What Does a PCOS Belly Look Like? What Can I Do About It?

PCOS belly

PCOS can come with a number of annoying symptoms. 


One of them is the PCOS belly.


Sometimes it’s hard to know if you have a PCOS belly or not, so here we’ll explore what causes a PCOS belly, what it looks like, and what treatment options are available to you.

What is a PCOS Belly?

A PCOS belly occurs when you have a build-up of fat around your middle. 

This area of fat usually feels firm to the touch too.

This can lead you to have a higher waist measurement than you would usually expect to have for your height.

PCOS belly can be a distressing symptom, as you may find it hard to lose the weight despite trying to live healthily.

You might also wonder why you have this symptom, as some women with PCOS are not affected by the PCOS belly.

The PCOS belly might make you feel self-conscious, and could even stop you from wearing certain clothes or attending social events due to insecurities about your weight.

 You might feel to blame for having a PCOS belly - but remember that this is the result of a medical condition, and you didn’t do anything wrong.

The Anatomy and Shape of a PCOS Belly

A PCOS belly can lead you to have an apple shaped body type


This is where you carry the most weight around your middle, where your abdominal organs are situated.


A PCOS belly can mean you have a higher than expected BMI for your height, but this excess fat should be situated at your belly and not spread evenly around your body.


You will also likely have a higher than ideal hip - waist ratio too - which results from having a bigger belly in proportion to your waist.


Your waist circumference will therefore appear increased too.


You may find that your belly feels hard to the touch and appears round.


You will probably weigh heavier on the scales as a result of your PCOS belly, but you won’t notice that your thighs, arms or buttocks appear larger than usual.

What Causes a PCOS Belly?

Two main factors which are closely linked to PCOS itself, are also involved in the development of a PCOS belly. 


These are insulin resistance and elevated androgen levels.


When you have insulin resistance, a common risk factor for PCOS - it makes it more likely you will accumulate excess fat around your middle.


Insulin resistance is when your pancreas stops producing sufficient levels of insulin.


This means you can end up with elevated blood sugar levels, weight gain and other signs of metabolic disorder.


Elevated androgen levels are both a cause of and signal of PCOS.


Unfortunately, when you have too much of specific androgens such as testosterone you can end up with increased fat stores around your belly.


This is made worse by excess inflammation - another potential risk factor for PCOS.


Being in a proinflammatory state can promote fat storage and can combine with insulin resistance and excess androgen to create and sustain a PCOS belly.

How Does a PCOS Belly Affect Health?

Having a PCOS belly can have a number of effects on your physical and mental health. 


 The main ones are described below:

Physical Effects

When you have a PCOS belly, you can get stuck in a bit of a vicious circle. 


This is because insulin resistance, elevated androgens and excess inflammation can all contribute to PCOS - but having a PCOS belly can make these issues worse too.


Having excess abdominal fat can create more pro-inflammatory chemicals which can have a negative effect on all areas of your health, including your PCOS severity.


And too much belly fat can also lead you to have increased levels of testosterone which may worsen skin issues and excess hair growth.


Being overweight - including having excess belly fat can also promote insulin resistance too - so you can see just how harmful a PCOS belly can be for your overall health.


Aside from PCOS - having visceral fat around your middle can also put you at increased risk of heart disease and certain cancers - so it’s certainly something to address through lifestyle and supplements.

Psychological Effects

It can be psychologically challenging to deal with a PCOS belly too.


 This is because it can affect your self esteem and confidence. 


It may make you worry about how you look and you may find it hard to find clothes you feel yourself in.


For some women - having a PCOS belly can be a constant reminder of a condition they have to deal with every day.


For others - a PCOS belly may have been mistaken for a pregnant belly which can be hard to deal with if you have been experiencing fertility troubles.

Free 3 min Quiz 

PCOS? Which Type Do You Have?

How to Diagnose a PCOS Belly

Just looking at your belly will not give you a diagnosis. 


You’ll need to get a series of tests to confirm that you have PCOS, and therefore it would be more likely you have a PCOS belly too. 


 Tests which your doctor would suggest include:

  • Measuring your waist to hip ratio. This is because a waist-to-hip ratio of >0.87 may suggest you have PCOS, especially if you have a number of other key symptoms.

  • Analysis of your menstrual cycle - this will help to establish if you suffer from irregular periods, or if you miss ovulation regularly. These symptoms may suggest the presence of PCOS.

