Women’s reproductive health is complex, and two of the most misunderstood conditions are Endometriosis and Polycystic Ovary Syndrome (PCOS). Despite some overlapping symptoms, they are very different disorders, each requiring distinct treatment approaches. If you’re facing irregular periods, severe cramps, or unexplained fertility issues, it’s important to consult the best gynecologist in Greater Kailash for an accurate diagnosis and personalized care.
Let’s break down how endometriosis and PCOS differ, their unique signs, and how to tell them apart.
Understanding Endometriosis
Endometriosis is a condition where tissue similar to the lining of the uterus starts growing outside the uterus—on the ovaries, fallopian tubes, or pelvic lining. This misplaced tissue behaves like regular uterine tissue during menstruation—it thickens, breaks down, and bleeds. But with nowhere to go, the blood gets trapped, leading to inflammation, scarring, and severe pain.
Common Symptoms of Endometriosis:
- Intense menstrual cramps
- Chronic pelvic pain (not just during periods)
- Pain during sex
- Painful bowel movements or urination during periods
- Fatigue
- Difficulty conceiving
Women with endometriosis often suffer in silence, thinking their pain is “normal.” But chronic pain, especially if it interferes with daily life, is a red flag. Consulting an endometriosis specialist in Delhi can lead to early diagnosis and effective treatment, including medication, hormonal therapy, or minimally invasive surgery.
What is PCOS?
Polycystic Ovary Syndrome (PCOS) is a hormonal imbalance where the ovaries produce excessive androgens (male hormones). This disrupts the ovulation process and often leads to the formation of small cysts in the ovaries.
Common Symptoms of PCOS:
- Irregular or absent periods
- Weight gain, especially around the abdomen
- Excess facial or body hair (hirsutism)
- Oily skin or acne
- Thinning hair on the scalp
- Fertility challenges
Unlike endometriosis, pain is not the hallmark of PCOS. Instead, it is more closely linked to metabolic symptoms, like insulin resistance and weight gain.
Key Differences Between Endometriosis and PCOS
Feature | Endometriosis | PCOS |
Pain | Severe, chronic pelvic pain | Mild or no pelvic pain |
Periods | Painful, sometimes heavy periods | Irregular or absent periods |
Hormonal Levels | Often normal | Elevated androgens |
Fertility Impact | Due to scarring/blockage | Due to lack of ovulation |
Cysts | Endometrial implants, not real cysts | Fluid-filled ovarian cysts |
Appearance on Scan | May show endometriomas or scar tissue | Enlarged ovaries with multiple follicles |
Despite these differences, both conditions can coexist in some women, which makes diagnosis more complex. A thorough examination, pelvic ultrasound, hormonal testing, and sometimes laparoscopy are needed to confirm the diagnosis.
When to Seek Help?
If you’re experiencing ongoing menstrual issues, severe cramps, unexpected weight changes, or trouble conceiving, don’t ignore it. These symptoms are your body’s way of telling you that something’s not right. Early intervention can not only ease your discomfort but also improve your fertility outcomes.
At the end of the day, no online article can replace professional medical advice. Whether you suspect endometriosis or PCOS, schedule an appointment with an expert. If you’re looking for a compassionate and experienced PCOS doctor in South Delhi, seek someone who takes the time to listen, investigate, and guide you through your options.