The Intertwined Struggle of PCOS and Eating Disorders

Polycystic Ovary Syndrome (PCOS) is a complex hormonal condition that affects millions of people worldwide. It’s often talked about in terms of irregular periods, acne, fertility challenges, and symptoms like fatigue or unwanted hair growth. However, one important aspect that doesn’t get nearly enough attention is the relationship between PCOS and eating disorders. We can explore this connection in a compassionate, weight-inclusive way—because health is about so much more than a number on a scale.

People with PCOS are frequently told that “losing weight” is the key to managing their symptoms. This message often comes early—sometimes at the very first appointment—and is delivered without much support. While movement, nutrition, sleep, and stress management can all be helpful for symptom relief, a fixation on weight loss can be harmful, particularly for individuals with a history of disordered eating or body image struggles.

The reality is: PCOS is not caused by weight, and weight loss is not a guaranteed or sustainable fix for it. In fact, for many people, trying to lose weight can intensify symptoms like food preoccupation, body shame, and binge eating. These experiences are not failures—they are signs of an unmet need for respectful, whole-person care.

Research shows that individuals with PCOS are at higher risk of developing disordered eating behaviors and full-spectrum eating disorders. This isn’t surprising when we consider:

• The experience of being weighed, judged, or dismissed in healthcare settings
• Hormonal imbalances that affect mood, appetite, and hunger cues
• Diet culture messaging that labels foods as “good” or “bad”

Many people with PCOS report a pattern of restrict-binge cycles, compulsive exercise, or deep guilt around eating. These aren’t personal weaknesses- these are understandable responses to systems that promote shame instead of support.

What is a Weight-Inclusive Approach to PCOS Management?

A weight-inclusive approach doesn’t mean ignoring health—it means shifting the focus to behaviors, well-being, and quality of life, regardless of body size. Here’s what that might look like:

• Working with a dietitian who understands both PCOS and eating disorders, and supports intuitive eating and body respect
• Exploring movement as a form of joy, stress relief, or strength-building—not punishment
• Managing insulin resistance, inflammation, and other symptoms through sustainable lifestyle changes instead of restrictive diets
• Practicing self-compassion when navigating difficult days, rather than blaming yourself

This approach respects that you are the expert of your own body, and healing happens best when we care for it, not fight against it.

You deserve respectful, shame-free support and care. Living with PCOS in a weight-obsessed world can be tough. But your body is not broken. You are not a problem to be fixed. And with the right support, you can nourish both your body and your relationship with food in ways that feel empowering, not exhausting. Whether you’re newly diagnosed or years into navigating PCOS, healing is possible. And you never have to walk that path alone.