  • Your doctor may also ask if your mother or sister have PCOS as this can make it more likely that your symptoms are caused by this.

  • A blood test to determine if you have elevated androgen levels

  • A pelvic ultrasound to diagnose polycystic ovaries.

    Once it has been established that you do have PCOS, then you can be more confident that your belly is the result of this condition.

Effective Treatment Options for a PCOS Belly

In order to treat a PCOS belly, it’s important to treat your PCOS as a whole. 


Because without the condition, you wouldn’t have the resulting belly.


When it comes to treating PCOS - a holistic treatment plan is best. 


This is because there are multiple causes of PCOS, and many different factors can make the condition worse.


There is not just one treatment option for PCOS and PCOS belly. 


Instead you’ll need to create a personalized PCOS management plan that takes into account your specific scenario.


Usually your doctor will explore with you whether any medications are recommended to deal with your condition.


For example, if they feel that insulin resistance is a predominant issue for you, they might suggest you take some blood sugar regulating medication.


Even if you are prescribed medication to help with insulin resistance, or as part of a PCOS fertility boosting medical plan, you’ll still need to work on your lifestyle for the best results.


You’ll often find that targeted supplement support, in addition to simple but effective lifestyle changes, will give you the best chance of managing your PCOS and PCOS belly.

Supplement Support

When it comes to managing PCOS through supplements we ideally want to target the main factors which drive PCOS.


So this means adding in things such as Zinc, which really helps to lower levels of excess androgen and may help you to increase your insulin sensitivity.


Other key ingredients include Green tea and Saw palmetto are ideal too - this is because they may block excess testosterone, support healthy androgen levels and reduce hair thinning.


We have combined all these key ingredients and more in our popular androgen blocker product. 

Lifestyle Changes

Exercise is a really important tool in your PCOS management kit. 


This is because exercise can help you to balance your hormones.


 We know that excess androgen levels can fuel PCOS, so anything that keeps androgen levels in checks is to be prioritized.


In particular, studies have shown that strength or resistance based training can help to lower circulating androgen levels which can in turn help you with PCOS symptoms including PCOS belly.


Similarly, exercise can help to increase insulin sensitivity which is another key aspect of PCOS treatment.


And of course exercise can help to support your mental wellbeing too, and help you to feel more positive as you treat your PCOS symptoms.


Aside from exercise, focusing on your stress reduction strategies can really help too.


This is because excess stress can promote inflammation which in turn may increase your risk of developing a PCOS belly.


And reducing stress can help you to sleep better too which can help to increase your insulin sensitivity as well as making you less likely to consume too many highly palatable and high calorie foods.


So practicing yoga, spending time with friends and family, and making time for a warm bath or reading a favorite book are all just as important as any other PCOS management tool.

Frequently Asked Questions

How can I differentiate a PCOS Belly from regular weight gain?

PCOS belly refers to excess weight that has accumulated around the tummy area. 


With regular weight gain, you could expect to see the extra fat spread across different areas of the body, including the thighs and arms.

What are the health risks associated with a PCOS Belly?

Ideally, we want to prevent excessive amounts of abdominal fat from accumulating. 


Especially if there is visceral fat involved. 


This is because fat in this area can cover your internal organs, putting a strain on your cardiovascular system, and potentially resulting in a fatty liver - which is undesirable for your general health.

What are the long-term consequences of an untreated PCOS Belly?

An untreated PCOS belly may put you at an increased risk of heart disease, fatty liver, high blood pressure and type 2 diabetes. 


As these conditions can all have a serious effect on your health and wellbeing - it’s important to take steps to address your PCOS belly if you have one.

Is there a specific age group most prone to developing a PCOS Belly?

Whilst there’s no particular evidence showing that women are at risk of a PCOS belly at a certain age - PCOS itself tends to show up around when a woman gets her first period. 


However, women can develop PCOS in their 20’s and 30’s and therefore they may be at risk of experiencing symptoms of PCOS including a PCOS belly during this time.

What role does insulin resistance play in the development of a PCOS Belly?

Insulin resistance generally is linked to weight gain - and so it may play a role here too. 


For some women insulin resistance is more of a factor in their PCOS than others, and for some it may even be the main driver. 


 Improving your insulin sensitivity can help you to maintain a healthier weight over time.

