Is the Keto Diet Good for PCOS? 

PCOS, or Polycystic Ovary Syndrome, is a common endocrine disorder affecting as many as 10% of women of reproductive age worldwide. Along with a myriad of symptoms, including irregular periods, excessive facial and body hair, and acne, many women with PCOS struggle with obesity and insulin resistance. This leads many to wonder if dietary interventions, specifically the ketogenic (keto) diet, can offer relief. But, is the keto diet good for PCOS? Let's delve into the science and find out.

Understanding PCOS, Keto, and its Connection with Insulin Resistance

First and foremost, it's crucial to understand that PCOS is closely linked to insulin resistance in many patients. Insulin resistance is a condition in which the body's cells do not respond effectively to the hormone insulin, leading the pancreas to produce even more insulin. Over time, this can lead to an imbalance in blood sugar levels and eventually contribute to the onset of Type 2 diabetes.

Interestingly, high insulin levels can also stimulate the ovaries to produce more androgens (male hormones), which in turn can make PCOS symptoms even worse.

What is the Keto Diet?

The ketogenic, or keto, diet is a high-fat, moderate-protein, and very low-carb diet that has gained popularity in recent years for its potential benefits in weight loss, cognitive function, and other health areas. By restricting carbohydrate intake, the body enters a state called ketosis, where it burns fat as its primary energy source instead of glucose.

How Can the Keto Diet Benefit Women with PCOS?

Given the insulin-resistance nature of PCOS, the keto diet may offer potential benefits:

  • Stabilizing Blood Sugar Levels: With limited carbohydrate intake, blood sugar and insulin levels can stabilize. Stable blood sugar levels mean fewer spikes and crashes, which can reduce PCOS symptoms related to insulin resistance.

  • Weight Loss: Many women with PCOS struggle with weight loss due to metabolic issues related to insulin resistance. The keto diet can promote weight loss, which has been shown to relieve some PCOS symptoms.

  • Reduction in Androgen Levels: Some studies suggest that the keto diet can help lower androgen levels in women with PCOS. Reduced androgens can alleviate some of the most troublesome PCOS symptoms, like hirsutism and acne.

Potential Drawbacks of the Keto Diet with PCOS

While there are many potential benefits, there are also potential drawbacks to consider:

  • Nutrient Deficiencies: Being such a restrictive diet, keto can lead to deficiencies in vital nutrients, particularly if not done correctly.

  • Long-Term Sustainability: The strict nature of the keto diet makes it challenging to maintain in the long run for many individuals.

  • Possible Side Effects: Like any diet, the keto diet can have side effects. The initial phase, often referred to as the "keto flu," can bring about symptoms such as fatigue, dizziness, and gastrointestinal disturbances.

Is the Keto Diet Good for PCOS?

While more extensive and long-term studies are required, the current evidence suggests that the keto diet can offer potential benefits for women with PCOS, particularly concerning insulin resistance, weight loss, and hormone balance. However, like all restrictive diets, it's crucial to approach the keto diet with caution. It might not be sustainable for you, and that’s okay. Always remember to consult with a healthcare provider like a certified health coach or doctor familiar with both PCOS and ketogenic diets.

Always remember that each individual's body is unique. What works for one person may not necessarily work for another. It's crucial to find what is best for your body, health, and lifestyle.

Note: This article is intended for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.


Caroline Johnson is a Certified Holistic Nutrition Health Coach. Caroline graduated from the Institute for Integrative Nutrition with advanced training in women’s hormone health. Her one-on-one coaching practice, Serenity Health, provides the highest level of support and accountability to implement sustainable nutrition and lifestyle habits that lead to long-term results. Caroline’s specialties include:

  • Polycystic Ovarian Syndrome (PCOS)

  • Disordered Eating 

  • Fertility, IVF, Pregnancy, and Postpartum Nutrition

  • Sustainable Weight Loss

  • Gut Health (IBS, IBD, Crohn’s) 

  • Family Nutrition 

Book a complimentary health consultation today to learn more. For all things nutrition, hormone balance, and holistic health check outSerenityHealthHQ.com and follow@SerenityHealthHQ on Instagram and TikTok.

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