This patient support community is for discussions relating to
PCOS including anxiety, baldness or thinning hair, high blood pressure, high cholesterol, depression, type 2 diabetes, genetics, heart problems, increased hair growth (hirsuitism), infertility, menstruation (periods), obesity, ovarian cysts, pelvic pain, pregnancy, skin problems, sleep disorders, and weight gain.
~Tascha
Bethany
Bethany :)
So,perhaps it is rare or rather uncommon for women to have both conditions, but I am not at the moment seeing how the conditions can be mutually exclusive. Maybe we need to do some internet research here.
Last but not least, start keeping a chart of your monthly cycles. Note the date the period begins, how many days are in each cycle, and what problems you experience during ANY point in that cycle.
http://www.inciid.org/faq.php?cat=infertility101&id=2#138
(Does this mean that I know more than your doctor??!!)
Obstet Gynecol. 1989 Oct;74(4):650-2. Related Articles, Links
Coexistence of polycystic ovary syndrome and pelvic endometriosis.
Singh KB, Patel YC, Wortsman J.
Department of Obstetrics and Gynecology, Louisiana State University School of Medicine, Shreveport/New Orleans.
Pelvic endometriosis was observed in 15 of 91 women (16.5%) with laparoscopically confirmed polycystic ovary syndrome. There were no significant clinical differences among those with and those without endometriosis. The groups were of similar age, parity, and ponderal indices and had similar incidences of oligomenorrhea, hirsutism, and infertility; the serum concentrations of LH, FSH, LH/FSH, prolactin, testosterone, and dehydroepiandrosterone sulfate were also similar in each group. However, women with polycystic ovaries and endometriosis presented more frequently with regular menses (40 versus 14.5%; P = .05) and less frequently with secondary amenorrhea (0 versus 38.2%; P = .05) and galactorrhea (0 versus 9.2%; P = .05) than the women with polycystic ovaries alone. Endometriosis appears to be a coincidental finding in polycystic ovary syndrome, and its development does not modify significantly the clinical picture or biochemical profiles of these patients. However, menstrual patterns seem to be affected.
PMID: 2797642 [PubMed - indexed for MEDLINE]
Folia Med (Plovdiv). 1996;38(3-4):71-3. Related Articles, Links
Polycystic ovaries in association with pelvic endometriosis in infertile women diagnosed by laparoscopy.
Kichukova D.
Department of Obstetrics and Gynecology, University of Medicine, Plovdiv, Bulgaria.
The author studied the combination of the polycystic ovary syndrome and endometriosis in 274 infertile women by laparoscopy. 106 patients were diagnosed on clinical criteria as having the polycystic ovary disease which was confirmed in 93 of them (87.74%) at the time of the procedure. Coexisting endometrial focuses were found in 11 patients (11.83%). The results show that laparoscopy should be the modality of choice in the diagnostic work-up in women with infertility and clinical symptoms of the polycystic ovary syndrome. Extensive scrutiny for endometriosis should be performed in all of these cases since the combination of the two conditions is not infrequent.
PMID: 9145594 [PubMed - indexed for MEDLINE]
Akush Ginekol (Sofiia). 2000;39(3):25-6. Related Articles, Links
[Endometriosis as an unexpected finding during laparoscopy on sterile women]
[Article in Bulgarian]
Kichukova D, Uchikova E, Velevski V.
Department of Obstetrics and Gynaecology, High Medical, Plovdiv.
OBJECTIVES: Assessment of the laparoscopy as endoscope method at diagnosing as unsuspected finding at sterile women. MATERIALS AND METHODS: Studying is retrospective and includes 20 years period of time (1976-1996). We have examined the documentation of 912 patients on whom performed laparoscopy. 678 from them have been primary and 234 have been with secondary sterility. RESULTS: We have established the following findings: cases only with endometriosis--164 patients; endometriosis and polycystic disease of the ovaries--11 patients; endometriosis and tubal sterility--42 patients; endometriosis and pelvic inflammatory disease (PID)--56 patients; endometriosis and uterus myomatosus--6 patients. DISCUSSION: Diagnosis of endometriosis by laparoscopy effectively helps in the further treatment of sterile women.
