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What are the Signs of Endometriosis With PCOS?

Are you experiencing symptoms such as painful periods, irregular cycles, or fertility issues? If so, you may be one of the many women facing the challenges of endometriosis and polycystic ovary syndrome (PCOS). 

This comprehensive guide will explore the signs and symptoms of endometriosis when coexisting with PCOS, shedding light on these common conditions that affect many women in India.

What are the Signs of Endometriosis With PCOS?

What is Endometriosis?

Endometriosis is where the tissue lining the uterus, known as the endometrium, grows outside the uterus. This abnormal growth can cause pain, inflammation, and scar tissue formation. It affects approximately 10% of women worldwide, making it a significant health concern.

Common symptoms of endometriosis include pelvic pain, painful periods (dysmenorrhea), pain during intercourse (dyspareunia), and infertility. The severity of symptoms may vary from person to person, with some experiencing mild discomfort and others facing debilitating pain.

Unfortunately, endometriosis often goes undiagnosed or misdiagnosed, leading to delayed treatment and unnecessary suffering.

Polycystic Ovary Syndrome (PCOS)

PCOS is a hormonal disorder that affects the ovaries. It is characterised by an imbalance of hormones, forming small cysts on the ovaries. PCOS affects approximately 5-10% of women of reproductive age in India, making it one of the most prevalent endocrine disorders.

Women with PCOS may experience irregular periods, weight gain, acne, and hair growth in unwanted areas (hirsutism). This condition can also lead to long-term health complications such as insulin resistance, diabetes, and cardiovascular disease.

The Intersection of Endometriosis and PCOS

Women can have both endometriosis and PCOS. While these conditions are distinct, they can coexist and create a more complex health scenario for individuals. The underlying causes of these conditions are still being researched, but hormonal imbalances and genetic factors are believed to play a role.

When endometriosis and PCOS coexist, the symptoms can be more severe, leading to increased pain, fertility difficulties, and emotional distress. Identifying the signs of both conditions and seeking appropriate medical guidance for accurate diagnosis and management is crucial.

Also, Read- Is Endometriosis Curable?

Common Symptoms of Endometriosis with PCOS

Understanding the signs and symptoms of endometriosis when it coexists with PCOS is crucial for early detection and management. Some common symptoms include:

  1. Severe Pelvic Pain: Many women with endometriosis and PCOS experience intense pelvic pain that worsens during menstruation. The pain can be debilitating and interfere with daily activities.

  2. Irregular Menstrual Cycles: Both conditions can cause irregular periods, with menstrual cycles varying in length and heaviness. Some women may also experience prolonged or absent periods.

  3. Chronic Fatigue and Low Energy Levels: Endometriosis and PCOS can lead to fatigue and constant tiredness, impacting overall quality of life.

  4. Painful Bowel Movements or Urination: Endometriosis lesions and PCOS cysts can exert pressure on nearby organs, leading to pain during bowel movements or urination, especially during menstruation.

  5. Difficulty Getting Pregnant or Recurrent Miscarriages: Both endometriosis and PCOS can affect fertility. Women with these conditions may face challenges in conceiving or have an increased risk of miscarriages.

If you are experiencing any of these symptoms, it is essential to consult an Endometriosis Specialist in Bangalore for a proper diagnosis.

Diagnosis and Medical Evaluation

  • A gynaecologist will perform a thorough medical evaluation to diagnose endometriosis with PCOS. This may include:

    1. Detailed Medical History: Your doctor will inquire about your symptoms, menstrual patterns, and medical history to better understand your condition.

    2. Physical Examination: A pelvic exam may be conducted to check for abnormalities or signs of endometriosis or PCOS.

    3. Imaging Tests: Ultrasound or MRI scans can help visualise the reproductive organs and identify cysts or lesions associated with endometriosis or PCOS.

    4. Laparoscopy: In some cases, a laparoscopy may be recommended to confirm the presence of endometriosis. During this minimally invasive surgery, a thin, lighted tube is inserted through a small incision in the abdomen to examine the pelvic area.

    Proper diagnosis is essential for effective management and personalized treatment plans.

Treatment Options and Management

  • Endometriosis Treatment in Bangalore with PCOS aims to alleviate symptoms, manage pain, and improve overall quality of life. The treatment options for endometriosis and PCOS may vary depending on the severity of symptoms and individual needs. Here are some common approaches:

    1. Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pelvic pain and inflammation associated with endometriosis. In more severe cases, hormonal medications like oral contraceptives or gonadotropin-releasing hormone (GnRH) agonists may be prescribed to suppress the menstrual cycle and reduce pain.

    2. Fertility Treatment: If you are trying to conceive and facing difficulties due to endometriosis and PCOS, fertility treatments such as in vitro fertilisation (IVF) or intrauterine insemination (IUI) may be recommended. These procedures can increase your chances of getting pregnant by bypassing the affected reproductive organs.

    3. Lifestyle Modifications: Making healthy choices can help manage endometriosis and PCOS. Regular exercise, a balanced diet, and stress management techniques can contribute to overall well-being and hormonal balance.

    4. Surgical Intervention: In some instances, surgery may be necessary to remove endometriosis lesions or ovarian cysts. Laparoscopic surgery is commonly used to perform these procedures, minimising invasiveness and promoting faster recovery.

    It is essential to consult with a gynaecologist who specializes in both endometriosis and PCOS for personalized treatment recommendations based on your specific situation.


  • Endometriosis and PCOS can significantly impact women’s lives, causing pain, infertility, and emotional distress. Understanding the signs and symptoms of these conditions when they coexist is essential for early detection and appropriate management. 

    If you suspect you may have endometriosis and PCOS, seek medical evaluation from a gynaecologist who can diagnose properly and develop a tailored treatment plan to help you navigate these challenges. Remember, you are not alone, and resources are available to support you on your journey towards better health.