Diagnosis
Can PCOS and endometriosis happen at the same time?
The short answer
Yes, PCOS and endometriosis can occur together, even though they are different conditions. When they coexist, symptoms can include irregular ovulation, acne, or excess hair growth alongside cyclic pelvic pain, painful sex, or bowel pain around your period.
Yes, PCOS and endometriosis can occur together, even though they’re different conditions with different drivers. When they coexist, you may have irregular or infrequent ovulation, acne, or excess hair growth alongside endometriosis symptoms such as cyclic pelvic pain, painful sex, or pain with bowel movements around your period.
Because 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 often combines support for ovulation and metabolic health for PCOS with care for 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.
Where to go from here
Understand it, compare it with what you're feeling, then talk it through with us.
Speak with Us
Could You Have Both PCOS and Endometriosis?
These two conditions can happen together, causing confusing symptoms. Our specialists provide precise diagnosis and tailored treatment plans to help manage your unique situation.
Questions people ask next
All diagnosis questionsHow does PCOS affect fertility if I also have endometriosis?
PCOS commonly reduces how often you ovulate, which can make pregnancy harder when you also have endometriosis. Endometriosis can add barriers through pelvic inflammation and scarring and, in some cases, affect the ovaries or fallopian tubes.
How can nutrition help when PCOS overlaps with endometriosis?
Nutrition can help support steady blood sugar and improve insulin sensitivity when PCOS overlaps with endometriosis. An individualized approach can support digestion and hormone metabolism without unnecessary restriction, while protecting iron and key nutrients.
Further reading
PCOS Together With Endometriosis and/or Adenomyosis
Can PCOS occur together with adenomyosis or endometriosis? Yes. See how that overlap differs between the two, and what to ask about fertility and FET.
How to Recognize Endometriosis Symptoms
Recognize endometriosis: painful periods, GI and urinary symptoms, dyspareunia, infertility. Understand causes, complications, diagnosis, and medical/surgical treatment options.
How Endometriosis Contributes to Infertility
How endometriosis leads to infertility: pathogenesis; effects on gametes, tubes, and endometrium; and treatments (expectant care, surgery, and ART).
