{"id":11557,"date":"2026-09-03T01:13:22","date_gmt":"2026-09-03T01:13:22","guid":{"rendered":"https:\/\/nygse.com\/?p=11557"},"modified":"2026-09-03T03:32:44","modified_gmt":"2026-09-03T03:32:44","slug":"pots-endometriosis-connection","status":"publish","type":"post","link":"https:\/\/nygse.com\/es\/pots-endometriosis-connection\/","title":{"rendered":"The Connection Between POTS and Endometriosis"},"content":{"rendered":"
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Dizzy Every Time You Stand Up?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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POTS, endometriosis<\/a>, and a link the newest research has finally put numbers on.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Dr. Pankaj Singhal y Dra. Virginia McLean<\/strong>
Cirujanos ginec\u00f3logos y rob\u00f3ticos especializados en endometriosis \u00b7 New York Gynecology Surgery & Endometriosis (NYGSE\u2122) \u00b7 www.nygse.com
\u00a9 2026 New York Gynecology Surgery & Endometriosis. Material patentado de NYGSE. Queda prohibida la reproducci\u00f3n o distribuci\u00f3n sin autorizaci\u00f3n por escrito.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Woman\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Many of our patients describe a second problem that has nothing to do with the pelvis, and they almost always apologize for bringing it up.<\/p>

They stand up and the room goes grey at the edges. Their heart pounds after one flight of stairs. A hot shower leaves them sitting on the bathroom floor. They are tired in a way that sleep does not fix, and by mid-afternoon their thinking has gone soft. Most have been told it is anxiety, or dehydration, or that they need more sleep. A good number have simply stopped mentioning it.<\/p>

There is often a name for what they are describing, and research published this year suggests it appears in women with endometriosis<\/a> more often than chance would predict.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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What Is POTS?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Postural orthostatic tachycardia syndrome, or POTS, is a disorder of the autonomic nervous system. That is the part of the body that adjusts heart rate and blood vessel tone without being asked. Standing up pulls roughly half a liter of blood downward into the legs and abdomen. Normally the blood vessels tighten to push it back up. In POTS that reflex underperforms, so the body compensates the only other way it can, by racing the heart.<\/p>

None of this is guesswork. It gets measured. A review published in JAMA in August 2026 restates the criteria: a sustained heart rate increase of at least 30 beats per minute, or 40 in adolescents aged 12 to 19, within ten minutes of standing, with no drop in blood pressure, symptoms lasting at least three months, and other causes excluded.<\/p>

It is also not rare. That review estimates POTS affects between 0.1 and 1 percent of the United States population. About nine in ten patients are female, and onset peaks between the ages of 13 and 29, the same window in which endometriosis usually declares itself. In one survey, roughly 70 percent of patients reported substantial functional impairment, with school or work participation lost.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The Connection Between POTS and Endometriosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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A study published in 2026 in the journal Autonomic Neuroscience reviewed the records of 1,322 women whose POTS had been confirmed on tilt-table testing at a specialist autonomic center. Of those, 229, or 17.3 percent, also carried a diagnosis of endometriosis.<\/p>

For comparison, roughly 10 percent of women in the general population have endometriosis. Patients at the same clinic who tested negative on the tilt table had a rate of 10.2 percent. Both comparisons reached statistical significance. That second one matters, because it argues the finding is not simply a case of women who reach specialist clinics collecting more diagnoses.<\/p>

The detail we find most useful is the order of events. Among the women who had both conditions, endometriosis was diagnosed first 68 percent of the time. Put plainly, the gynecologist is often the first physician in a position to notice the other half of the picture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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LEE ESTA PARTE CUIDADOSAMENTE<\/span><\/strong><\/p>

This is an association. It is not a cause. The study was retrospective and done at a single center, so it cannot show that either condition produces the other.<\/p>

A separate 2025 survey of women diagnosed with POTS as teenagers found no excess of endometriosis at all, most likely because endometriosis is often still undiagnosed at 18. That is an explanation rather than a proof. Anyone who tells you the science here is settled has not read both papers.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Why Might POTS and Endometriosis Occur Together?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Nobody knows yet. Several explanations are being argued in the literature, and they do not rule each other out.<\/p>