As a Naturopathic Doctor and Birth Doula, I have the privilege of walking alongside many people who live with complex hormonal and menstrual concerns. Two of the most commonly misunderstood conditions I see in practice are Polycystic Ovary Syndrome (PCOS) and Endometriosis. While they are very different conditions, they are often lumped together—leading to confusion, frustration, and delayed care. Let’s take a moment to clarify what’s fact, what’s fiction, and what really matters.
The facts
PCOS is a hormonal and metabolic condition, often associated with irregular or absent ovulation, elevated androgens, insulin resistance, acne, and unwanted hair growth. Periods may be infrequent, unpredictable, or absent altogether.
Endometriosis, on the other hand, is a chronic inflammatory condition where tissue similar to the uterine lining grows outside the uterus. This can lead to painful periods, pelvic pain, pain with bowel movements or intercourse, and fatigue. Importantly, endometriosis can occur even when cycles are regular—and pain severity does not always correlate with disease stage.
The fiction
A common myth is that painful periods are normal. While some discomfort can occur, debilitating pain that interferes with daily life is not something to ignore. Another misconception is that PCOS is simply a “reproductive issue” or that endometriosis can be “fixed” with pregnancy or a single medication. These narratives oversimplify conditions that are deeply influenced by hormones, inflammation, metabolism, stress, and lived experience.
What really matters
What matters most is individualized, compassionate care. Both PCOS and endometriosis exist on a spectrum, and no two people experience them the same way. Understanding how these conditions affect your menstrual cycle, energy, mood, digestion, and overall reproductive goals is key.
From a naturopathic perspective, supportive strategies may include:
- Regulating blood sugar and insulin signaling (especially in PCOS)
- Reducing systemic inflammation
- Supporting gut and liver health for hormone metabolism
- Addressing nutrient deficiencies
- Working with—not against—your nervous system and stress response
Equally important is validation. Your symptoms are real. Your experience matters. You deserve care that listens, explains, and empowers.
In our upcoming conversation, we’ll explore these topics more deeply, share practical strategies, and leave space for your questions—because informed, collaborative care is one of the most powerful tools we have when living with PCOS or endometriosis.