PMID: 11187990 [PubMed - indexed for MEDLINE]
Bethany :)
Hi Bethany, I was diagnosed with both endo and PCOS aged 27 after 13 years of terrible periods, weight gain, spots...you know the symptoms. Anyway i'm 35 now and have lived with both since then. I was put on Dianette to prevent my bad periods and spots etc and once my body had adjusted to it (i'm not very good on the pill) it worked like a charm for 6 years. However, i decided to come off of the pill early last year and have sonce developed the spots and weight gain symptoms again. HOWEVER, my periods have been brilliant! For the last year and a half i've never had a 'crying in agony - rolling around" period and i get hardly any clots. I've just been put on metformin and the GI diet (brilliant for both conditions) to see if i can lose the weight that way and have been told to take mega strength (1300mg per day) evening primrose oil and starflower oil. These, i'm told may take 3-6 months to start propoerly kicking in, so give it a chance. Relaxation classes are fantastic as is acupuncture, but if you don't have access to any of these classes, download relaxation exercises from the internet. Also, and the woman who gives me maggaes told me this, make sure you have your fallopian tubes tested for bloackages, as it's a simple procedure, but one most doctors fail to tell their patients about.
One thing i will say to you all is that up until i went to a prvate doctor in th UK i was ignored and almost ridiculed by doctors when i went to them with my symptoms. One (female) doctor told me that all women have uncomfortable periods and i should get on with it, whilst another (male) doctor suggested i get pregnant. A fair comment until you realise that i was single, 19 and at university. The best was when some 149 year old male doctor said that "the best thing all round is a hysterectomy - rip it all out"!!!!!!!!! So, keep plugging away at it.
I'm just beginning to try to get pregnant and although it may seem remote to some (at 35, with both conditions) my specialist told me last time i saw him that his previous patient that day had both conditions and had 5 kids.
As for you endo - DEMAND A LAPAROSCOPY. If they won't allow it, change doctors, contact the medical council or contact the hospital directly. Rememeber, no matter what doctors try and make out, it's your body not theirs.
I hope that some of this has helped some one, as it can feel very isolating out there when you aren't given the correct information.
.....still hoping for a baby
i have both endo and PCOS and ovarian cancer. In fact the PCOS has caused me more pain then the other two. complete agony.
Feel free to drop me a line if you ever want to talk.
best wishes.
I was diagnosed with Endometriosis not quite 3 years ago and I've since had 2 surgeries to remove it - once in 9/05 and the other in 1/07. I recently started having severe pain around my right ovary as well and ended up in the ER almost 2 weeks ago. The ultrasound indicated that I had a cluster of cysts around my right ovary and that one of them had most likely ruptured. Then last Monday (1 week ago) I had a follow up with my obgyn who said that I have PCOS in addition to the Endo. So to answer the original question, YES you can definitely have both.
Sandy - If you have an obgyn I would definitely request that they perform a laparoscopy. If they refuse, I would personally change doctors. Having the laparoscopy done is the only way to be 100% sure that you have the Endo. Good luck!
and help you help yourselfs my advise is to stop listening to dr.'s that don't listen to you collect all your records films and all from every where dr's., ER. then read them. for the short term stop all dairy .red meal prosseced food lunch meat, cheese these all have hormons that feed Endo maintain your bowels keep them as empty as you can this helps more then pain killers in my family out of 4 girls 3 have had total hystorectomies and 1 partial we all had PCOS also and two of us have thyroid issues also after all it all the same system of the body. i prey that you find the right DR. but Educate yourselfs you are your own best dr.
3 years ago I underwent an emergency operation - to remove my left ovary and half of the right ovary. It was because I suffer from PCOS and the cysts in my left ovary were not only hemorragic (blood cysts) but also were about to burst open. My life was in danger. After after having all that removed, and the half ovary cleaned from remaining cysts, I thought that my pain and awful menstrual periods would dissapear. My first period after my procedure was so painful that I ended up at the ER. My doctor saw me the next day and told me that the biopsy from the half of ovary I do have - had traces of endometriosis. So yes, It is possible to have PCOS and Endo at the same time.
For me it has been hell. My periods are horribly painful from the week before; sometimes I have weird symptoms like dizziness, nausea, severe headaches, bowel movements out of control, and severe bleeding. I can be up to 9 days bleeding heavily, and then 2 weeks later get my period again. I wish the doctor had taken everything out and spared me this misery.
Jocelyn
Miramar, Fl
I am 32 years of age and just about 3 years ago I started to notice discomfort in my right groin abdomen area and in my right underarm breast at the same time. The discomfort was that my groin, thigh, felt swollen. My underwear felt so tight on that side (like overnight) that I had to go and buy a size larger underwear. Ultrasound was done on my right abdomen and no signs of any unusual ovaries, so the doctors left it as a groin pull. The odd thing is that my groin pull never went away completely. It would become aggrivated whenever I would lift something heavy or right around my period or whenever I had a movement of a bowel. I couldn't hold my stomach in anymore because that would cause discomfort.
