Endometriosis vs PCOS: Two Different Conditions That Can Overlap

Endometriosis vs PCOS. Two very different diagnoses. Two very different challenges.

But here’s the curveball: sometimes, they overlap.

And if you’ve ever found yourself Googling symptoms at 2am and thinking “Wait…do I have endo, PCOS, or both?” — you’re not alone.

Both endometriosis and PCOS are separate conditions, but they can share some of the same struggles. Which can make your health journey feel confusing, overwhelming, and honestly, exhausting.

Let’s break it down.

Endometriosis Symptoms

If you’re living with endo, you might know this list all too well:

• Painful periods that leave you curled up in bed

• Heavy bleeding that disrupts your life

• Fatigue that makes you want to nap all day

• Chronic pelvic pain (yep, even outside your cycle)

• Pain with sex, bowel movements, or urination

• Digestive or urinary issues that don’t make sense

• Inflammation + estrogen dominance

• Fertility struggles from adhesions, blocked tubes, or scar tissue

PCOS Symptoms

PCOS looks different — but you’ll notice some overlaps:

• Irregular or missing periods

• Painful cramps or PMS

• Fatigue (hello, coffee #3)

• Anovulation → low progesterone

• Inflammation

• High androgens = acne, facial hair, or hair loss

• Blood sugar issues + insulin resistance

• Fertility challenges because ovulation isn’t consistent

When Endometriosis + PCOS Team Up

Now imagine both at once. (Deep breath, friend.)

Having both can look like:

• Pain + inflammation from endo and irregular cycles from PCOS

• Low progesterone mixed with blood sugar swings

• Gut + metabolic challenges that flare up symptoms on both sides

• Fertility that’s more complicated — but absolutely still possible

👉 Endo can impact implantation (thanks to inflammation, adhesions, scar tissue).
👉 PCOS can make ovulation irregular or absent.

Different conditions. Different root causes. But together? They can make life (and fertility) feel a whole lot heavier.

I actually dive deeper into both of conditions and just where to start with managing them inside my Endo/ PCOS reset masterclass. You can snag it here for free.

Why a Full-Body Approach Matters

Here’s the truth: neither endo nor PCOS are just “period problems” or just “fertility issues.”
They’re whole-body conditions.

And that means the way forward isn’t another quick fix, another elimination diet, or just throwing meds at the symptoms.
It’s about digging deeper — looking at what’s driving your symptoms, and supporting your whole body in the process.

Because when you do that? You stop spinning your wheels and actually start to feel better.

How We Do That in Nourish to Nurture

This is exactly why we created Nourish to Nurture.

Inside the program, we take a deep-dive, whole-body approach using 5 key pillars that support both endo + PCOS who are wanting to conceive (and honestly, every woman I work with):

• Gut health + absorption

• Blood sugar balance

• Nervous system support

• Minerals

• Detoxification

These are the foundations your body needs to lower inflammation, regulate cycles, reduce pain, improve digestion, boost fertility, and get your energy back.

Whether you’re actively trying for a baby, planning for the future, or just desperate to feel like yourself again... Nourish to Nurture is your roadmap out of survival mode and into actually feeling good in your body.

👉 Learn more about Nourish to Nurture here

Want More Personalized Support?

If you’re not trying to conceive right now, but you want personalized, 1:1 support tailored to your exact health struggles...that’s exactly what I do in my private coaching containers.

In these programs, we go deep with your symptoms, run labs where needed, and create a plan that actually makes sense for YOU and YOUR body.

If you’re ready for that level of support, shoot me a DM on IG or book a consult call using the link below.