Endometriosis and PCOS or both. Various celebrities have recently made their struggles with either polycystic ovary syndrome or endometriosis public. Star Wars: The Force Awakens star Daisy Ridley wrote on Instagram that she’d “tried everything: products, antibiotics, more products, more antibiotics” to treat her acne before realizing the culprit was Endometriosis and PCOS, a hormonal condition that can cause cysts to grow on the ovaries.

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Though most of the symptoms are different, and they affect different parts of the reproductive system, both mess with your period, both can make you feel like utter hell, and both can cause fertility issues. Although having both is not particularly common, when it happens, it’s a double whammy against getting pregnant.

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