How to manage weight loss with PCOD/PMOS, adenomyosis, and medication?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello Doctor,

I am a 39-year-old woman weighing 200 pounds, trying to lose weight. I work from home and have a mostly sedentary lifestyle. I have been trying to make changes, such as ensuring I eat before eight at night but my weight has not decreased.

I have been diagnosed with PCOD/PMOS, chocolate cysts, and adenomyosis, and I am currently taking letrozole and dienogest for these conditions. Could these medications be affecting my ability to lose weight?

I am looking for guidance on effective weight-loss strategies that consider my health conditions and sedentary job. Are there specific exercises or dietary changes I should focus on to see better results?

Additionally, should I consult my doctor about possibly adjusting my treatment plan to support my weight-loss efforts?

Thank you.

Hello,

Welcome to icliniq.com.

Thank you for reaching out.

I understand your challenges with weight management, especially considering your health conditions. It is commendable that you are making an effort to improve your lifestyle.

For your weight loss journey, here are some actionable tips:

  1. Hydration: Drink three liters of water daily to stay hydrated and support your metabolism.

  2. Vegetables: Include vegetables in every meal, whether cooked or as raw salads.

  3. Fruits: Have one or two seasonal fruits daily along with your meals for essential vitamins and fiber.

  4. Good fats: Add one teaspoon of cold-pressed oil to each meal to include healthy fats and enhance satiety.

  5. Protein intake: Incorporate good protein sources such as curds, milk, sprouts, boiled channa, or boiled beans into your meals.

  6. Exercise: Engage in 40 minutes of daily physical activity such as walking, jogging, cycling, yoga, or any other preferred exercise. Ensure you exercise before meals, not after.

  7. Sunlight exposure: Spend 10 to 15 minutes in sunlight daily to boost your vitamin D levels.

I hope this helps. Feel free to reach out if you have more questions. Thank you.

Medically reviewed byiCliniq medical review team

Published At January 11, 2025
Reviewed AtMay 29, 2026

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