PCOS vs Endometriosis: Understanding the Differences & Taking Control of Your Period Health
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If you’ve ever been hit with painful, irregular, or heavy periods and been told to just "get on with it," you're not alone. Polycystic Ovary Syndrome (PCOS) and Endometriosis are two of the most common (and misunderstood) conditions affecting people who menstruate. Yet, despite their impact, many go years without a diagnosis, leaving them frustrated, confused, and battling symptoms in silence.
So, what’s the difference between PCOS and Endometriosis, and how can you take charge of your period health? Let’s break it down.
PCOS vs. Endometriosis: The Basics
Polycystic Ovary Syndrome (PCOS)
PCOS is a hormonal condition that affects how the ovaries work. It’s linked to irregular periods, excess androgens (male hormones), and small cysts on the ovaries.
Endometriosis
Endometriosis happens when tissue similar to the lining of the uterus grows outside the womb, causing severe pain, heavy periods, and inflammation.
Both conditions affect the reproductive system but in very different ways—one is hormonal (PCOS), and the other involves tissue growing where it shouldn’t (Endo).
Symptoms: How Do They Compare?
| Symptom | PCOS | Endometriosis |
|---|---|---|
| Irregular periods | ✅ Common (skipped or long cycles) | ❌ Less common (but may have spotting between cycles) |
| Heavy bleeding | ✅ Can happen, but not always | ✅ Very common |
| Severe cramps | ❌ Less common | ✅ One of the biggest symptoms |
| Pelvic pain outside of periods | ❌ Unusual | ✅ Very common |
| Hormonal imbalances (e.g., acne, excess hair growth) | ✅ High androgens cause symptoms | ❌ Not a primary symptom |
| Bloating & digestive issues | ✅ Can happen | ✅ Very common ("endo belly") |
| Fertility issues | ✅ Can cause difficulty conceiving | ✅ Can impact fertility but not always |
| Fatigue | ✅ Often due to hormone imbalance | ✅ Very common due to chronic inflammation |
Diagnosing PCOS vs Endometriosis
Sadly, neither condition is easy to diagnose, and many people spend years being misdiagnosed or dismissed.
PCOS Diagnosis:
- Blood tests to check hormone levels
- Ultrasound to look for cysts on the ovaries
- Symptom review (irregular cycles, weight gain, acne, etc.)
Endometriosis Diagnosis:
- Symptom tracking (chronic pain, heavy bleeding)
- Ultrasound/MRI (can show cysts but not all endo tissue)
- Laparoscopy (keyhole surgery) – the only way to confirm endometriosis
Struggling to get answers? Keep pushing. Track your symptoms, ask for a referral, and don’t let your pain be dismissed.
Living with PCOS & Endometriosis: Managing Symptoms
While there’s no cure for either condition, there are ways to manage symptoms and take control of your health.
Managing PCOS
Diet & Lifestyle Changes – A low-sugar, anti-inflammatory diet can help balance hormones.
Medication – Birth control, metformin, or hormonal treatments can regulate cycles.
Exercise – Strength training and movement can improve insulin resistance.
Managing Endometriosis
Pain Management – Heat therapy, gentle movement, and anti-inflammatory foods can help.
Hormonal Treatments – Birth control or other hormonal meds may reduce tissue growth.
Surgery – In severe cases, a laparoscopy can remove endo tissue to ease symptoms.
Both conditions require ongoing management, but finding the right care, tracking symptoms, and advocating for yourself can make a world of difference.
Period Care When You Have PCOS or Endo
Heavy, irregular, or painful periods can make managing period care a challenge, but having the right tools can help.
FabLittleBag makes period disposal simple, stress-free, and hygienic—especially if you’re dealing with:
Unexpected heavy flow – FabLittleBags is leak-proof and discreet, so you can bin pads and tampons without worry.
Frequent period changes – No matter where you are, FabLittleBag fits into your routine - at work, the gym, or on the go.
Eco-conscious period care – If you’re already managing symptoms, why add environmental stress? FabLittleBag helps reduce plastic pollution from flushed products.
Periods are unpredictable enough—your disposal shouldn’t be.
Final Thoughts: Advocating for Your Health
If you suspect you have PCOS or Endometriosis—or you’re struggling with period symptoms that don’t feel “normal”—don’t stay silent.
- Track your symptoms and push for answers
- Find a doctor who listens and takes you seriously
- Surround yourself with a supportive community
Both conditions can be frustrating and exhausting, but with the right care, education, and support, you can take control of your period health.
Know someone who needs this info? Share it and help spread awareness.