Question 1

Is caffeine bad for PCOS?

Accepted Answer

Depending on the study, caffeine from coffee and other caffeinated drinks may or may not negatively affect PCOS. There’s no consensus, although green tea does seem to help PCOS overall. When I speak with patients about this, I recommend keeping caffeine consumption low and paying attention to how it impacts their unique bodies to make more nuanced adjustments.

Question 2

Can a plant-based diet reverse PCOS?

Accepted Answer

There aren’t many studies that have looked at a fully plant-based diet for treating PCOS. Here’s what we do know:Vegan dietary patterns are associated with a higher risk of PCOS. (21)Vegan diets generally lead to more significant weight loss than other eating patterns. (22)With this information, I recommend most patients stick to a diet that includes tons of healthy fruits and non-starchy veggies but still includes some animal products.

Question 3

Can a gluten-free diet help PCOS?

Accepted Answer

There is no evidence that gluten is directly linked to PCOS (positively or negatively). Many women are sensitive to gluten, which may increase inflammatory markers, so going gluten-free probably won’t hurt. But for most people with PCOS, going gluten-free probably won’t result in significant changes unless they have celiac disease or gluten sensitivity.

Question 4

Should I avoid phytoestrogens?

Accepted Answer

Phytoestrogens like soy are often cited as a problem for PCOS, as they have estrogen-mimicking compounds that may influence hormone balance. However, most research suggests that they may actually have a positive influence on women’s health, including PCOS. (23) In some cases, soy isoflavones are used to successfully treat PCOS symptoms. (24)Many soy products sold in the US have problems beyond their phytoestrogen content, so I would still recommend avoiding them in most cases.

Question 5

Do I need supplements?

Accepted Answer

Technically, people rarely “need” dietary supplements, although they are a fantastic add-on to many diets. Several supplements may help manage symptoms of PCOS, like berberine (which I like to think of as “nature’s Ozempic.”) In particular, supplements like my Hormone Health Stack for cycling women may help contribute to a healthier nutrient balance and optimal health.

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