Polycystic ovary syndrome affects metabolism through insulin resistance, elevated androgens, and hormonal imbalances that can make weight management more challenging. This calculator provides a TDEE estimate for women with PCOS as a starting point for calorie planning, building on the Mifflin-St Jeor equation, alongside medical guidance.
PCOS-related insulin resistance is the primary metabolic challenge. When cells do not respond efficiently to insulin, the body produces more of it - which promotes fat storage, particularly around the abdomen, and can suppress fat burning. This means some women with PCOS have a lower effective TDEE than predicted by standard equations.
Research suggests women with PCOS may need to eat 200-400 fewer calories per day than the calculator shows to achieve the same weight loss as women without PCOS. This is why tracking actual results over 4 weeks and adjusting is essential.