Endometriosis vs. PCOS – Understanding the Differences & Treatments
Both Endometriosis and Polycystic Ovary Syndrome (PCOS) are common gynecological conditions that affect a large number of women during their reproductive years. Despite sharing some symptoms like irregular periods and fertility issues, they are distinct conditions with different causes, symptoms, and treatments.
At Hera Clinic, Punawale, under the care of Dr. Sairandhri Kate-Shinde (MBBS, DNB, OBGY, FMAS) — a trusted gynaecologist in PCMC Pune — we offer accurate diagnosis and personalized treatments for PCOS and endometriosis to help you live a healthier, happier life.
What is Endometriosis?
Endometriosis occurs when tissue similar to the inner lining of the uterus (endometrium) grows outside the uterus — on ovaries, fallopian tubes, pelvic lining, and other areas. This tissue bleeds with each menstrual cycle but has no way to exit the body, causing inflammation, pain, and scar tissue.
Common Symptoms of Endometriosis:
- Severe pelvic or abdominal pain, especially during periods
- Painful intercourse
- Heavy menstrual bleeding
- Chronic fatigue
- Bloating or nausea
- Infertility or difficulty conceiving
What is PCOS?
Polycystic Ovary Syndrome (PCOS) is a hormonal disorder where the ovaries produce excessive androgens (male hormones). This causes irregular ovulation, formation of multiple immature follicles or cysts on ovaries, and metabolic disturbances.
Common Symptoms of PCOS:
- Irregular or missed periods
- Weight gain or difficulty losing weight
- Acne and oily skin
- Excess facial/body hair (hirsutism)
- Hair thinning or male-pattern baldness
- Dark patches on the skin (acanthosis nigricans)
- Difficulty getting pregnant
Key Differences Between Endometriosis & PCOS
| Feature | Endometriosis | PCOS |
|---|---|---|
| Cause | Abnormal growth of endometrial tissue outside uterus | Hormonal imbalance with excess androgens |
| Menstrual Pattern | Painful, heavy, and regular/irregular periods | Irregular or missed periods |
| Pain | Severe pelvic pain, especially during menstruation or sex | Usually less pain, but possible cramping |
| Fertility Impact | Can cause blocked tubes, inflammation, adhesions | Ovulation disorders leading to infertility |
| Appearance of Ovaries | May develop endometriomas (chocolate cysts) | Multiple small cysts on ovaries ("string of pearls") |
| Hormone Levels | Estrogen-dominant | High androgens, insulin resistance |
| Management | Pain control, surgery, fertility treatments | Hormonal therapy, lifestyle changes, ovulation induction |
How Do These Conditions Affect Fertility?
Endometriosis & Fertility:
- Scar tissue and adhesions can block fallopian tubes
- Inflammation can damage eggs or sperm
- Impairs embryo implantation
PCOS & Fertility:
- Irregular ovulation or anovulation (no egg release)
- Hormonal imbalance disrupts menstrual cycle
- May need medical help to trigger ovulation
Good news: With early diagnosis and the right treatment, many women with endometriosis or PCOS successfully conceive.
Diagnosis at Hera Clinic, Punawale
- Ultrasound (TVS) for ovarian cysts or endometriomas
- Hormonal blood tests (LH, FSH, AMH, androgens, insulin levels)
- Pelvic examination
- Laparoscopy (gold standard for diagnosing endometriosis)
- Metabolic profile for PCOS-related concerns
Treatment Options for Endometriosis & PCOS
✅ Treatment for Endometriosis:
- Pain relief medications (NSAIDs)
- Hormonal therapy (oral contraceptives, GnRH analogs, progestins)
- Laparoscopic surgery to remove endometrial tissue
- IVF or IUI for fertility issues
✅ Treatment for PCOS:
- Lifestyle modifications – balanced diet, weight management, exercise
- Metformin – for insulin resistance
- Hormonal birth control pills – regulate periods & reduce androgen symptoms
- Ovulation induction with Clomiphene or Letrozole for pregnancy
- Laser hair removal / dermatological support for cosmetic symptoms
Why Choose Hera Clinic, Punawale for PCOS & Endometriosis Treatment?
- Expert care by Dr. Sairandhri Kate-Shinde – trusted gynaecologist near Wakad, Hinjewadi, Ravet, and Tathawade
- Personalized treatment
- Compassionate counselling & fertility planning
- Holistic support for hormonal balance and lifestyle coaching
Visit Hera Clinic – Trusted Gynaecologist in PCMC Pune
If you're experiencing irregular periods, chronic pain, or fertility struggles, don’t wait. Early diagnosis and the right treatment plan can restore your hormonal health and improve your chances of conceiving.
Book your appointment today
Email: shailysmily@gmail.com
Address: Shop No. 8, Ground Floor, Infinity Cube, D-Wing 44/1/2, Malwadi, Punawale, PCMC, Pune 411033
Website: www.heraclinics.in