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Understanding Endometriosis vs. PCOS: A Guide to Women’s Health

  • Dr Vineshree Govender
  • Jan 27
  • 2 min read

Updated: Mar 25







A woman sits hunched over on a bed, clutching her abdomen in visible pain, illustrating the challenges of living with endometriosis.
A woman sits hunched over on a bed, clutching her abdomen in visible pain, illustrating the challenges of living with endometriosis.


As a specialist in women’s health, I often help patients understand the differences between



 and Polycystic Ovary Syndrome (PCOS). These two conditions can cause significant challenges, including pain, irregular periods, and fertility issues, but they are very different in their causes and treatments.

If you’ve been experiencing symptoms like heavy bleeding, pelvic pain, or difficulty falling pregnant, this guide will help you better understand these conditions and how to take the first step toward relief.


What Is Endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. This can affect the ovaries, fallopian tubes, and surrounding pelvic tissue, causing inflammation and pain.


Common Symptoms of Endometriosis:

  • Painful periods (dysmenorrhoea)

  • Pelvic pain that occurs even outside your cycle

  • Pain during or after intercourse

  • Heavy or prolonged menstrual bleeding

  • Difficulty falling pregnant


Treatment Options: Managing Endometriosis often involves:

  • Pain management with prescribed medications

  • Hormonal therapy to slow tissue growth

  • Surgical removal of endometrial tissue

  • Fertility treatments for those planning to start a family


What Is PCOS?

Polycystic Ovary Syndrome (PCOS) is a hormonal condition that affects ovulation and may result in small cysts on the ovaries. It’s also associated with metabolic challenges and an increased risk of certain long-term health conditions.


Common Symptoms of PCOS:

  • Irregular or absent menstrual cycles

  • Excessive facial or body hair (hirsutism)

  • Persistent acne or oily skin

  • Weight gain or difficulty losing weight

  • Difficulty falling pregnant


Treatment Options: Managing PCOS typically includes:

  • Lifestyle changes such as a balanced diet and regular exercise

  • Medications to regulate periods or address specific symptoms

  • Hormonal treatments like oral contraceptives

  • Fertility treatments for ovulation support


Key Differences Between Endometriosis and PCOS


When Should You See a Specialist?

If you’re experiencing any of these symptoms, it’s important to consult a specialist. Early diagnosis and treatment can improve your quality of life and prevent complications.



How I Can Help You

As an experienced obstetrician and gynaecologist, I provide tailored care for women with Endometriosis, PCOS, and other reproductive health concerns. During your consultation, I’ll work with you to develop a personalised treatment plan that aligns with your symptoms, lifestyle, and health goals.

Call us at +27 31 401 7740 or book your appointment online at www.drvgovender.com.

Your health is my priority, and I’m committed to helping you feel informed, supported, and empowered.



Why Early Action Matters

Both Endometriosis and PCOS can significantly impact your health, but with the right care, they are manageable. Let’s work together to take control of your symptoms and improve your well-being.


 
 
 

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