Polycystic Ovary Syndrome, commonly known as PCOS, is a hormonal disorder that impacts roughly 4 to 20 percent of individuals with ovaries worldwide. In the Philippines alone, it’s estimated that around 4.5 million Filipinas live with this condition. Despite its prevalence, PCOS is often misunderstood, particularly regarding its relationship with weight and body size.
A widespread misconception is that PCOS only affects those who are overweight or plus-size, or that gaining weight causes the disorder. This isn’t true. PCOS can develop in people of any body type. Weight gain does not cause PCOS, nor does losing weight cure it. The condition is chronic and thought to arise from a combination of genetic, hormonal, and gestational influences. Symptoms vary widely, and many individuals are born with PCOS.
While gaining weight is a common symptom, it results from insulin resistance — a condition where the body struggles to use insulin effectively. This causes elevated insulin and blood sugar levels, which in turn raise androgen (male hormone) levels. These hormonal changes often lead to abdominal weight gain, irregular periods, acne, and excess hair growth.
Sadly, plus-size patients with PCOS frequently face bias in medical care. Instead of receiving personalized treatment, they are often simply advised to lose weight. However, weight loss is rarely a long-term solution, given that over 95 percent of intentional weight loss efforts fail to sustain results. This focus on weight can delay proper diagnosis and add emotional strain.
Effective PCOS management should address each person’s unique symptoms and health goals, which might include medication, hormone regulation, mental health support, and sustainable lifestyle adjustments.
Increasing awareness about PCOS is crucial to dismantling harmful myths and fostering respectful, comprehensive care. Regardless of size, everyone deserves accurate diagnosis, treatment, and empathy. PCOS is a complex medical condition — not a weight issue — and must be treated with understanding and compassion.
References:
https://interactadvocates.org/no-one-size-fits-all-myths-and-misconceptions-about-pcos/
https://www.webmd.com/women/polycystic-ovary-syndrome-pcos-and-weight-gain
https://www.dost.gov.ph/knowledge-resources/news/86-2025-news/3942-debunking-misconceptions-on-pcos-expert-explains-why-early-detection-is-crucial.html
Written by: Venn Magpantay
