PCOS vs. Endometriosis: Understanding Symptoms & Next Steps

Question
QUESTION: Hi. I was advised that I have polycystic ovaries in 2010 after presenting with sharp pain in my right ovary.

I conceived within 2 - 3 months and have an almost 2 year old little girl now.

I am approx 12kg heavier now that what I was and we are trying for baby number 2.

I experience ovulation pain and lower pelvic pain one week before my period.

I am wondering if I could be experiencing symptoms of endometriosis now? My period is regular and I do not have over the top period pain.

Thanks

Renee

ANSWER: Hello Renee from Australia,

If you have regular and predictable menstrual cycles, you do not have PCO.  By definition, you have to have irregular cycles which means that the ovaries are not working.

If you have increased cramping or pelvic pain,then yes, there is the possibility of endometriosis.  This diagnosis can only be made by a surgery called laparoscopy.  

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate


---------- FOLLOW-UP ----------

QUESTION: Thanks for your answer.

Is it common to experience period pain a week before your period is due?

I have a gyno appt this week.

Also, is it common to get endometriosis after already having a baby and does weight gain play a part in developing endometriosis?

Thanks

Renee

Answer
Hello Again,

Yes it is common to begin having cramping before the bleeding begins.  The cramping is what causes the lining to shed thereby leading to the bleeding.  

Having a baby can reduce endometriosis, but it can form after.  Often endometriosis comes later in life, after a woman's child bearing years, but some develop it sooner.  Weight has no impact on the cause, maintenance or treatment of endometriosis.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate