clevelandgal is absolutely right. I once had an internal ultrasound that was so painful I was crying and the technician and doctor dismissed it because they had "never had a patient who said the ultrasound hurt". I was furious. They were so ignorant. It was a good OBGYN office, but not good at all for an endo patient. In my area, fertility docs won't take a woman as a patient unless she has had at least 2 failed pregnancies. So I had to find an OBGYN who understood more than the average doctor about how endometriosis works. I first found out as much as I could about the disease and the treatments available myself. Then I made a list of questions. I consulted with several OBGYN's until I found one who answered my questions in a way that I could tell he was more up to date about this disease than the others and capable of doing the kind of surgery that I wanted him to do (laparoscopic excision with sharp instruments and minimal laser). Now as far as PCOS, I have suspected that I have it, but I don't know. Good luck and God bless!
I'm sorry I don't have experiene with PCOS but I've had endo for 15 years and it took me a LONG time get diagnosed and i've learned that not all docs are specialists at this stuff. My experience is that you should see a fertility doc..even if you aren't looking to get pregnant...they were the best I've come accross in diseases that cause infertility so they seem to have a better handle on these things than regular ob/gyn's who see ok with mild cases...my best advice is never give up and demand help! The only 100% way to diagnose endo is with a lap surgery...because it can be flat it can't always be seen on scan's, etc...hang in there..good luck!