Keto and Endometriosis: Can Low-Carb Eating Reduce Symptoms?
Endometriosis affects approximately 1.5 million women in the UK and is characterised by endometrial-like tissue growing outside the uterus. Chronic inflammation and hormonal dysregulation are central to the condition.
The Inflammatory Nature of Endometriosis
Endometriosis lesions produce prostaglandins and inflammatory cytokines that drive pain, adhesion formation, and systemic inflammation. Anti-inflammatory dietary approaches show promise in symptom management.
How Keto May Help
Keto’s anti-inflammatory effects — particularly BHB’s inhibition of the NLRP3 inflammasome — directly targets the inflammatory pathway driving endometriosis symptoms. Preliminary evidence and patient reports suggest improvements in pain levels.
Oestrogen Reduction
Excess body fat produces oestrogen via aromatase enzymes. Since oestrogen drives endometriosis, weight loss from keto reduces the oestrogen load that worsens symptoms.
The Gluten Connection
Many endometriosis patients report improved symptoms on a gluten-free diet. Keto is inherently gluten-free, potentially providing dual benefit.
Consult Your Gynaecologist
Dietary changes should complement, not replace, appropriate medical management of endometriosis.