How to lose weight drugs affect Indian women with PCOS and infertility
As Vagovi enters a new wave of weight -loss drugs to deal with India’s growing obesity crisis, Dr. Rishma Pai, the International Federation of Fertility Society, throw light on their use in women suffering from obesity dealing with the Chairman-Elections, PCOS, infertility and menopausal health risk.

In short
- India enters the new era in obesity management with global drugs Vagovi and Mounzaro
- Obesity affects almost one in three women and deteriorates PCOS and infertility issues
- Hormonal changes in menopause to menopause complicate weight loss for women
With the launch of Wagovi, globally recognized weight-loss drug, and silence, which was previously introduced by the US Medicine Company Elli Lily, India has entered a new phase in the management of obesity.
Over the years, doctors and patients have been struggling with the challenge of equally obesity, especially in women. Now, with new equipment in hand, experts believe that the tide can change at the end.
Famous gynecologist Dr. Rishma Pai speaks in length that obesity is no longer a cosmetic issue, it is a medical condition with intensive results, especially PCOS (polycystic ovary syndrome), infertility and post-meinopaazal health risks for women.
Dr. According to Pai, almost one of the three women in India is living with obesity. “Obesity is not only about appearance, it is ABCD: Edipocity-based chronic disease,” she says.
This includes a wide range of health issues such as diabetes, high blood pressure, infertility, sleep apnea, arthritis and even some cancers of the breast and uterus.
For women, the burden is heavy because obesity affects them differently, and often more severe than men.

From adolescence to menopause, hormonal changes become difficult to lose weight, and it is easy to achieve.
PCOS and weight struggle
PCOS affects 30-35% of young women in India and is closely connected to obesity. Lilavati Hospital, PD Hinduja Hospital, Sir HN Reliance Foundation Hospital, a counseling gynecologist Dr. Pai says that she sees many women battling irregular periods, acne, facial hair and weight gain – all classic signs of PCOs.
“The sad thing is that till now, we had very little to offer these young women. Old weight-drug drugs barely helped them lose 2-3 kg. It was disappointing for both doctors and patients,” she tells indiayatoday.in.
However, even losing 5% weight can improve symptoms significantly.
“Once these women just lose weight a bit, the duration becomes regular, ovulation improves, and in many cases, fertility improves, without any other drug requirement,” she says.

Dr. Pie sees it as a major step in pre-generous care. “Many women weigh 85 kg in my clinic and are planning pregnancy. If they become pregnant on this weight, they often cross 100 kg during pregnancy. It puts them at high risk for diabetes, hypertension and complications. Doctors are also emphasized to manage these high-risk pregnancies.”
She recommends a focused pre-elastic weight loss plan, which prevents the drug a month before trying to conceive.
Menopause metabolism shift
Menopause presents an obstacle related to another weight. She says, “Even women who are diluting their entire life suddenly find their midsections,” she says. This midlife is powered by weight gain hormonal shift and increases the risk of heart disease, metabolic disorders, and some cancers to women.
Dr. Pai insisted that women should be supported in achieving healthy body weight at every standard of living from youth to menopause.
Beyond the scale: shame, stigma and mental health
Dr. Pai made a call to treat obesity with obesity, as even health professionals can be biased. “When a more weight woman moves to a clinic, many people believe that she is lazy or careless. It is not just true,” she says.
To see this problem in a certain way, the problem gets worse due to women, especially at the age of social media. She says, “Pre-wedding weight loss is almost mandatory. The brides hung themselves or choose surgery, just to look good in photos. But after marriage, many people gain weight,” she says.

The 2022 Novo survey conducted in Asia-Pacific found that one-third of obese people refused to accept their position. Two-thirds blamed themselves for this. “This shows how little we consider obesity as a chronic disease,” Dr. Pai said.
Weight-Loss Drugs: Not a Magic Cure, but a powerful tool
Dr. Pai believes that drugs such as Semaglutide (vegovi) are not miraculous remedies, but they can be powerful ally.
She insists that the use of these drugs should be part of a large, long -term strategy that includes counseling, behavioral changes and frequent followers.
Weight-loss drugs can also be added to pre-growth programs, as well as to help women to lose weight, get healthy and then prevent the medicine a month before planning pregnancy. But this should be done very strategically, under medical supervision with a permanent lifestyle.
“You cannot take these drugs for six months, then hoping to maintain biping and weight loss. It is also difficult to achieve it,” she says.
Nevertheless, the results are inspired. “When a woman also falls a few kilograms, she feels confident and inspired. It is the beginning of a big change.”
More than anything, Dr. Pie wants to change how we talk about weight: “Let’s stop saying even thinner. Fitness is not just about appearance. There are thin women with high body fat and low muscles. We need to create awareness – not a decision.”