Do you have endometriosis? or PCOS? or Both?


This is Dr. Manu, senior consultant in reproductive medicine and I have a specialized interest in dealing with PCOS.

Much of my lives work has been spent around helping people with PCOS conceive naturally & also reverse this disease with simple PCOS treatment

In today’s short read we are going to discuss on the association of a certain condition called endometriosis along with PCOS

PCOS & Endometriosis:

First things first, let me make one thing very clear…

Both PCOS and endometriosis are two entirely different health conditions


One thing stands very clear…

Both the conditions are independently and strongly associated with infertility and other difficulties with conception. 

We see many patients in our day to day practice suffer from both PCOS & endometriosis. Either way, it is a double whammy against achieving a pregnancy. 


What is endometriosis? 

A woman is said to have endometriosis if there is ‘an abnormal presence of the uterine lining in the places it is not normally or physiologically found’. 

Endometriosis as a health condition affects a whopping 10% of women world over!. It is also one of the leading causes of a childless marriage. 

do you have endometriosis or PCOS or both? 

Thus it becomes exceedingly important that you do not ignore certain symptoms that are specific to endometriosis. 

One clinical study suggested that in a group of women with PCOS who complaint of pelvic pain & infertility, the presence of endometriosis was seen and confirmed in 76% of participants. 

PCOS and endometriosis definitely seem to co-exist!. 

Okay, now let’s look at some common symptoms of endometriosis. 

Some common symptoms of endometriosis include:

A. Severe pain during sexual intercourse

B. Difficulties in achieving a pregnancy

C. Periods that are extremely painful and distressing.

D. Bowel and bladder movements that are painful

The occurrence of periods that are both irregular and painful, combined with excess hair growth, infertility & acne are all suggestive of an overlap of the two disease conditions.


A confirmatory diagnosis of endometriosis is best done with laparoscopy and biopsy of the excised lesion.

Where possible endometriosis can be managed with 

  1. Use of certain hormonal medications and 
  2. Surgical removal of the troublesome lesion by laprascopy (a last resort option)

If however, you are diagnosed with both PCOS and endometriosis, you need to get treated for both. This is because both these conditions will hinder you ability to achieve a pregnancy. 

Interestingly, in some patients we have seen that the symptoms of endometriosis slowly decrease as the years pass by!. 

However, not all patients can sit through the pain and wait it out!!.

This is exactly why the treatment of patients with endometriosis and PCOS should be individualized and tailored to the patients goals. 

I hope you enjoyed reading this article.

Kindly, do share it with your friends and loved ones!

If you think or suspect you have endometriosis or PCOS, get in touch with us below!

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Get in touch with Dr. Manu !

Dr Manu Lakshmi, MB, DA, MRCOG ( UK) FIMSA, FUSG. FRM.

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