Table 2.

Management of polycystic ovary syndrome focused on obesity⁴

General strategies	If weight loss is a goal, a tailored energy deficit could be prescribed. A lifelong effort on prevention of further weight gain is emphasized.
Diet	There is no evidence that any one type of diet is superior to others for anthropometric, hormonal, metabolic, or reproductive outcomes. Any diet composition conforming to general healthy eating guidelines will have benefits.
Exercise	There is no evidence that any one type of exercise is superior to others for anthropometric, hormonal, metabolic, or reproductive outcomes. Any physical activity conforming to general guidelines will have benefits, and doing some physical activity is better than none.
Anti-obesity pharmacological agents	In addition to lifestyle intervention, anti-obesity medications could be considered for the management of weight in adult women with PCOS per general population guidelines.
Bariatric surgery	In women with PCOS, bariatric/metabolic surgery could be considered per general population guidelines.
Preconception	Women with PCOS should be counseled on the adverse impacts of obesity on pregnancy outcomes.

PCOS, polycystic ovary syndrome.