Can exercise help reduce a PCOS Belly?

Exercise can definitely make a big difference when it comes to PCOS belly management. 


You might think that abdominal exercises would be the way to go, but actually it’s better to do a mixture of cardio and strength training as this will help to increase your resting metabolic rate, and reduce insulin resistance - both of which can be a factor in weight gain.

Are there any natural supplements that may support PCOS Belly management?

Your best bet is to choose supplements which target specific drivers of PCOS - as this will help you to manage symptoms such as PCOS belly. 


For example you could choose to take supplements containing magnesium, zinc and green tea, as these help to reduce the level of androgens in your body. 


These ingredients also help to reduce insulin resistance which can in turn help you to manage your weight better.

About The Author - Tamika Woods

Tamika Woods | PCOS Author | Nourished Natural Health
Tamika Woods, Clinical Nutritionist (B.HS; B.Ed), Bestselling Author

For a decade, Tamika battled chronic acne, irregular cycles, mood swings, hair loss, painful periods, severe digestive issues and Polycystic Ovary Syndrome (PCOS). You name it - she's been there!

Tam was finally able to clear her skin, regulate her cycle, be free of period pain and fall pregnant naturally with her daughter in 2020. It took Tam 10 years and tens of thousands of dollars in tertiary education to get the answers she needed to get better.

She didn’t want other women to suffer as long as she did which is why she has dedicated her life to helping women in the same position as she was.

Tam helps women interpret what their bodies are trying to communicate through frustrating symptoms, and then develop a step-by-step roadmap to find balance again. She's here to help you get on track!

Tamika Woods is the author of the Amazon best seller PCOS Repair Protocol. She holds a Bachelor of Health Science degree (Nutritional Medicine) as well as a Bachelor of Education, graduating with Honours in both.

She is a certified Fertility Awareness Method (FAM) Educator and a certified member of the Australian Natural Therapists Association (ANTA).

Related Products

Hormone Healing Recipes

References used for this article

1. What does a pcos belly look like? Health match, accessed August 2023. https://healthmatch.io/pcos/what-does-a-pcos-belly-look-like#what-is-pcos

2. PCOS belly. Insider, accessed August 2023. https://www.insider.com/guides/health/conditions-symptoms/pcos-belly

3. Ndefo UA, Eaton A, Green MR. Polycystic ovary syndrome: a review of treatment options with a focus on pharmacological approaches. P T. 2013 Jun;38(6):336-55. PMID: 23946629; PMCID: PMC3737989.

4. Patel P, Abate N. Body fat distribution and insulin resistance. Nutrients. 2013 Jun 5;5(6):2019-27. doi: 10.3390/nu5062019. PMID: 23739143; PMCID: PMC3725490.

5. Dumesic DA, Akopians AL, Madrigal VK, Ramirez E, Margolis DJ, Sarma MK, Thomas AM, Grogan TR, Haykal R, Schooler TA, Okeya BL, Abbott DH, Chazenbalk GD. Hyperandrogenism Accompanies Increased Intra-Abdominal Fat Storage in Normal Weight Polycystic Ovary Syndrome Women. J Clin Endocrinol Metab. 2016 Nov;101(11):4178-4188. doi: 10.1210/jc.2016-2586. Epub 2016 Aug 29. PMID: 27571186; PMCID: PMC5095243.

6. González F. Inflammation in Polycystic Ovary Syndrome: underpinning of insulin resistance and ovarian dysfunction. Steroids. 2012 Mar 10;77(4):300-5. doi: 10.1016/j.steroids.2011.12.003. Epub 2011 Dec 8. PMID: 22178787; PMCID: PMC3309040.

7. Ellulu MS, Patimah I, Khaza'ai H, Rahmat A, Abed Y. Obesity and inflammation: the linking mechanism and the complications. Arch Med Sci. 2017 Jun;13(4):851-863. doi: 10.5114/aoms.2016.58928. Epub 2016 Mar 31. PMID: 28721154; PMCID: PMC5507106.

8. Mihailidis J, Dermesropian R, Taxel P, Luthra P, Grant-Kels JM. Endocrine evaluation of hirsutism. Int J Womens Dermatol. 2017 Feb 16;3(1 Suppl):S6-S10. doi: 10.1016/j.ijwd.2017.02.007. PMID: 28492032; PMCID: PMC5419053.

