Food
Breakfast Avocado toast on whole-grain bread, hard-boiled egg
Lunch Mixed greens salad with grilled steak, avocado, and roasted red peppers
Dinner Vegetarian chilli with black beans and quinoa

With the above diet, you should drink enough water along with doing physical activities.

Also Read: PCOD Diet Chart

Success Stories of PCOS Belly:

  1. Jane: After being diagnosed with PCOS, Jane adopted a low-GI diet, began exercising regularly, and started practicing yoga to manage stress. Within a year, she successfully reduced her PCOS belly and improved her insulin sensitivity.
  2. Sarah: Sarah sought medical advice and was prescribed metformin to manage her PCOS symptoms. Combined with dietary changes and regular physical activity, she experienced significant improvement in her PCOS belly and overall health.


Expert Opinions on PCOS Belly:

  1. Dr. Mona Dahiya, Endocrinologist: “Lifestyle changes, including dietary modifications and regular exercise, play a crucial role in managing PCOS belly. Women should focus on consuming a balanced diet and engaging in physical activities that they enjoy to maintain consistency.”
  2. Dr. Emily Martin, Gynecologist: “It’s essential to address the underlying hormonal imbalances and insulin resistance in women with PCOS. Medical treatments, such as metformin or hormonal therapies, can help manage these issues and reduce abdominal fat.”



Belly fat is a common challenge for women with PCOS, but with the right strategies and lifestyle modifications, it is possible to manage your weight and shape your body. By following a balanced diet, exercising regularly, managing stress, getting enough sleep, and talking to your doctor, you can reduce the symptoms of PCOS and achieve your weight loss goals.

Also Read: Women’s Fertility Diet


Q: Can PCOS cause a big tummy?

A: Yes, PCOS can cause a big tummy due to insulin resistance, hormonal imbalances, and weight gain.

Q: Is it possible to have a flat tummy with PCOS?

A: Yes, it is possible to have a flat tummy with PCOS by following a healthy diet, regular exercise, and managing insulin resistance.

Q: How can I reduce my tummy with PCOS?

A: You can reduce your tummy with PCOS by following a healthy diet, engaging in regular exercise, managing stress, getting enough sleep, and taking medication if necessary.

Q: What shape is PCOS weight gain?

A: PCOS weight gain tends to occur in the midsection, resulting in an apple-shaped body.

Q: What type of body do people with PCOS have?

A: People with PCOS can have a variety of body types, but many tend to have an apple-shaped body due to weight gain in the midsection.

Q: Can I stay skinny with PCOS?

A: It can be challenging to stay skinny with PCOS due to insulin resistance and hormonal imbalances, but it is possible with a healthy lifestyle and medical management if necessary.

Q: What is the best exercise for PCOS?

A: The best exercise for PCOS is a combination of strength training and cardiovascular exercise, such as weightlifting, HIIT, or swimming.

Q: What should I avoid with PCOS?

A: You should avoid processed and sugary foods, excessive alcohol consumption, and smoking. It is also important to manage stress and get yourself proper sleep.

Q: What helps PCOS go away faster?

A: There is no cure for PCOS, but lifestyle changes such as a healthy diet, regular exercise, and weight loss can help manage symptoms and improve overall health.

Q: How can I shrink my PCOS naturally?

A: You can shrink PCOS naturally by following a healthy diet, engaging in regular exercise, managing stress, and getting enough sleep. Some natural supplements, such as inositol, may also be helpful.

Q: What are the best fruits for PCOS weight loss?

A: The best fruits for PCOS weight loss are low-glycaemic index fruits such as berries, cherries, apples, and pears. These fruits are high in fibre and antioxidants and help regulate blood sugar levels.



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    Dr Mona Dahiya

    Dr Mona Dahiya

    IVF Specialist & Consultant

    Dr Mona Dahiya has performed over 5,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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