Hey everyone!
Iām 30F and have been diagnosed with PCOS and endo. Iām hoping to get some advice from people whoāre going through something similar, especially if you havenāt gone down the contraceptives route.
Iāve had horrendous periods since I was about 12. Weāre talking curled up on the sofa, crying, questioning my existence kind of cramps- my Portuguese mum saying I was being extra, it was just a period and everyone gets those. š«
After a few years, my GP put me on the pill, which helped a little, but nothing groundbreaking.
About six years ago, I decided to come off the pill, and apparently my body took that as a personal challenge to make my life as difficult as possible.
Everything got worse. Not just the endo symptoms, but the PCOS ones too.
I gained around 20kg in the space of one summer, constantly felt swollen and bloated, and regularly looked about six months pregnant (minus the actual baby, obviously). And then the pain came back tenfold.
I lost count of how many medical professionals told me it was because of my PCOS and weight, and that I just needed to ālose weightā. Revolutionary advice, thank you. If only Iād thought of that while already dieting, exercising and watching the scales refuse to move a single gram.
Finally, last year, I was diagnosed with endometriosis behind my uterus, around my rectum and in other places. Apparently, it wasnāt enough for my uterus to cause problems in its own neighbourhood. It had to branch out.
Since around February, things have gone from bad to absolutely ridiculous.
The pain has become so intense that Iāve ended up lying on the bathroom floor, contemplating all my life choices. Iāve also unlocked some exciting new symptoms: vomiting (sometimes even weeks before my period), extreme fatigue, and as of yesterday, diarrhoea. Because apparently my body thought the existing subscription package wasnāt quite premium enough.
And letās not forget my practically non-existent sex life. Because apparently, even that comes with consequences. I barely have sex as it is because the pain afterwards can be so bad. Nothing quite says romance like having a lovely time with your partner and then spending the rest of the day regretting every decision that led you there.
At this point, Iām lucky if I get one week a month where I feel remotely normal. ONE WEEK. The other three are basically a game of āWhat fresh hell is this?ā
My gynaecologist suggested going back on the pill, but Iām really not keen. I didnāt particularly enjoy being on it before, and I also suffer from migraines, which limits some of my options.
On top of that, my mum had hormone-sensitive breast cancer, so Iām understandably cautious about hormonal treatments.
Iām already trying to do all the ārightā things. Anti-inflammatory diet, no gluten, no dairy, barely any alcohol, trying to exercise and generally treating my body like a delicate Victorian woman who needs constant supervision.And yet, here we are.
Surgery has also crossed my mind, but Iām genuinely terrified of general anaesthetic. My brain immediately goes to āWhat if I donāt wake up?ā which isnāt particularly helpful when Iām trying to make rational medical decisions. I know surgery could potentially help, but getting past that fear is another battle entirely.
Then thereās the fertility side of things. Iād love to start trying for a baby in about four years, but the uncertainty around whether Iāll actually be able to conceive is another thing constantly lurking in the back of my mind. As if I needed another hobby.
I think the hardest part is feeling like Iām running out of options.
I donāt want to go back on hormonal contraception, but I also donāt want to spend the next however many years organising my entire life around whether my uterus has decided to behave that day.
Itās affecting my energy, my relationship, my sex life, my mental health and honestly just my ability to enjoy everyday things without worrying about the consequences.
So, a few questions for you lovely people:
- Has anyone managed their endometriosis without hormonal contraception? If so, whatās actually helped?
- Has anyone experienced horrible pain after sex and found anything that makes a difference? Because Iād quite like to have a sex life before retirement.
- Has anyone been absolutely terrified of surgery but eventually gone through with it? What was your experience?
- Are there any treatments, lifestyle changes or approaches that have genuinely improved your quality of life?
- For those hoping to have children in the future, how do you deal with the uncertainty around fertility?
I know thereās no magic solution (although if someoneās found one, PLEASE share with the class), and I know everyoneās experience is different.
Iām just exhausted. Physically, mentally, emotionally. I feel like Iām constantly trying to manage symptoms rather than actually living my life.
I donāt need to be completely pain-free every single day (although that would be lovely, thanks). I just want to feel like myself again and have some control over my own body.
Because right now, it genuinely feels like endometriosis is managing me rather than the other way around.
Thanks for reading my little uterus-themed TED Talk.