Thank you for the question and I am happy to help.
I understand your frustration and confusion. PCOS and endometriosis are two different problems. PCOS is a condition where you do not ovulate regularly. This leads to irregular cycles, missed cycles, fertility problems and abnormal breakthrough bleeding. It is not typically associated with pain but you can get pelvic pain related to the ovarian cysts that are related to this syndrome.
But regardless of the PCOS diagnosis, it sounds like you have pelvic pain that localizes within the pelvis and the ovary appears to be immobile on the pelvic ultrasound and at the site of your pain. This can be associated with endometriosis for sure. The best was to diagnosis this is with a laparoscopy which is a surgery through small incisions on your abdomen.
You need a referral to an OB/GYN to evaluate and treat these two problems. Does this make sense?
Thank you for the follow up. Yes, this is frustrating and you need the referral to an OB/GYN. In most systems, you do not need a referral to go to an OB/GYN since we are also considered Primary Care Doctors. You might consider calling an OB/GYN office and ask if you can make an appointment as a 'new patient'.
The uterus is usually tilted slightly forward towards the front of your abdomen. The tilt of the uterus is not really a huge issue. If it is severely tilted back, this can be a source of pain, but I do not think that it explains what you are describing.
Does this answer your questions?
Please remember to provide a POSITIVE RATING. Thank you.
You are very welcome.