9. Kahn BB, Flier JS. Obesity and insulin resistance. J Clin Invest. 2000 Aug;106(4):473-81. doi: 10.1172/JCI10842. PMID: 10953022; PMCID: PMC380258.

10. Aparecida Silveira E, Vaseghi G, de Carvalho Santos AS, Kliemann N, Masoudkabir F, Noll M, Mohammadifard N, Sarrafzadegan N, de Oliveira C. Visceral Obesity and Its Shared Role in Cancer and Cardiovascular Disease: A Scoping Review of the Pathophysiology and Pharmacological Treatments. Int J Mol Sci. 2020 Nov 27;21(23):9042. doi: 10.3390/ijms21239042. PMID: 33261185; PMCID: PMC7730690.

11.  Guan Y, Wang D, Bu H, Zhao T, Wang H. The Effect of Metformin on Polycystic Ovary Syndrome in Overweight Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int J Endocrinol. 2020 Sep 16;2020:5150684. doi: 10.1155/2020/5150684. PMID: 33014044; PMCID: PMC7519180.

12.  Fazel Torshizi F, Chamani M, Khodaei HR, Sadeghi AA, Hejazi SH, Majidzadeh Heravi R. Therapeutic effects of organic zinc on reproductive hormones, insulin resistance and mTOR expression, as a novel component, in a rat model of Polycystic ovary syndrome. Iran J Basic Med Sci. 2020 Jan;23(1):36-45. doi: 10.22038/IJBMS.2019.36004.8586. PMID: 32405346; PMCID: PMC7206839.

13. Tehrani HG, Allahdadian M, Zarre F, Ranjbar H, Allahdadian F. Effect of green tea on metabolic and hormonal aspect of polycystic ovarian syndrome in overweight and obese women suffering from polycystic ovarian syndrome: A clinical trial. J Educ Health Promot. 2017 May 5;6:36. doi: 10.4103/jehp.jehp_67_15. PMID: 28584836; PMCID: PMC5441188.

14. Grant P, Ramasamy S. An update on plant derived anti-androgens. Int J Endocrinol Metab. 2012 Spring;10(2):497-502. doi: 10.5812/ijem.3644. Epub 2012 Apr 20. PMID: 23843810; PMCID: PMC3693613.

15. Liu YZ, Wang YX, Jiang CL. Inflammation: The Common Pathway of Stress-Related Diseases. Front Hum Neurosci. 2017 Jun 20;11:316. doi: 10.3389/fnhum.2017.00316. PMID: 28676747; PMCID: PMC5476783.

About The Author - Tamika Woods

Tamika Woods | PCOS Author | Nourished Natural Health
Tamika Woods, Clinical Nutritionist (B.HS; B.Ed), Bestselling Author

For a decade, Tamika battled chronic acne, irregular cycles, mood swings, hair loss, painful periods, severe digestive issues and Polycystic Ovary Syndrome (PCOS). You name it - she's been there!

Tam was finally able to clear her skin, regulate her cycle, be free of period pain and fall pregnant naturally with her daughter in 2020. It took Tam 10 years and tens of thousands of dollars in tertiary education to get the answers she needed to get better.

She didn’t want other women to suffer as long as she did which is why she has dedicated her life to helping women in the same position as she was.

Tam helps women interpret what their bodies are trying to communicate through frustrating symptoms, and then develop a step-by-step roadmap to find balance again. She's here to help you get on track!

Tamika Woods is the author of the Amazon best seller PCOS Repair Protocol. She holds a Bachelor of Health Science degree (Nutritional Medicine) as well as a Bachelor of Education, graduating with Honours in both.

She is a certified Fertility Awareness Method (FAM) Educator and a certified member of the Australian Natural Therapists Association (ANTA).

Related Products

Hormone Healing Recipes

References used for this article

1. What does a pcos belly look like? Health match, accessed August 2023. https://healthmatch.io/pcos/what-does-a-pcos-belly-look-like#what-is-pcos

2. PCOS belly. Insider, accessed August 2023. https://www.insider.com/guides/health/conditions-symptoms/pcos-belly

3. Ndefo UA, Eaton A, Green MR. Polycystic ovary syndrome: a review of treatment options with a focus on pharmacological approaches. P T. 2013 Jun;38(6):336-55. PMID: 23946629; PMCID: PMC3737989.

