Endometriosis vs. PCOS: How to Tell the Difference
Endometriosis and Polycystic Ovary Syndrome (PCOS) are two common yet often misunderstood gynecological conditions. While both can impact fertility and menstrual health, they are fundamentally different in terms of causes, symptoms, and treatment approaches. Understanding the key differences can help you seek the right medical support.
Understanding Endometriosis
What is Endometriosis?
Endometriosis is a condition where tissue similar to the lining inside the uterus (endometrium) grows outside the uterus, often on the ovaries, fallopian tubes, and pelvic lining. This misplaced tissue reacts to hormonal changes during the menstrual cycle, leading to inflammation and pain.
Common Symptoms of Endometriosis
- Chronic pelvic pain
- Painful periods (dysmenorrhea)
- Pain during intercourse
- Heavy menstrual bleeding
- Infertility
- Fatigue, diarrhea, constipation during periods
Understanding PCOS
What is PCOS?
Polycystic Ovary Syndrome is a hormonal disorder where the ovaries produce an excess of androgens (male hormones). This leads to irregular ovulation, and many small, immature follicles (often misinterpreted as cysts) may appear on the ovaries.
Common Symptoms of PCOS
- Irregular or absent periods
- Weight gain or difficulty losing weight
- Excess facial/body hair (hirsutism)
- Acne and oily skin
- Thinning hair on the scalp
- Fertility issues
- Insulin resistance or type 2 diabetes
Key Differences Between Endometriosis and PCOS
Hormonal vs. Structural Cause
PCOS is primarily a hormonal imbalance, whereas endometriosis is related to abnormal tissue growth.
Pain vs. Irregular Cycles
Endometriosis often causes severe pelvic pain, while PCOS usually results in irregular or missed periods without significant pain.
Diagnosis and Treatment
Endometriosis may require laparoscopy for definitive diagnosis, while PCOS is typically diagnosed through hormone tests and ultrasound. Treatment for both conditions varies but may include lifestyle changes, medications, and surgical interventions if necessary.
If you’re experiencing symptoms that may point to either condition, it’s important to seek medical evaluation to get an accurate diagnosis and effective treatment plan.
Expert Care for Women’s Health
Dr. Preeti Tandon provides compassionate and advanced care for both PCOS and endometriosis. With years of experience and a patient-centered approach, she helps women regain control of their reproductive health through personalized treatment plans. Whether you're struggling with pain, irregular cycles, or fertility issues, Dr. Preeti Tandon offers expert guidance and the best medical solutions tailored to your needs.