PCOS & endometriosis

Hi everyone! I am 25 years old and I was recently diagnosed with PCOS with the criteria of irregular cycles, 20+ follicles on both ovaries, anovulation and infertility. I also have some other symptoms with insulin and blood sugar issues. My cycles range from 16-55 days with most of them being 35+ days with one or two short cycle in a calendar year. Never used any type of hormonal birth control.

I am a bit confused regarding pain and if it truly is only due to PCOS or if it could be endometriosis. Over a year ago I went to see an endo specialist who suspects I might have peritoneal endo due to the pelvic pain, painful intercourse and bowel issues I’m experiencing. No signs of endometriosis on the transvaginal ultrasound though.

My pain has gotten more severe within the last 6 months, my cycles have also changed in duration. My last three cycles have been as short as 16-20 days where I bleed 8-10 days. The pain stops me from doing normal daily life activities, like cooking and showering.

I was referred to the women’s hospital and I waited for 3 months to get an appointment. During this appointment I was diagnosed with PCOS and referred forward to fertility testing/treatments. No medical intervention even though I asked to get something prescribed for this constant bleeding and pain. The doctor completely dismissed my pain and concerns about if it could be something more than just PCOS. The doctor also documented me having ”no signs of endometriosis” even though it was later on mentioned that according to me I suffer from heavy and painful periods, painful intercourse and bowel issues.

So now I am wondering what is considered ”normal pain” that is due to PCOS? Does anyone else have these similar issues? Thank you in advance for any responses!