At Northwest Women’s Center in Houston, our providers–including two Fellows of the American College of Obstetricians and Gynecologists–frequently answer questions about endometriosis, PCOS, and other women’s health conditions. Understanding the differences can help you recognize warning signs and know when to seek professional guidance.
What Is Endometriosis?
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. This tissue can attach to organs such as the ovaries and fallopian tubes, or to the pelvic lining. Each month, it responds to hormonal changes, which may lead to inflammation, scarring, and pain.
Common signs of endometriosis include:
- Severe menstrual cramps
- Chronic pelvic pain
- Pain during or after sex
- Painful bowel movements or urination during periods
- Difficulty getting pregnant
- Heavy menstrual bleeding
What Is PCOS?
PCOS is a hormonal disorder that influences ovarian function. It involves increased production of androgens (male hormones), which can disrupt ovulation.
Symptoms of PCOS include:
- Irregular or missed periods
- Excess facial or body hair
- Acne or oily skin
- Weight gain or difficulty losing weight
- Thinning hair on the scalp
- Ovarian cysts seen on ultrasound
PCOS is one of the most common endocrine disorders in women and may also increase the risk of other conditions like insulin resistance, diabetes, and infertility.
Key Differences Between Endometriosis and PCOS
While both endometriosis and PCOS impact reproductive health, they develop in distinct ways.
| Category | Endometriosis | PCOS |
| Underlying Cause | Tissue growth outside the uterus | Hormonal imbalances affect ovulation |
| Primary Symptoms | Pelvic pain is often the most noticeable symptom | Irregular or missed periods and hormone-related issues are most common |
| Effect on Fertility | Inflammation or scar tissue may affect the ovaries, fallopian tubes, or other reproductive organs | Ovulation may occur less often or stop entirely, interfering with the ability to conceive |
| Diagnosis Methods | Evaluation may include imaging tests or laparoscopic procedures | Diagnosis often involves reviewing symptoms, blood hormone testing, and ultrasound imaging of the ovaries |
Seek Expert Women’s Health Care in Houston
If you’re struggling with challenges that could be related to endometriosis or PCOS, the team at Northwest Women’s Center in Houston is here to help. Call 281.444.3440 today to schedule an appointment and take control of your reproductive health.