4. Patel P, Abate N. Body fat distribution and insulin resistance. Nutrients. 2013 Jun 5;5(6):2019-27. doi: 10.3390/nu5062019. PMID: 23739143; PMCID: PMC3725490.

5. Dumesic DA, Akopians AL, Madrigal VK, Ramirez E, Margolis DJ, Sarma MK, Thomas AM, Grogan TR, Haykal R, Schooler TA, Okeya BL, Abbott DH, Chazenbalk GD. Hyperandrogenism Accompanies Increased Intra-Abdominal Fat Storage in Normal Weight Polycystic Ovary Syndrome Women. J Clin Endocrinol Metab. 2016 Nov;101(11):4178-4188. doi: 10.1210/jc.2016-2586. Epub 2016 Aug 29. PMID: 27571186; PMCID: PMC5095243.

6. González F. Inflammation in Polycystic Ovary Syndrome: underpinning of insulin resistance and ovarian dysfunction. Steroids. 2012 Mar 10;77(4):300-5. doi: 10.1016/j.steroids.2011.12.003. Epub 2011 Dec 8. PMID: 22178787; PMCID: PMC3309040.

7. Ellulu MS, Patimah I, Khaza'ai H, Rahmat A, Abed Y. Obesity and inflammation: the linking mechanism and the complications. Arch Med Sci. 2017 Jun;13(4):851-863. doi: 10.5114/aoms.2016.58928. Epub 2016 Mar 31. PMID: 28721154; PMCID: PMC5507106.

8. Mihailidis J, Dermesropian R, Taxel P, Luthra P, Grant-Kels JM. Endocrine evaluation of hirsutism. Int J Womens Dermatol. 2017 Feb 16;3(1 Suppl):S6-S10. doi: 10.1016/j.ijwd.2017.02.007. PMID: 28492032; PMCID: PMC5419053.

9. Kahn BB, Flier JS. Obesity and insulin resistance. J Clin Invest. 2000 Aug;106(4):473-81. doi: 10.1172/JCI10842. PMID: 10953022; PMCID: PMC380258.

10. Aparecida Silveira E, Vaseghi G, de Carvalho Santos AS, Kliemann N, Masoudkabir F, Noll M, Mohammadifard N, Sarrafzadegan N, de Oliveira C. Visceral Obesity and Its Shared Role in Cancer and Cardiovascular Disease: A Scoping Review of the Pathophysiology and Pharmacological Treatments. Int J Mol Sci. 2020 Nov 27;21(23):9042. doi: 10.3390/ijms21239042. PMID: 33261185; PMCID: PMC7730690.

11.  Guan Y, Wang D, Bu H, Zhao T, Wang H. The Effect of Metformin on Polycystic Ovary Syndrome in Overweight Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int J Endocrinol. 2020 Sep 16;2020:5150684. doi: 10.1155/2020/5150684. PMID: 33014044; PMCID: PMC7519180.

12.  Fazel Torshizi F, Chamani M, Khodaei HR, Sadeghi AA, Hejazi SH, Majidzadeh Heravi R. Therapeutic effects of organic zinc on reproductive hormones, insulin resistance and mTOR expression, as a novel component, in a rat model of Polycystic ovary syndrome. Iran J Basic Med Sci. 2020 Jan;23(1):36-45. doi: 10.22038/IJBMS.2019.36004.8586. PMID: 32405346; PMCID: PMC7206839.

13. Tehrani HG, Allahdadian M, Zarre F, Ranjbar H, Allahdadian F. Effect of green tea on metabolic and hormonal aspect of polycystic ovarian syndrome in overweight and obese women suffering from polycystic ovarian syndrome: A clinical trial. J Educ Health Promot. 2017 May 5;6:36. doi: 10.4103/jehp.jehp_67_15. PMID: 28584836; PMCID: PMC5441188.

14. Grant P, Ramasamy S. An update on plant derived anti-androgens. Int J Endocrinol Metab. 2012 Spring;10(2):497-502. doi: 10.5812/ijem.3644. Epub 2012 Apr 20. PMID: 23843810; PMCID: PMC3693613.

15. Liu YZ, Wang YX, Jiang CL. Inflammation: The Common Pathway of Stress-Related Diseases. Front Hum Neurosci. 2017 Jun 20;11:316. doi: 10.3389/fnhum.2017.00316. PMID: 28676747; PMCID: PMC5476783.