Can PCOS and endometriosis happen at the same time?

Yes—PCOS and endometriosis can occur together, even though they’re different conditions with different drivers. When they coexist, it can look like irregular or infrequent ovulation, acne, or excess hair growth alongside endometriosis-type symptoms such as cyclic pelvic pain, painful sex, or pain with bowel movements around your period.

Because the symptom patterns can overlap (and one diagnosis doesn’t rule out the other), we focus on a careful history and targeted evaluation to clarify what’s contributing to your cycles, hormones, and pain. Treatment is often a combination approach: supporting ovulation and metabolic health for PCOS while addressing endometriosis when pain, inflammation, or organ involvement is suspected. If you’re dealing with both fertility concerns and persistent pelvic pain, our team can help you map out a plan that prioritizes your goals and next steps.