Now its 3 years later and I've developed the following: same groin pull discomfort sensation, a rotated pelvis (right), and sciatica down the right leg. Sometimes during the time and for a few weeks after my period I have the increased "groin pain" sensation. Not to mention within the 3 years I gained about 40lbs.
Just past 2 weeks I had another abdomen ultrasound done and blood tests. The ultrasound was "beautiful" but it was found that my free testosterone levels were slightly elevated. I am going in for another blood test to make sure this isn't a lab error. My doctor is unsure what it could be. I think I may have PCOS but my physical therapist believes I may have a cyst or endometriosis. I've noticed some extra facial hair popping up within the last year or so and also some unusual hair loss. Just recently, my hair line has been getting finer and more recessed.
I have my next appointment with my doctor on later this month. I am wondering what her final diagnosis is. I am really concerned with the weight gain as my mother who hasn't seen me since 8 months looked like she was about to cry because I've gained so much weight and I walk oddly on my right side. I had an orthopedic surgeon who dismissed my complaints and didn't notice a change in my gait. However, my physical therapist did notice the rotated pelvis.
I was wondering if any of you guys have any of the symptoms I've talked about? My mother had endometriosis and a fibroid tumor before her hysterectomy. She also has thyroid issues too (I've been blessed with great genes). I've never had a severe weight problem like this before in my entire life. I've always been able to shed pounds, but now if I breathe I gain weight and my sciatica doesn't really allow for me to feel comfortable walking or exercising like used to enjoy.
Also, some of you guys mentioned blood clots during your period. How big were your blood clots? Dime size? This might simply indicate that I may be starting on the route of PCOS and endometriosis.
I found out about a year and a half i had pcos and was told it may take longer for me to become pregnant than most women, so i spoke to my partner and we decided to start try for a baby. After a year of trying and nothing happening i decided to go back to my doctor to see what he could do to help. After going to a hospital appointment for a scan i was put in for a laparoscopy, which i have just recently had done last friday, but now found out not only do i have pcos i also have a thick lining of Endometriosis and both my tubes are blocked. So yes you can have both PCOS and Endometrosis. I also have a question of my own if anyone can help is there any hope i will be able to get my tubes unblocked and to have a baby of my own one day?
Thanks
I wish I could help, and I hope you are successful in your atttempts
I really do hope everything works out for you i cant imagen how hard it must be for you actually getting pregnant and then mis-carriaging i really hope your ok. Take Care x
Good luck to you all,
G.P.
I have been diagnosed with Endometriosis and PCOS. Doctors have said it is quite uncommon.
Unfortunately the docs dont seem to bothered about my condition and fob me off a bit.. Im 26 and happily married, we're starting to think about trying for children, dont feel old enough yet, but dont want to leave it too late...
I went on to have 3 miscarriages in succession after being advised to start a family sooner rather than later - I was 25 then. We then had our beautiful and most precious little girl in 2006 after 2 years of trauma.
Then the troubles and pain started again...I visited the gynae who gave me an US and said I had polycystic ovaries-no really! Like I didnt already know! Oh yes they hadnt read any previous history notes! Told me I needed councelling and sent me on my way.....
The pains got worse and my sex life was being affected with the pain so I visited another gynae at a different hospital. They were great and booked me in for a laparoscopy ASAP. I had it this monday and they found both PCO, adhesions from the prev.surgery and endometriosis on both ovaries and the cavity. Recovering now and started Depoprovera injection too to keep both at bay. Fingers crossed this works....
So after all that rambling, what I am trying to say is yes it is possible to have both, dont let the doctors fob you off like they do, demand a laproscopy as the endo did not show on the US, and dont fret too much about having a family - it is achievable tho difficult!
Best of luck with everything x
I am very frustrated that I cannot get relief and all the doc wants to do is put me on BC pills. Which help to a point.
I went 3 years ago to a homopathic doctor and was put on Pogesterone and it helped me loose weight. Because of the PCOS I have low Pogesterone. When I went on it I also started having more regulkar periods.
Any of you have any suggestions on other treatments?
The Endo was carterized in 97 but not all of it. As for the rest nothing has helped.
Kim
I would suggest talking to your doctor again with a journal, or even going to another doctor to explain where you're at and kind of get a second opinion. I'm assuming since you have PCOS you're probably already on birth control pills, so laparoscopy or even Lupron may be beneficial to you. Hope things get better soon, I know how tough it can be!